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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 responsibikty for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIUTIES: 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 I MPACTIUTILRiES 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 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 1 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 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 worts 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 Crly codes. zoning regulations, and land development regulations in the jurisdiction. 1 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 responsiWTity to identify what actions I must take to be in compiance. Such agencies include but are not limited to:
<br /> Department of Environmental Protection- Cypress Bayheads, Wetland Areas and Envlronmentaly Sensitive
<br /> Lands, Water/WastewaterTreatrnent.
<br /> Southwest Florida Water Management District Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of , 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 111:
<br /> Use of IN is not slowed in Flood Zone Y unless expressly permitted.
<br /> If the 1111 material is to be used in Flood Zone A °, 11 is understood that a drainage plan addressing a
<br /> "compensating vokane" MN be submitted at time of permrdting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> If the fill materiel is to be used m Flood Zone A' it connection with a permitted building using stem wall
<br /> construction. I c er07y that tilt well be used only to till the area within the stem wait.
<br /> If 1B material is to be used in any area, 1 certify that use of such fit wi not adversely affect adjacent
<br /> properties. If use of till is found bo adversely affect adjacent properties, the owner may be sled for violating
<br /> the conditions of the building permit issued under the attached permit applraton, for lots less than one (1)
<br /> acre which am elevated by flit, an engineered drainage plan is required.
<br /> If 1 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 carnmencing construction. I understand that a separate permit may be required for electrical work,
<br /> pig. signs, was, pods, as conrihoning, gas, or other installations not specifically included in the application. A
<br /> permit issued shat be construed to be a license to proceed with the work and not as aut honly to violate, cancel, after, or
<br /> set aside any provisions of the technical codes, nor shah issuance of a pewit prevent the Buicfeg Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shat become invalid
<br /> unless the work authorized by such pewit 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
<br /> FLORIDA JURAT IF-S. 117.03)
<br /> •
<br /> OWNER OR AGENIT �� - - -+ CONTRACTOR �___
<br /> Subscrbed and to affirmed) before ire thus - --- Subscribed affirmed) before me this
<br /> by Z"I1 by
<br /> Who isWe personally known to me or hasfi®ve produced wino Were ptmaortaay known to ma or hasibave produced
<br /> as ider+Y6catian as i0m Bits eon.
<br /> Notary Pubic , i : . - - . � '� Notary Public
<br /> Commission No. , •
<br /> Name d Notary typed, pinked orstamped Named' :, p _r ' 1'C
<br /> t • Comm ission # EE 040520
<br /> : . , Dumber 12, 2014
<br /> "?..5
<br /> :', l e tt 1 ni tre/Faln kutreraceto048 7019
<br /> R,“
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