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which NOTICE
<br /> may DEED RESTRICTION be more restrictive than County regulations. The undersigned this
<br /> ssumes responsibility for compliance with any
<br /> which my ty
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> If the
<br /> contractors to undertake w ` may law, be g boththe ow licensed
<br /> ner and contractor accordance
<br /> may be cited for alocal
<br /> misdemeanor violation
<br /> contractor is not licensed a
<br /> a required by may apply under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I fort 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 construction FEES: o f new unders
<br /> b gn d und ersta of
<br /> t Transportation Impact Fees and Recourse Recovery Fees may apply to the
<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 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 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 d owner mve d for at adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties,
<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, I promise ctO 'understanld inform
<br /> at permit may be permitting conditions
<br /> ed for forth in
<br /> this affidavit prior to commencing constru application. A
<br /> plumbing, d shall wells, pools, air o o conditioning,
<br /> license to proceed with the work and not as authority to included cancel, alter, or
<br /> permit issued a ro i io be construed to b
<br /> set asi any correction of errors rors the in plans, code construction or violations of any codes. Every t perm t issued shall become invalid
<br /> requiring a correcton of r in plans,
<br /> unless m t work is suspended o or the authorid
<br /> a b ndo andon h e d f f o r ais period od of six (6) within
<br /> onths after the time permit thewok commenced. An extension
<br /> the permit pended r bnd o
<br /> may be requested, in writing, from the Building Offoeininety period not to exceed ninety
<br /> days, the job is deg d aba l ndoned demonstrate
<br /> justifiable cause for the extension. If work ceases
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD T IF YOU INTEND TO OBTAIN FINANCING CONSULT
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR P ROPERTY. • TICE OF COMMENCEMENT.
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
<br /> FLORIDA JURAT (F.S. 11 .')
<br /> --:::j------ -- h , CONTRACTOR
<br /> OWNER OR AGENT Subscribed and worn to (or affirme )before me this
<br /> ubscribed and sworn to (or affirmed) before me this 12 b y
<br /> i - . !�by Who is/ a personally known to me ' has /have produced
<br /> Who is /Ire personally known to r as produced — as identification.
<br /> as identification.
<br /> r
<br /> �_ Notary Public
<br /> Oa : ,Tor °d'a blic _ • . ..��._x
<br /> NE UOUVLhS / J " SUZ DOUGL - FN
<br /> v <4.- - . e r
<br /> o` * B`o'a Notary Po. lC rc -State of Florida
<br /> Commission No.
<br /> 1 _ M Commission Expires Oct 25, 2011 •�, : My Comm Exp ires Ocr �q1
<br /> Fl 1 1
<br /> Comr ssi• 1 ;
<br /> ?V:1111117,41 Commission # DD71 ASSn ■ `
<br /> q A o ! ` o : , , , :,, Throu,h National Notary typed, print • • . ommission # DD7143 19
<br /> Name of Notary typ P Bond Through National Notary Assn . b
<br /> Name o No = �,;•
<br />
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