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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 y
<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 /> 9007, perrmit ting. It i as amen fu her understood undersied also
<br /> th at Transp
<br /> ortation ortation Impa t Fees and Resource be due, will be Recovery Fees must be paid prior to
<br /> pemits rtoo th
<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 Construction of is $2,500.00 or more, i
<br /> Law—Homeowner's
<br /> certify that I, the applicant, have been provided with a copy of the
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the "owner ", 1 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 c ari s re construction, this app
<br /> an land developments all work is
<br /> will be done in compliance with all applicable I regulating
<br /> has
<br /> hereby made to obtain a permit to w� d installation as
<br /> will indicated. of all laws
<br /> commenced prior to issuance of i a permit
<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 agences I Such agenc s tare not limited to:
<br /> Department it is
<br /> my responsibility to identify what actions I must take to ben compliance.
<br /> Department of Envi ronmental Protection- Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment. Ba heads, Wetland Areas, Altering
<br /> - Southwest Florida Water Management District - Wells, Cyp ress Bay
<br /> heads,
<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 Zo t to fill in
<br /> area connection with a
<br /> wall. permitted building using stem wall
<br /> construction, I certify that fill will be used only
<br /> If fill material is to be used in any area i affect adjacent properties the will
<br /> owner may c ited for violating
<br /> -
<br /> properties. If use of fill is found to adversely 1
<br /> the conditions of the building permit issued under the as he permit mgt application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan
<br /> If l am
<br /> the AGENT FOR THE OWNER, I promise in good faith to inform th owner permit may permitting itt u required for conditions
<br /> t electrical work,
<br /> this affidavit prior to commencing construction. I,understan
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application.
<br /> permit Issued shall be construed to be a license to proceed ua a pe miiprevent the (ding Official from thel`nvalid e work an not as
<br /> set it aside any provisions the technical codes, nor sha after
<br /> ll f s sha
<br /> requiring ufrfn permit correction of errors in plans, construction enCe�l within six months of per Every. pssua or wo autheoxt nsion
<br /> q 9
<br /> unless the work authorized by such permit is commenced da demonstrate
<br /> may be requested, ermit is suspended or abandoned for a period fficial foss period not tohezoeedtnth jo s considered a
<br /> in tyb r(gp)co �ms encedand w'ill andoned.
<br /> from the Building O
<br /> , in writing, i I
<br /> justifiable cause for the extension. If work ceases for ninety( 90 ) consecutive d ays, MENCEMENT MAY RESULT IN YOUR
<br /> WARNING TO OWNER: YOUR FAILURE TO O YOUR R O P A NOTICE YOU NOM � ,,�.€TAIN FINANCING, CIN
<br /> IMPROVE 7 TS TO PROPERTY• IF YOU I TO 1 BTAIN FINANCING, CONSULT TWICE FOR TOR a 0t_7 - BEFORE RECORDING YOU( NO ENT.
<br /> W T, YOUR LEN � EI OR • ody-iitimo � FLORIDA JURAT (F.S. 117.03) ` � = o :•
<br /> CONTRACTOR � ed before me this �v ta ST
<br /> S u b cdbed AGENT .. - _ , . , dd 0,57
<br /> Subscribed and sworn to or��oaN Gtr me
<br /> / y r . b y
<br /> Subscribed and sworn to (or / Jr1 L 1a 1 'i
<br /> affirm L. Wt i
<br /> pZ by re p known to m or has/have _ as Identification.
<br /> Who �a a err p sonally known to m as Identification.
<br /> Notary Public i , r riliP
<br /> / Notary Public �` Z3
<br /> O DD 7'7# 023 Commission o. b
<br /> Commission No.
<br /> • Name of Notary typed, printed or stamp = ' ' Commission DD 7740 3
<br /> 2
<br /> .• . . p �" ` � fires June 6, 2012
<br /> �
<br /> Name of Notary typed, prt .'�f ; ' , , _ :mmission DD 774023 - A�i� 388.7019
<br /> ` "" E June 6
<br /> 2012 47:84 � . Bondedihn+rroyFinnuu ooe • �2 Pnin lneurwe °- •1 385-7019 ttt
<br /> ' � a; „ Bendentnrutroy
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