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<br /> NOTICE OF DEED RES7RIC'TIONS: 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 CON'TRACTORS �►ND COFITRACTOR RESPO�I�I�ILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance witli 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 Pasco County �uilding Inspection Division—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 Block" of this 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 properlyJic�nsed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TFtAN�PORTATION IMP/�CT/IITILITIES IIIflP�►CT AND RESOURCE RECOVERY FEES: 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 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 final 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 Pasco County ordinances.
<br /> CONSTFtl1CTION LIEN LA{fil(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—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the appiicant 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/O1nINER'S AFFIDAVI7': I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance writh 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. I 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, 1�Iater/Wastewater Treatment. �
<br /> - � Southwest Florida Water iVianagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<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-Runwrays. �
<br /> I understand that the following 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 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 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, an engineered drainage plan is required.
<br /> If I am the AGLNT FOR 7HE 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 specifically 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 pe�mit is suspended 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 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 /> 1WARNING TO OWWER: YOUMt FAILURE TO RECORD A IVOTICE�F COWI11flENCE�EFIT-�itAY R�c�UL�Ifil -YOtl13- - -
<br /> PAYIiVG TV1110E FOR IflAPROVEflflENT� TO YOUR PROF'ERTY. IF YOl1 INTEND TO OBTAIN FINANCING, CONSULY
<br /> WITH YOUR LEND R�►IV�►TTO NEY�fE�OFtE RECORDING YO N TICE OF COflA ENCEAAENT.
<br /> FLORIDA JURAT(F.5 17.0 ) .
<br /> OIWNEit OR AGENT CONTRACTOR
<br /> Subscrlbed and swom to or affirmed)before me this Subscrlbed and swo n or fir ed) e re m his
<br /> by l– l2-�S� by .. a
<br /> Who islare personally known to me or has/have produced Who�/are ersonally knovm�to me or has/have produced
<br /> as IdentlficaUon. C.; ��l,�fS <<�� as identification.
<br /> Notary Public Notary Public
<br /> Commission No. Com s ' n N .��� �����
<br /> '° ' NE BOGES
<br /> ;N; �:�= Commission#F
<br /> Name of Notary typed,printed or stamped Name of Nota fy,�i • � t �§ d�pl�dler 12,2018
<br /> Bonded ihru imy Fe1n Insuranc�000.385•7019
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