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<br /> SEP/15/2008/MON 03:30 PM ZEPHYAHILLS BUILDING FAX No. 813-780-0021 P. 002
<br /> NOTICE OF DEED RESTRICTIONS: 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 as 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 advised to contact the Pasco County Building Inspection Division — Licensing Section at 727-847 -
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he Is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees 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 understood that Transportation Impact Fees and Resource Recovery Fees must be paid, prior to
<br /> receiving a "certificate of occupancy" 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 Water /Sewer Impact •
<br /> fees are due, they must be paid prior to permit Issuance In accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713,. Florida Statutes, as amended): If valuation of work Is $2,500.00 or more,
<br /> certify that I, the applicant, have been provided With a copy of the "Florida Construction Lien Law— Homeo*ner's
<br /> Protection Guide" prepared by 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 to commencement. •
<br /> CONTRACTOR'S /OWNER'S AFFIDAVIT: 1 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 that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> Department of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WaterlWastewater 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 I-lealth Unit - Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> • US Environmental Protection Agency- Asbestos abatement.
<br /> - Federal Aviation Authority- Runways.
<br /> . I understand that the following restrictions apply to the use of fill: -
<br /> - Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
<br /> If the fill material Is to be used In Flood Zone "A ", 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 material is to be used in Flood Zone "k 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 use 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 applicatlon, for Tots Tess 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 construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the 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 authorized 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, thejob Is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. iF YOU INTEN ' • OBTAIN FINANCING; CONSULT
<br /> WITH Y • UR L . DER s - AN • u ORN 4 BEF • • ERE ORDI YO • NO i' C • EN MENT
<br /> FLORIDAJURAT (F:8. 117,03) .�
<br /> OWNER OR AGENT CONTRACTOR c.
<br /> Subscribed and swum to (or affirmed) before me this S sniped and swam o (o affirm= •) , e . re I ,�
<br /> by cf'/0 by Li
<br /> Who Is /are personally known to me or has/have produced Who is/are personas known to me or has/have produced
<br /> as Identification. as identification.
<br /> Notary Public \ � Ir.=t� _ - • Notary Public
<br /> •
<br /> • ` mis i �k JAC BOGES
<br /> Commission No. „ 1 •n • • •
<br /> •'res December 12, 2010
<br /> Name of Notary typed, printed or stamped
<br /> : Name of Notary lyli ;,," t -•. Y" .�'
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