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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" rest�ictions"
<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 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 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 /> � �,
<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 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, WaterlWastewater 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 buifding using stem wall
<br /> construction, I 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, 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 c,ommencia9 conditioning, gasn or inst Ilations specifically bncluded t e a cat on�
<br /> plumbing, signs, wells, pools,
<br /> permit issued shall be construe ech ncal codesenorp hall s�sua a pe mit�prevent the Iding Officeal from ther
<br /> set aside any provisions of the t
<br /> requiring a correction of errors in plan ermit srcotmmencedlwithin si a months of perm p sua work authorized by
<br /> un l e s s t h e w o r k a u t h o r i z e d b y s u c h p
<br /> the permit is suspended or abando t he Build n ial fo6a per o h d not to exc t n n ty r (90) days and e will demonstrate
<br /> m a y b e r e q u e s t e d, i n w r i t i n g, f r o m 9
<br /> t h e o b i s c o n s i d e r e d a b a n done .
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecu ti v e d a y s, \ j
<br /> WARNING TO OWNER: YOUR FAILURO YOUR PROPERTI(. YOU INT�END TO OBTAIN F NANC NGTCONSULT
<br /> PAYING TWICE FOR IMPROVEMENTS T
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT (F:S. 117.� � ���,�, r��p� � �� j� �
<br /> � / � ` . g "„"' r CONTRACTOR ����`�*-""''�
<br /> OWNER OR AGENT Subscri ed d sworn to or afFirme ) efor me this �
<br /> ubscri ed a d swornro�o�affirme�) bef re me this b GC
<br /> bY "` ' —'-- ho is/are personally known to me or has/have produced
<br /> ho islare personall kno o me or has/have produced _— as identification.
<br /> as identification.
<br /> � Notary Public
<br /> Notary Public
<br /> Commission No.
<br /> Commission No. NOTARY PLBLTGSTATE OF FIARIDA
<br /> NOTARY PCl3LIGSTATE OF FLORIDA �
<br /> Name of Notary typed, p # EE044504
<br /> Name of Notary typed _�p � ' # EE044504 ,, , E?cpir�s: :v OV. 22, 2014
<br /> '.� Expir�s. ti0V.22,2014 so���rF,kr;�r; t��
<br /> BOSDE� 7'HR C A'1't..�� 11 C 6� � SD Lti G CO., INC.
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