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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 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 RESOURC 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 /> ting
<br /> commenced prior to issuance of a permit and lr and ll la b d development regulations in the jur ction S a also
<br /> construction, County and City codes, zoning regulations,
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibili to identify Environmental nv ot P otecti bn- Cypress Bayheads Such
<br /> Wetland Areas and Environmentally Sensitive
<br /> - Sensitive
<br /> Department of
<br /> Lands, Water/Wastewater Treatment. Bayheads, Wetland Areas, Altering
<br /> - Southwest Florida Water Management District - Wells, Cyp ress y
<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. A sbestos abatement.
<br /> - US Environmental Protection Agency-
<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
<br /> vo is lume " b wll l be used in Flood Zone submitted at time of permitting which Is prepared drainage
<br /> professio addressing r eng engineer
<br /> "compensating vo"
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone " lA the area ectio with a
<br /> wall. mitted building using stem wall
<br /> construction, I certify that fill will be used only to fill
<br /> fill material is to be used in any area, affect adjacent properties, fill
<br /> the will owner may cited for violating
<br /> properties. properties.. If use of fill Is found to adversely
<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 /> f I of the
<br /> AGENT FOR THE OWNER, I promise in good faith to Inform he eeml may bthe equg ed for cal t hr that a
<br /> plumbing, signs, this affidavit prior to commencing construction• lash o installations lt not specifically included in the application. A
<br /> shall wells, pools, to
<br /> be a io , g ' thereafter
<br /> p
<br /> ermlt issued shall be consstrtr air ued to be a lic ing cense for Shall issuance of a permit prevent the Building Official from roceed with the work and not as authority to. violate, cance alter, or
<br /> set aside any provisions of the in plans, technical codes, ti
<br /> requiring a correction of errors In plans, construct violations
<br /> within six any
<br /> months of permit p ssua i nce, Issued
<br /> if w ork authorized by
<br /> unless the work pe t authorized by such permit is commenced
<br /> the permit is suspended or abandoned for a period of six (6) me io not to time days and will demons t
<br /> m rate
<br /> may be requested, in writing, from the Building Official a p
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, theob is considered aban ons RESULT IN YOUR
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMM _ ; IN FI ENCEM NT MAY NA N CING, CONSULT
<br /> PAYING TWICE FOR IMPROVE; rI TS TO YOUR PROPERTY. IF YOU INTEND TO • - CE T.
<br /> FLORIDA JURA
<br /> WIT OUR LE • - • - s �'t"''_; ` BEFORE RECORDING YOU - NO 1 <AO
<br /> :
<br /> T (F.S. 117.0 r � � �
<br /> ,i!�/ CONTRACTOR t ime this �v �aST
<br /> OWNER OR AGENT fore me this ,¢vd O5T Subscribed and sworn to (or �� - y LstiE
<br /> Subscribed and sworn to (or affirmed) /y ra , by `�
<br /> 02�N by ✓ o //� L , ✓ L'f Wh.�.re personally known to me or hasa j de n produced
<br /> Who 212 a personally known to me or has /have produced ..../.111
<br /> as identification.
<br /> / o Notary Public
<br /> ..K.-_,/ N otary Public �►
<br /> DP 1 77 1 / 023 Commssslo ,/' �. b 7 ' 7 � O Z3
<br /> Co 1,0 slon No. _ - , _
<br /> , ' .,,, e;, Commission DD 774023
<br /> ;: t
<br /> • Name of Notary typed, printed or stamp: f
<br /> ; -. - P = : mission DD 77 : j Expi June 6, 2012
<br /> Name of Notary typed, pH * m 2012pf , '' Bonaoan u IO y FNnIM4inotl 8 �'� 6 ' 7019
<br /> i ',. . ,K = Expires June 6,
<br /> ' � �fT� ��=�� , ®unAotl Troy F ®1111NUtOt1eP °'+ 365 -7019
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