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Dec. 1. 2010 1:11PM CROSS CONSTRUCTION No. 3114 P. 5
<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 far 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 ere 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 IMPACTIUTTLITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation impact Fees and Recourse Recovery Fees may apply to the construction of new bindings, 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 appticable 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 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'SIOWNER'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 1 must take to be in compliance. Such agencies include but are not limited to:
<br /> Department of Environmental Protection- Cypress Bayheads, Wetland Areas end Environmentally Sensitive
<br /> Lands, Water/WastewaterTreatment.
<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•fotlowiing restrictions apply to the use of fit
<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 drainege 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 Zorie `A" in connection with a permitted building using stem wall
<br /> • construction, I certify that 1111 win 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 Will not adversely affect adjacent
<br /> • properiiis.. 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! am the AGENT FOR THE OWNER, 1 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 iristanatlons 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, alter, 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 (8) months alter the time 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 pb 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 /> rt. • R LE ' - • R AN • • : EY BEF • _ - OI%DING • R NOTICE 0 ' • N EME
<br /> JURAT (F,S.117.O3)
<br /> •
<br /> OWNER OR AGENT CONTRACT°
<br /> subaaibed and Sworn to for aimed) before me tl+is o ad bo rr��rr ee me t+ds
<br /> by person �''fftaA" ljrhrr�rmw
<br /> who Wars personally known to me or has/have produced W
<br /> d as y known to me or 1wstnave produced
<br /> as Identification. as Ida ntikation.
<br /> •
<br /> Notary Public ieVNYtG.t ly Nosy Public
<br /> Commission No, Commission No: D 1 if
<br /> Name of Notary typed, printed or stamped • Name of Notary bPed. prkded br Com odor s DD 885611
<br /> Spires August 24, 2014
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