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NOV/8/2008/71E 03:18 Pik! ZEPHYEHILLS BUILDING FAX Yo. 813 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, 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 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 dooument and promise in good faith to
<br /> deliver it to the "owner" prior to commencement. •
<br /> CONTRACTOR'S /OWNER'S 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 Taws 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, 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 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 "A" In connection with a permltted 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•condltlons 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 /> 111 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 (8) 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, thr\job 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 INTEND TO OBTAIN FINANCING; CONSULT
<br /> • • ,•ER•: •AT •RN4 BEF EREC•:•ING 0U' .OTI • CO ,• .CE,, .
<br /> FLORIDA JURAT (F:S. 117.03))
<br /> OWNER OR AGENT '/— CONTRACTOR Orliel •'
<br /> a1bed ands . o ) T • T b Sub bp�ii and sworn to st n
<br /> b¢;. .wf�� p-r 7 1 7.aq y�/ fLL�
<br /> Who le! 6arsonally known to me or hes/have prodrioed Who Is/are personally kt to me br hes/have produced •
<br /> L./ Cthy-- as identillcation. C as kientlfcabon.
<br /> • ? �fi ' �r . i• �R G�j._ Public L�t ` ` • �' 14. r _ - NotaryPUbllc •
<br /> , � ' ' 1 Commission DD 621833
<br /> Y „ o f c�,: r Bonded 1h,, Tm,, Fain i nna• Ins 800-366.7019 oa pires ' ecember 12, 2010
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<br /> Name of Notary typed, printed or stamped • Name or Notary typed, Panted or stamped
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