<br />NOTICE OF DEED RESTRI<;:TIONS: The undersigned understands that this permit may be subject to "deed" restrictions.
<br />which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br />applicable deed restrictions. .
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br />contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
<br />contractor is not licensed a~ required by law, both the owner and contractor may be cited for a misdemeanor violation
<br />under state law. If the owner or Intended contractor are uncertain as to what licensing requirements may apply for the
<br />intended work, they are advi~ed to contact the Pasco County Building Inspection Division-Licensing Section at 727..847-
<br />8009. Furthermore, if the ~wner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br />portions of the "contractor B~ock" of this application for which they will be responsible. If you, as the owner sign as the
<br />contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br />County. .
<br />TRANSPORTATION IMPAQT/UTILlTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transportation Impact F~es and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br />use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br />90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br />permitting. It is further und~rstood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />receiving a "certificate of ocdupancy" or final power release. If the project does not involve a certificate of occupancy or
<br />final power release, the feeS must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer Impact
<br />fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br />I .
<br />CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br />certify that I, the applicant,! have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
<br />Protection Guide" prepared ~y the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br />other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br />deliver it to the "owner" prior~o commencement.
<br />CONTRACTOR'S/OWNER'~ AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br />will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br />hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br />commenced prior to Issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br />construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand thatithe regulations of other government agencies may apply to the intended work, and that it is
<br />my responsibility to identifyW'hat actions I must take to be in compliance. Such agencies include but are not limited to:
<br />Department of ~nvironmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment.
<br />Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br />Watercourses.
<br />Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br />Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br />Septic Tanks.
<br />US Environmental Protection Agency-Asbestos abatement.
<br />Federal Avlation!Authority-Runways.
<br />I understand that the followi~g restrictions apply to the use of fill:
<br />Use offill is not ~lIowed In Flood Zone "V" unless expressly permitted.
<br />If the fill material is to be used in Flood Zone "N, it is understood that a drainage plan addressing a
<br />"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br />licensed by the State of Florida.
<br />If the fill materi~1 is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br />construction, I certify that fill will be used only to fill the area within the stem wall.
<br />If fill material is to be used in any area, I certify that use of such fill will not ,adversely affect adjacent
<br />properties. If uS,e of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br />the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br />acre which are elevated by fill, an engineered drainage plan is required.
<br />If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br />this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br />permit issued shall be constr,ued to be a license to proceed with the work and not as authority to. violate, cancel, alter, or
<br />set aside any provisions of t~e technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br />unless the work authorized by such permit is commenced within six months of permit issuance, or if work authoriz~d by
<br />the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br />may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, th~ob is considered abandoned.
<br />
<br />WARNING TO OWNER: ~OUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT INYOUR
<br />PAYING TWICE FOR IMPRbvEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COf"'MENCEMENT.
<br />FLORIDA JURAT (F.S. 117.03) . 02 ,n_ _ . A
<br />
<br />OWNER OR AGENT CONTRACTOR (7 ~
<br />Subscribed andb~wom to (or affirmed) before me this ~ed and ~
<br />
<br />Who is/are personally known to me :or haslhave produced Who Is/are
<br />as Identification.
<br />
<br />
<br />t d-Oci'
<br />
<br />Nqtary Public
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
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<br />~ , "f, Notary Pub'i
<br />;.: ~ ,; Shelly Bes~c~tate of FlOrida
<br />"'>;~~ MYCOmmiss.
<br />o,!f\; Expires 03/03~O~f74503B
<br />
<br />
<br />Name of Notary typed. printed or stamped
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