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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 responsib, 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 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 (Chapteir 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, 1
<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. 1f 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 lawns 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. 1 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 I must take to be in compliance. Such agencies include but are not limited 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 '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 Zone "A" in connection with a permitted building using stem wall
<br /> construction, 1 certify that fill will be used only to fill the area within the stem wall.
<br /> If fill material is to be used in any area, 1 certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill rs 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 /> 111 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. 1 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, 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 (6) months after 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 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 LENDE - OR AN AT I‘ ORN BEFORE RECORDING YOtJ - NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT (F.S. 1 .03
<br /> OWNERORAOENT < -/ .1 CONTRACTOR 4
<br /> Subscribed and sworn to or affirms.) • • me this Subscribed and • to (• r a ' • before me
<br /> a1J23J /o by • !+ - // - fr r
<br /> laara perame&ITowit to me Of hes/h.Ya producsd MO Wars par.o Ily kn6I4116 m* Of hi A e is prbducad
<br /> as identification. as identa>ation,
<br /> • Notary Public \ Notary Public
<br /> Commission No, to AI 11 3 (011111 Commission No bb
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<br /> %Natae DD 943688 d or�ted�cstamped _ Name of Notary typed, printed or �• r' • _ ( DD 7226
<br /> DONYA K BECKMAN = .r
<br /> � •( �,
<br /> 4 b : Notary Public - State of Florida 11 parThN F Insurance 201
<br /> • My Comm. Expires Dec 1, 2013
<br /> Commission Ott"
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<br /> �• ' " �, Bonded Through National Notary Assn.
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