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� NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restridions"
<br /> �whiah may b�� more resVictive 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 /> contradors 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 Pasoo County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if ihe owner has hired a conVador or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of Mis 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 lioensed and is not entitled to permitting privileges in Pasco
<br /> Counry
<br /> TRANSPORTATION IMPACT/UTILI7IES IMPACT AND RESOURCE RECOVERY FEES: The undersgned 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 /> 9U-07, as amended. The undersigned also understands, that such fees, as may be due, will be identifled 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 projed 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 pertnit issuance in accordance with applicable Pasco CouMy ordinances.
<br /> CONSTRUC710N LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuatlon of work is $2,500.00 or more, I
<br /> certiry that I, the applicant, have been provided with a copy of the "Fbrida Construction Lien Law--Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agricukure 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'S/OWNER'S AFFlDAVIT 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 regulaling construdion, 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 pertnit and that all work will be performed to meet standards of all laws regulating
<br /> construction, 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 govemment agencies may appty to the intended work, and that it is
<br /> my responsibiliry to idenUTy what actions I must take to be in compliance. Such agencies include but are not timited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WatedWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps ot Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Departrnent of Health 8 Rehabilitative Services/Environmental Heafth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental ProtecGon Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions appy 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 building 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 violadng
<br /> the conditions of the building permit issued under the attached pertnit 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 oi the pertnitting conditions set forth in
<br /> this affida�rit prior to commendng construction. I understand that a separate pertnit may be required tor electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically induded 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, after, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from fhereafter
<br /> requiring a correction of errors in plans, construction or violaGons 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 iT work authorized by
<br /> the permit is suspended or abandoned for a period of six (6) months after the time the work is commenoed. 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 e�ctension. 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 N0T1 F OF COMMENCEMENT
<br /> FIORIDA JURAT (F.S. 117.03)
<br /> OWNER OR AGENT� �.� CONTRACTOR�,( ��_C�C�2
<br /> $ubscrib and swog� to ( !S� ed) betare me this ubscribed and s t atfi!�ed)�y fore me ttris
<br /> �d'�py_f1Je2�'(� /.�° c�� 1�7y// by (' /YrY A �P _
<br /> Who is/are personally kno to me a has/have produced Who is/are p ersonally knm to me or hasRiave produced
<br /> ��� as ident�cation.
<br /> \\` ' "^� � Notary PuWic \\ ��\?'f\��� C\ `� �7� Notary PubliC
<br /> . ..��
<br /> i
<br /> Commisslon No. Commission No.
<br /> e h� ��1' Name of N ary;�� .e�R�M) JOHNSON
<br /> _ � �-` Commission # EE 105Ei42 : ; � Con?mission # EE 105t:�:
<br /> ,�; }�
<br /> ��
<br /> :` Expir�s June 23, 2015 . Expres June 23, 2015 a
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