�
<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 /> UNLICENS�D CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired � contractor or
<br /> contractors to undertake work, they may be requlred to be Iicensed fn accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contracto� may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are unce�tain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Bufiding Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractvrs, 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 Fe,es may apply to the construction of new buildfngs, 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, thet such fees, as may be due, will be identified at the time of
<br /> perrrtitting. 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 prvject 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 pe�mit 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 Lisn Law—Homeowner's
<br /> Protection Guide° prepared by the Florida Department of Agriculture and Consumer Affafrs. 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'S/OWNER'S AFFIDAVIT: t certify that all the information in this application is accurate and that all work
<br /> will be done in compliahce with ail applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installatPon as indicated. I certify that no work or installation has
<br /> commenced prfor to issuance of a permit and �that all work wiil 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 unde�stand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my respons(bflity to identify what actions I must take to be in compliance. Such agencies include but are not Iimited 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 Watervvays.
<br /> - Depa�tment of Health 8� Rehabilitative Services/Environmentai Nealth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - U� Envi�onmental Protection Agency-Asbestos abatement.
<br /> Fede�ai Aviation Authority-Runways.
<br /> I understand that the following restrictio�s 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 pian addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a,professional engir�eer
<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 fill the area within the stem wail. '
<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, fpr Iots 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, welis, pools, air conditioning, gas, or other installations not specifically ihciuded 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 /> requlring a correction of errors in plans, construction vr violations of any codes. Every permit issued shail become invalid
<br /> unless the work authorized by such perm(t is commenced within six months of permit issuance, pr if work authorized by
<br /> the permit is suspended or abandoned for a period of six (6) months after the time the work is conhmenced. 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, th�job is considered abandoned.
<br /> WARNING TO OWNER: YOUR F�LILURE TO RE�ORD A NOTlCE OF COMMENCEMENT AI�AY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN I�INANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMME�JCEMENT.
<br /> FLORIDA JURAT (F.S. 117.03)
<br /> OWNER OR ACiENT . CONTRACTOR —
<br /> Subscribed and swom to (or afflrmed) before me this Subscribed and swom to (or affirmed) before me this
<br /> by ' bY
<br /> VYho is/are personally known to me or has/have produced Who Is/are personapy knovm to me or has/h i�ve p� �� ed
<br /> asidenUflcatlon.
<br /> Notary Public Notary Public
<br /> Commission No. Commission No. ' —
<br /> Name of Notary typed, p�inted or stamped Name of Notary typed, printed or stamped
<br />
|