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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restricfions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions. .
<br /> UNLICENSED CONTRACYORS �►ND CONTRAC'TOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to unde�take work, they may be required to be licensed in accordance with 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 Building 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 properly licensed and is��not,entitled to permitting privileges in Pasco
<br /> County. �
<br /> YitANSPOFtTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recou�se Recovery Fees may apply to the construction of new buildings, change of
<br /> use in existing buEldings, 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 musf be pai� 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 /> I fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRlDCT10N LIEN�LAW(Chapter 713, Florida Statute§, 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 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"owner"prior to commencement.
<br /> COIVTRACTOR'SlO�fVNER'S �►FFIDAVIY: 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. 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��o,identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Departmenf:o.f ��vironmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WaterMlastewater 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 & 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 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�II 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 ACEN7'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 nat 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 /> I 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 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 /> VYARNING TO OWfVER: YOIJiZ FAILURE TO FPECOR� �► NOTICE OF COMMENCEMEYVT Mf�Y RESULT IN YOUR
<br /> PAYING TWICE FOFt IMPROVEIIflENTS TO YOUR PROPERYY. IF YOL1 tPJ7END TO OBTAIN FIN�►NCiNG, COIVSULT
<br /> WITH YDUR LENDER OR�►N ATTORNEY�EFORE RECORDING YOUR NOTICE OF COIIAMENCEMENT.
<br /> FLORID9 JURAT(F.S. 117.03) _ _ _ __
<br /> � � ,
<br /> OWINER OR AGENT ����G�-� CONTRACTOR `%� � --
<br /> S u b s c r i b e d a n d s w o m t o(o r a ffi r m e d)6 e f o r e m e t h i s S u b s c ri b e d a n d s w o m t o(o r a ff i r med)before me this
<br /> by -8-�J�
<br /> Who is/are personally known to me or has/have produced Who Is/are ersonal own to me or has/have produced
<br /> as Identlfication. as identificaGon.
<br /> �
<br /> � Notary Public �`-Q Notary Public
<br /> Commisslon No. Com sio
<br /> ; ;�; !��^, JACa FF 150422
<br /> `?�� •::: Commission#
<br /> Name of Notary typed,printed or stamped Name of _; oQ,;� B��7rayFainlns�e�esooaa�•JO�s
<br /> •�Ji��`• ,,,..
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