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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 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 Pasco County occupancy or
<br /> final power release; the fees must be paid prior to permit issuance. Furthermore, if
<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, 1
<br /> certify that I, the applicant, have oridp p iculture and c Consumerr Affairs Construction
<br /> Proe If the appl cant is someone
<br /> Protectioon Guide" prepared by thhe Fllorid a Department of Agriculture
<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 /> wONTRA In co o mp l liance with all applicable able law s regulating construction, const uct in this application is accurate
<br /> zoning and land development. will be done Application is
<br /> ne In mpiance wh all apic
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has laws
<br /> commenced prior to issuance of a permit and that
<br /> will be performed
<br /> evelopment regulations in the jur ction. I lg als o
<br /> cons County and City codes, zoning regulations,
<br /> certify that I understand that the s 1 must take to be agencies
<br /> Such agencies o may apply include but are not limited to: it Is
<br /> my e my responsibility to identify what actions
<br /> - Department of Environmental Protectibn- 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 be submitted at time of permitting which understood
<br /> is prepared drainage plan a
<br /> " engineer
<br /> "compensating volume" " will b
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone " A"ha area connection the wit htem w mitted building using stem wall
<br /> construction, I certify that fill will be used only to fill
<br /> till material is to be used in any area, fill mayr affect cited for violating
<br /> -
<br /> properties. If use of fill is found to adversely affect adjacent p
<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
<br /> ons set forth in
<br /> I am the AGENT FOR THE OWNER, I promise in good faith
<br /> that a permit may b he owner of the p equ g red for l electr cal work,
<br /> this affidavit prior to commencing construction. I
<br /> umbin , signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> Pl g
<br /> permit issued shall be construed to be a license for shall issuance a pe mttprevent the ding Official from t ereafter
<br /> set aside any correction of of technical codes, tl ermit issuance, e if work become In authorized by
<br /> requirhing e a corecti
<br /> on of errors In plans, construction or violations of any cods of Every permit Issued shall become Invalid
<br /> unless pthe ermit work o by such n abandoned permit is commenced od of six 6) within
<br /> onths a ter the time the work Is commenced. An extension
<br /> may 4 writing, pb is suspended g, fromnhe Building for a p th j ob I considered abandoned.
<br /> ill
<br /> be re nested, in writiti r ng, from the Building Offlcial for a period not to exceed ninety (90) days and will demonstrate
<br /> m
<br /> justifiable cause for the extension. If work ceases for ninety'(90) consecutive days,
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVE E TS TO YOUR PROPERTY. IF YOU INTEND i • OBTAIN FINANCING, CONSULT
<br /> WIT. YOUR LE OB I NA N _ IN
<br /> EFORE RECORDI G YOU - N O I
<br /> . � E' 0 AN :, = -.;�- repilL �
<br /> FLORIDA JURAT (F.S. 117.03) O
<br /> CONTRACTOR
<br /> ON rnto o ff, !r"� oremethis � P v�a Subscribed an swo ( ..o me n
<br /> OWNER OR AGENT �� ��'�id - ; v6 GST 12 _, T,y by .i , N
<br /> Subscribed and sworn l�o���m Li✓ �,�
<br /> Z --- by yyh.� _ re personally known to = or ha es dentiflcatlon.
<br /> Who dare per sonall y kn own to m as r has / is ve produ
<br /> /' Notary Public
<br /> OF' �/ otary Public Z3
<br /> D_. ' — O23 - Commissl. No. b 770
<br /> Commission N o. . _,
<br /> Name o f Notary typed, printed or stamp: ,. .: Commission DD 7 74023
<br /> . ' a € Expires June 6, 2012
<br /> • Name of Notary typed, prl d ,. -.,.
<br /> ; = :mmission DD 774023 , � d
<br /> .; T � ru lro / FNntrrurorx»e 00.3 l 8.70,9
<br /> �,,1 <s '�pf , a«a
<br /> Expires June 6,
<br /> 2012
<br /> . Bu ndoC Ttlr" Troy F ®In Me w. � " 385 -7019 .
<br />
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