NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pertnil may be subject to"deed"restrictlons'
<br /> which may be more restrktive lhan County regulations. The undersigned assumes responsibitky for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICEN3ED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE3: If fhe owner has hired a contractor or
<br /> contractors to undertake work,they rney be required to be licensed in accordance with state and local regulatans. If the
<br /> contractor is not licensed as required by law, both the owner and contractor rriay be cited tor a misdemea�or violation
<br /> under state iaw. If the owner or intended cbnVactor are unceAain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contad the Pasco County Building Inspection pivisiun—Licensing Section at 727-847-
<br /> 8009• Purthermore, if the owner has hired a conVaclor or contractas, he is advised to have fhe contractor(s) sign
<br /> portions of the"conUactor Bbck"of this application for which they wili be responsible. If you,as the owner sign as the
<br /> contractw,that may be an indication that he is not properly Iicensed and is not entitled tp permitting privileges in Pasco
<br /> County
<br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impad Fees and Recourse Recovery Fees may appy to the c�nstruction of new buildings,change of
<br /> use in existing buildi�s,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,wip be identified at the dme of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> fi�iving a"certificate of occupancy'or final power release. If the project does r►ot involve a certificate of occupancy or
<br /> power release,the fees must be paid prior to permit issuance. Furthemwre, if Pasco County WatedSewer Impact
<br /> fees are due,they must be paid prior to pertnit issuance in axordance with applicable Pasco Counly ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,FloHda Statutas,as amended): If valuation of work is$2,500.00 w more,I
<br /> certify that t, the applicant, have been provided with a copy of the 'Florida Construction Lien Law—Homeowners
<br /> Protection Guide"prepared by the Fbrida Department of Agricufture and Consumer Affairs. If the appiicant is someone
<br /> other than the'owne�',1 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'3/OWNER'3 AFFIDAVIT: I certify that all the infortnation in this appllcation is accurate and that all work
<br /> will be done in compliance with aN applicable faws regulating consUuction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do waic and installaiion as indicated. I certify that no woric or installation has
<br /> comniern�d prior to issuance of a permit and that all work wiN be performed to meet standards of all laws regulatlng
<br /> consUucUon, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulatbns of other govemment agenaes may apply to the intended work,and that it is
<br /> my responsibility to idendfy 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,WateNWastewater Treatment.
<br /> - Southwest Fiorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Artny Corps of Engineers-Seawalls,Dodcs,Navigable Waterways.
<br /> - Department of Heakh 8 Rehabilitative Services/Environmental Health Unit-Weils, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand fhat the folbwing 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 materiat is to be used in Flood Zone 'A", 8 fs understood that a drainage plan addressing a
<br /> "compensating volume°wiN be submitted at time of pertnitting which is prepa�ed by a professional engineer
<br /> licensed by the State of Fbrida.
<br /> - If the fiN material is to be used in Flood Zone "q• in connection with a permitted building using stem wall
<br /> consUuction,I certify that fill wiH be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, 1 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 owne�may be cited for violating
<br /> the conditions of the building pertnit issued under the aUached permit application, for bts tess 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 infortn the owner of the permitting conditions set forth in
<br /> this affidavit prior to comme�cing construction. i understand that a separate permit may be required tor e�cal woric,
<br /> plumbing, signs, weils, pools, air conditioning, gas, or other installatbns not specifically included in the application. A
<br /> permit issued shall be c�nstrued to be a license to proceed with the work and not as authority to violate,cancel,atter,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a pertnit prevent the Building Official from thereafter
<br /> requir(ng a correction of errors 1n plans,oonstrucUon or violadons of any codes. Every permit issued shall become invalid
<br /> the permit is s�s authorized by such permit is oommenced within six months of permft issuance,or if work authorized by
<br /> pended 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 ni�ety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninery(90)consecuGve days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUIT IN YOUR
<br /> PAYIN(i TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> FLORIDA JURAT(F.S.117.03)
<br /> N � M
<br /> OWNER OR AGENT CONTRACT
<br /> Subspibed and swom to(pr afflrtned)be{pre rr�e mis s Ib d to or a1fi ) me this
<br /> � L
<br /> WFa is/are personaly krrown to me or harlhave produced Who is/are Ily known b me or hes/have produced
<br /> aa identificaUon, •
<br /> aa Idenlificatlon.
<br /> �Y..�.vr�
<br /> ,yu... G �
<br /> Notery PubNc
<br /> ry Public
<br /> Cammission No. C ss - EJ( If@S �Cf'1 �.f �'
<br /> Name of Nota �'�$:�"t• , BaMed 11ru Tmy Fain Inuanc �;-a"�..�•t+
<br /> �Y�YP�.Pnnted w stamped Name d Nafary tyPed.Prinled w atamped
<br />
|