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<br /> 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 Budding 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 wdl 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 privdeges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUT1LITIES 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 113, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br /> certify that 1, 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, t 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: 1 certify that al the information in this application is accurate and that aN 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 aN work wdl 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 1 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 Ilmited 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 "1/' unless expressly permitted.
<br /> If the fill material is to be used in Flood Zone W, 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 8N the area within the stem wall.
<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 I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, eke'', or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six (6) months after the lime the work is commenced. An extension
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<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 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT (F.S.
<br /> CONTRACTOR
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<br /> A 9 Commission No. Commission No. ''/p o / ,
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<br /> Name of Notary typed, printed or stamped — Name of N
<br /> NO typed, Primed or stamped
<br /> « p ` BRENDA L BUCHANAN
<br /> ;i° 4 Ly , a c : Notary Public - State of Florida
<br /> 9
<br /> t *� • My Comm. Expires Jan 31, 2013 •
<br /> 7. �� �s��1 dri R L LCR)T O HORKEY
<br /> I a Commission # DO 845603
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<br /> COnli. ExN. Aug. 19, 2011
<br /> ;o. DJ7O6278
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