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<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 restr(ctions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hlred a contractor or
<br /> contractors to undertake work, they may be requi�ed to be licensed fn accordance w(th 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 appiy 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 permit�ing privlieges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The umdersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fe,es may apply to the construction of new build(ngs, 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, wiil be identified at the time of
<br /> perrriitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receivfng 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 pafd prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in acco�dance 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 Agricuiture 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 ail the information in this application is accurate and that all work
<br /> will be done in compliance with all appiicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and instailation 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 unde�stand that the regulations of otHer government agencies may apply to the intended work, and that it is
<br /> my responsibility to fdentify what actfons I must take to be In compliance. Such agencies include b�ut 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, W�tland Areas, Altering
<br /> ' Watercourses.
<br /> - Army Corps of E�gineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health � Rehabilitative Senrices/Environmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - U� Envfronmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the following restrictio�s appiy to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone "V" unless expressiy 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,professionai engineer
<br /> Iicensed 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 waii
<br /> construction, I certify that fill wiil 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 /> propertfes. If use of ffll 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 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 infor,m 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 installations not specifically ihclude�l 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 cot'rectfon 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 nfnety (90) consecutive days, th�job is considered abandoned.
<br /> WARNING TO OWNER: YOUR EAILURE TO RE�ORD A NOTICE OF COMMENCEM�NT IV�AY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PRdPERTY. IF YOU INTCND TO OBTAIN ��NEMENT.' CONSULT
<br /> W� y R O AN TTORNEY BE E DIN T F C
<br /> FLORIDA JURAT (F.S. 11 .03) '
<br /> OWNER OR At3@NT ' CONTRACTOR '
<br /> Subscribed and swofi to or aflirmed) befare me s Subscribed and to (or afflrmed) before me this .
<br /> by b
<br /> Who is/are personally known to me or has/have produced Who I Au��,., ,!�^^�� me or has/have produced
<br /> as identlflcatlon. as identlflCaGon.
<br /> .----.
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<br /> Notary Public _ p�;� � Notary Public
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<br /> Commission No. Commissio `�' " _,,��. . —
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<br /> Name of Notary typed, printed or stamped
<br /> Name of Notary ryped, printed or stamped
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