NOTICE OF DEED RESTRICTtONS: The undersig�ed understands that�his permit may be subJect to"deed"restrictions"
<br /> which may be more restrlctive than County regulations. The undersigned assumes responsibility for compUance 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 and iocal regulations. If the
<br /> contractor Is not Iicensed as �equired by law, both the owner and contractor may ba citad for a misdemeano� violation
<br /> under state law. If the owner or intended cont�acto� are uncerta(n as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pascv County Building Inspection Diviston—Licensing Sectlon 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 Block° of this applicatfon for which they will be responslble. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting p�ivileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEE3: The undersigned 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 specifled in Pasco County Ordfnance number 89-07 and
<br /> 90-07, as amended. The undersfgned also understands, that such fees, as may be due, will be Identified at the time of
<br /> permitting. It is further understood that Transpo�tation Impact Fees and Resource Recovery Fees must be paid prlor to
<br /> �eceiving a "certificate of occupancy" or flnai power release. If the project 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 permit issuance in accordance with applicable Pascv County 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 Lfen Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Depa�tment of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that I have obtained a copy of the above descr(bed document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'3 AFFIDAVIT: I certify that all the information in this application is accurate and that all work-
<br /> will be done fn compliance with all applicable laws regulating construction, zoning and land development. Applicatfon is -
<br /> hereby made to obtain a permit to do work and installation as indicated. I certffy that no work or instaliation has
<br /> commenced prior to issuance of a permit and that all work wfll be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning �egulations, and land development regulations in the Jurisdiction. I also -
<br /> ce�tify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibiliry to identify what actions I must take to be in compNance. Such agenctes 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 /> Watercourses.
<br /> - Army Corps of Engl�eers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Envi�onmentat Protectfon Agency-Asbestos abatement.
<br /> Federal Aviation Autho�ity-Runways.
<br /> I understand that the foilowing restrictions apply to the use of flll:
<br /> - Use of flll is not allowed in Flood Zone"V"unless expressly permitted.
<br /> If the flli material is to be used In Fiood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at tfine of permitting which is p�epared by a professional engineer
<br /> licensed by the State of Flor(da.
<br /> If the flll material is to be used in Fiood Zone "A" in connection with a permitted building usfng stem wall
<br /> const�uction, I certify that flll will be used only to flll the area wlthin the stem wali.
<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 ad)acent properties, the owner may be cited for vfolating
<br /> the conditions of the building permit issued under the attached permit application, for iots less than one (1)
<br /> acre which are elevated by flll, an engineered drainage plan is requfred.
<br /> If I am the AGENT FOR THE OWNER, I promise (n good faith to inform the owner of the perm(tting conditions set forth in
<br /> this affidavit prior to commencing canstructfon. I understand that a separate permit may be requ(red for electrical work,
<br /> plumbing, signs, welis, pools, air conditioning, gas, or other installations n�t specifically included in the appifcation. A
<br /> permit issued shall be construed to be a license to proceed with the wo�k 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 Buiiding Official from thereafter
<br /> requiring a correction of errors in plans, construction or vfolatfons 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 ff work authorized by
<br /> the permit (s suspended or abandoned for a perfod of six(6) months after the time the work is commenced. An extension
<br /> may be requested, in writing, from the Buiiding 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 RECO�A.D A �O?lC�E �J� COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINENCNT, CONSULT
<br /> WITH YOUR LENDFR OR AN ATTORNEY BEFORE RECORDING Y
<br /> FLORIDA JURAT(F.S.'11 . ) ,.
<br /> OWNER OR A(iENT CONTRACTOR
<br /> Subscribed and s to{or afflrmed)before me thls Subscribed and bwom to(or aiflrmed)before me this
<br /> Wh ersonally k to me.or has/have produced Who Is/are personally knovm to me o�hes/have produced
<br /> as Identlflcatlon. as tdentlflcation.
<br /> �
<br /> ,.,,�"•, B�GE � Notary Publ(c
<br /> � C ry ubUc
<br /> " J
<br /> i '` ��� m er 1y.2(!14 Commisslon No.
<br /> Co m lon No :; �f,r,,,,�u�
<br /> �I�f��
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<br /> Name of Notary typed,printed or stamped Name of Notery typed,printed or stamped
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