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 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 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 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 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 Environmental Department of En
<br /> ty to identify nt mental Pr tec ion Cypress Bayheads, S W tland A eas Environmentally t Sensitive
<br /> - De
<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 /> 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 ec within the ithtem permitted building using stem wall
<br /> construction, I certify that fill will be used only to the a
<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 application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If 1. am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in d for
<br /> this affidavit prior to commencing construction. lunderstand oother i that a nstallations r not specifically in en the a n�
<br /> plumbing, signs, wells, pools, air conditioning, gas,
<br /> perms id a any pro i vis visions be
<br /> of t consthe rued
<br /> t e co hn icc al codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> set aside any proiohe tci
<br /> requiring a correction of errors in plans, construction rcct�enced
<br /> violations of
<br /> any codes. Every
<br /> of permit permit shall become invalid authorized by
<br /> unless the work authorized by such permit i
<br /> the permit is suspended or abandoned for a period 6a period not to exc n ty days and will demonstrate
<br /> may be requested, in writing, from the Building Official fo
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RR PROPERTY. NOTICE
<br /> IF YOU CMMENCEMENT
<br /> OBTAI n FI A NANCSN G TC O NSULT
<br /> PAYING TWICE FOR IMP • OVEMEN TO YOUR
<br /> WITH YOUR LENDER ''�AN ATT EY BEFORE RECORDING YOUR Nj ' CE OF C a.,,J ENCEMENT.
<br /> FLORIDA JURAT (F.S. 117 ..
<br /> / CONTRACTOR �// J.IA
<br /> �L /
<br /> Sub crlbed „
<br /> OWNER OR A(3
<br /> Subscribed an. wom • (or a ' ed.)--fore x me j ' j
<br /> �� " d swum to •r affl � ed be % �- m" ors .. ,- � C 7
<br /> ,Q ,( ,r il fJ� /i' , 1 • me or has/have produced
<br /> . Who 1 " e as identification. produced
<br /> Who Is . - pek4nally kne4vn to or has/have produced —,- as Identification.
<br /> /
<br /> ' , / d
<br /> / , 1 , , .rY Publi v Af
<br /> / -th . to • - ubllc
<br /> ,.,•.,. �441 Cc}r
<br /> ' r JACQUELINE A. VALDEZ
<br /> •1 'l '' t .. . , . Na of `"� ' ' . R Ju121,1010
<br /> Na fr r pe r .i�;�' r+. 4 ' - Condon / DO 549072
<br /> • a Banded . National Notary Asan.
<br /> Bonded , National . Assn.
<br />
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