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HAY/ 1 /20[3 /S II 13 :42 ZEPHYBHILLS BUILDING FA'f, No. 813- 78D-0J21 3. OC2/232
<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 =intact 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 Biock" 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 IMPACTIUTILI11ES 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, is 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. h Is further understood that Transportation Impact Fees and Resource Recovery Fees must be pald prior to
<br /> receiving a "certificate of occupancy" or final power release. if the protect 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 eomeone
<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: 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 es 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 agendas may apply to the intended work, and that it is
<br /> my responsibility to identify whet aotions.1 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, Welland 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 1111 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 permitted budding using stem wall
<br /> construction, 1 certify that fill wit 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 1111 wifl not adversely affect adjacent
<br /> properties. • If. use of fil 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, 1 promise in good faith to Inform the owner of the permitting conditions set forth In
<br /> this affidavit prior to commenting 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 Budding 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, the 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 /> WI YO __ t, : ' : ATTO , = - ORER r :'i. YOU:' • OF CO sC _MENT.
<br /> FLORIDA JURAT (F S.1I7.
<br /> OWNER OR AGENT • • t CONTRACTOR +- �_ ' �•
<br /> Subscribed and sworn to (or stfarned) me Subscribed and sworn 1p (or afQrme e. me
<br /> ,�, 4/_by 4. / ` C Q ! t e P i i /.2 by
<br /> Who 1155/ore personally imnwn to me or hosfhave produced MO Ochre • -• . known L. me or haaRxwe produced
<br /> p zi - _S n / / as Mortification. . �1 •Gs klentlecallon_
<br /> v .v
<br /> � Notary Public
<br /> oict Notary Public State of Florida r
<br /> : 4.. e � t ` , j`.��' atom : " 4'r: y ' .1.71. ,_ • Tut ',,. • • •• .
<br /> ap odr Expires 12/07/2012 1 My Commission DD828063
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