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. 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 /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state a�d local regulatlons. If the
<br /> conUactor is not ticensed 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 Divisior�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 Blodc'of this application for which they wili be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indication that he is not prope�ly licensed and is not entitied to permitting privileges in Pasco
<br /> County
<br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may app�y 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 /> 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified 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 finai power release. If the project does not involve a certiticate of occupancy or
<br /> final power release,the fees must be paid prior to permk issuance. Furthermore, ff Pasco County WatedSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco Counry 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—Homeowne�s
<br /> Protection Guide"prepared by the Florida Department of Agriculture and Consumer Aifairs. 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"owne�'prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this appiication is accurate and that all work
<br /> wili be done i�compliance with alt applicable laws regulating construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do wo�lc and installation as indicated. I certity that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be pertormed 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 understand that the regulations of other govemment agencies may apply to the intended work,and that it is
<br /> my responsibility to iden6fy what actions I must take to be in compliance. Such agencies indude but are not limited 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 of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health 8 Rehabi�itative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions appty 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 pertnitted building using stem wall
<br /> consfruction,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 affeck adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> the condidons 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 OYVNER,I promise in good faith to inform the owner of the peRnitting conditions set forth in
<br /> this atfldavit 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 speafically included 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 correction of errors in plans,construction or violations of any codes. Every pertnit issued shall become invalid
<br /> unless the work authorized by such permit is cornmenced within six months of permit issuance, or'rf work authorized by
<br /> the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. M extension
<br /> may be requested, in writing,from the Building Offiaal for a period not to exceed ninety(90)days and witl 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 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 NOTICE OF COMMENCEMENT.
<br /> FIORIDA JURAT(F.S.117.03)
<br /> /� Illlif�i
<br /> OWNER OR AOENT CONTRACTOR_ //� �\ � �E R��/����'
<br /> Subscrlbed and swom to(or affirtned)before me this Su6scribed and s�ivoJm to1ora�me��e� me this oti,�....•.�s /,
<br /> br 2/15/13 by MIGHAEL PpiRIER a� C' 'qSS1oN F i
<br /> 1Nho is/are personally known to me or has/have produced Who is/are �cQ�be�13,�9: �
<br /> peraonally known to me or has/tiave produ , A i
<br /> as idendfication. as identificad�. �.> �m ?pi�� �
<br /> �� �N�*�
<br /> 4 / • � � �
<br /> �*� ��� • �
<br /> • • �
<br /> Notary Public � � � :No��146 :p�
<br /> . �w
<br /> Commission No. comm��ssio�n No. #EE 122146 j,�q.���;,t��.0;�
<br /> CONNIE DROSE �i�BUC�STAS;�����\\
<br /> Name of Notary typed,priMed or ytamped Name of Nota
<br /> ry typed,Printed or stamped y4A
<br />
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