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�OTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> �hich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> pplicable deed restrictions.
<br /> INLICENSED CONTRACTORS AND CON7R/�►C70R RESPONSIBILITIES: If the owner has hired a contractor or
<br /> ontractors to unde�take work, they may be required to be licensed in accordance with state and local regulations. If the
<br /> ontractor is not licensed as required by law, both the owner and contractor may be cited fvr a misdemeanor violation
<br /> nder state law. If the vwner or intended contractor are uncertain as to what ticensing requirements may apply for the
<br /> �tended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> �009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> �ortions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br /> ontractor, that may be an indication that he is not properly licensed and is not entit�ed to permitting privileges in Pasco
<br /> ;ounty.
<br /> 'RANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> hat Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> ise in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> �0-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br /> �ermitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> eceiving a Nce�tificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> inal power release, the fees must be paid prior to permit issuance. Fu�thermore, if Pasco County Water/Sewer Impact
<br /> ees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> ;,ONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br /> ;ertify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> �rotection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> �ther than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> �eliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVI7: 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 regulating construction, 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 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. t also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify 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, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercou�ses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health � Rehabilitative 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 rest�ictions apply 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 /> Y fl
<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 violating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill,'�n 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 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 spec�cally 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 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 fo�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 ninety(90)consecutive days, the job is considered abandoned.
<br /> VHARNING TO OWNER: YOUR F�►ILURE YO RECORD /� NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CON5�ILT
<br /> WITH YOU LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM ENCEMENT.
<br /> FLORIDA JURAT(F.S. 117. )
<br /> % c`
<br /> OWNER OR AGENT � ^ � "—' CONTRACTOR
<br /> Subscribed and sw (or affirm d) f ine this Subscrlbed and swom to(or afflm►ed)before me this
<br /> by - z ��-'' bY
<br /> Who islare personal y known to me or has/have produce "'�� Who Is/are personally known to me or haslhave produced
<br /> as Identlfication. as idendficatlon.
<br /> �yr' �' Nota Public
<br /> /-� Notary Public ry
<br /> Co sfon .��t�"��`Y`�•- JACQU INE BOGES Commission No.
<br /> - :;: _ ommission
<br /> ; �= Expires December 12,2014
<br /> Name of Notary Name of Notary typed,printed or stamped
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