` ^ ` be subject to 'deed" restdctlons
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may vvhich may,be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTFtACTOR RESPONSIBILITIES: if the owner has hired i contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulationt. 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 fol 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 IMPACT/UTILITIES 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 dile, 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 releas% 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 CoOty 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 document and promise In good faith to
<br /> deliver it to the "owner" prior to commencement. ,
<br /> CONTRACTOR'SIOWNER'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 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 agendies include but are not limited to:
<br /> - Department of Environmental Protectibn-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, VVater/Wastevvater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<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 rnaterial 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 vvith 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 /> propetties. 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 perrnit 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 ownei of the ermittin conditions set forth in
<br /> this affidavit prior to commencing construction. I ,understand that a separate permit may requ for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the applicatio n. A
<br /> permit issued shall be construed to be a license to proceed with the wprk and not as authority to vi a ter, o
<br /> set aside any provisions of the technical codes, nor shalt Issuance 'of a petmit prevent the Building d h c a from ther
<br /> requiring a correction Cf errOte ih plena', construction or violations of any codes. Every permit issue .f s a k bec u o th m e e
<br /> unless the work authorized by such permit Is commenced within six months of permit issuance, or 1 wor a rized by
<br /> th per mit is suspende' d 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 Officlarfo a - period not to ex t n h l et (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive ays, n tiQo Y b is considered abandoned.
<br /> WARNING TO OVVNEIR: YOUR FAILURE TO RECORD.A NOTICE OF COMMENCEMENT MAY RESULT IN YoUR
<br /> PAYING TWICE FOR IMPROV,E; IT i • YOUR PROPERTY. IF YOU INTEND,TO el ! IN FINA_ NCING, CONSULT
<br /> FLORIDA JURAT (F.S. 117.03) /4011rAignh ealgrA
<br /> 1•_k______ . . mui fil 414 by a " -it ' l L FL Y VVh• GT -re personally known 7. me or has/have produced
<br /> Who 'mare "mortally kfmn tc,,, or hasfhave produced -----------as Identification.
<br /> .m%ille
<br /> Name of Notary typed, printed or stamp. e ; ,,, 1 4 CoMmiSSion DO 774023
<br /> Name of Notary typed p ` ' — ' �June�2O12 � ~«~' -
<br /> ^�m
<br /> ' �� ^�wn�n�mww� , ~
<br /> . ~
<br />
|