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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pertnit 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 RESPONSlBILITIES: If the owner has hired a contractor or
<br /> corrtradors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
<br /> contrac[or 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 contrador are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Divisiort—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or conVactors, he is advised to have the conVactor(s) sign
<br /> portions of the "contractor Blodc' of this application for which they will be responsible. If you, as the owner sign as the
<br /> contrador, that may be an indication that he is not properly licensed and is not entitled to pertnitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTlUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportafion Impact Fees and Recourse Recovery Fees may apply to the consVudion 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 tirrie of
<br /> permitting. It is further understood that Transportatlon Impact Fees and Resource Reoovery Fees must be paid prior to
<br /> recelving a"certificate of occupancy" or final power release. If the project dces not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to pertnit issuance. Furthermore, 'rf Pasco County WateNSewer Impact
<br /> fees are due, they must be paid prior to pertnk issuance in accorciance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Fbrtda 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 Construdion Lien Law—Homeowners
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Aftairs. If the applicant is someone
<br /> other than the "owne�', I certiiy that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver ft to the "owne�' prior to commencement.
<br /> CONTRACTOR'3/OWNER'S AFFIDAVIT I certify that all the infortnation 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. Appliption is
<br /> hereby made to obtain a pertnit to do work and installation as indicated. I certi(y that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to rt�et standaMs of all laws regulating
<br /> conshuction, County and City codes, zoning regulations, and land devebpment regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other govemmenf agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in canpliance. Such agenaes indude but are not limited to:
<br /> - Department of Environmental Protectan-Cypress Bayheads, Wetland Areas and Environmentalty 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, Dodcs, Navigable Watervvays.
<br /> - Department of Heatth 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatrnent,
<br /> Septic Tanks.
<br /> - US EnvironmenTal Protedion 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 expressy 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 Ure State of Fbrida.
<br /> - If the fill material is to be used in Flood Zone "A° in connec�ion with a permitted buildir►g 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, 1 certity that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversey affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit appliqtion, 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 pertnitting conditions set forth in
<br /> lfiis affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wetls, pools, air cond'Rioning, gas, or other installaHons not speafically included in ttie application. A
<br /> pertnit issued shall be construed to be a license to proceed with the work and not as authority to violate, qncel, alter, or
<br /> set aside any provisions of the technipl codes, rior shall issuance of a pertnit prevent the Building Official from thereafter
<br /> requiring a coRection of errors in plans, construc�ion or violations of any codes. Every pertnit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if wo�fc authorized by
<br /> the pertnit is suspended or abandoned for a period of six (6) months after the time the work is �mmenced. M 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 COMMAENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH Y R L#IDER OR AN ATT RN B F RE RECORDIN N T10E OF CO NCEME T.
<br /> FLORIDA JURAT . . 1�7.03)
<br /> OWNER AQ�ENT ��pC� e �i'Y�,
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<br /> � persona ly to me or has/have praluced �slare personaryy krawn to me or hasMave produced
<br /> � as ideMification. �'" �--- as ideMifiption.
<br /> � � Notary Public � � � � � �
<br /> - T
<br /> � Notary P�lic
<br /> Commission No.
<br /> ,.•":�� ei�RY, PATRICK D. COOK
<br /> N F ry, • Named `� ' '
<br /> :�; a: Expires April 3, 2012 :•: :•; n DD 745420
<br /> ° �:;p� ���,,�`�� BondedfiruTroyFainlnsumnce800�385-70t9 %� Expires AprEl 3 � 2�12
<br /> ��R �� � `• ��ded firu 7roy Fdn Ineurence 800 3057079
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