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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that th s permit may be subject to"deed" res�rictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliai►ce�itf� any�, '
<br /> applicable deed restrictlons. '- ' ; I -
<br /> UNLICEN$ED, CONTRACTORS AND COCVTRACTOR RESPONSIBILITIIES: If the owner has hired �a contr•actor or
<br /> contractors to undertake work,�they may be required to be licensed in acco dance with state and�local'regulations. .If the
<br /> contractor is not licensed.as required by law, both the owner and contrac�or may be cited for a misdemeanor vlolation�
<br /> under state law. If the owner or intended contractor are uncertain as to hat licensing requirements may appl,y for�the
<br /> intended work, they are advised to contact the Pasco County Building Insp �ction Division—Licensing Section at i'27-847-� �
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, e is advised to have the contractor(s) sign
<br /> portfons of the °contractor Block" of this application for which they will be responslble. if you, as the owner sign as the
<br /> contractor, that may be an indfcation that he is not properiy licensed and i�, not entitled to permittirig privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IAAPACT AND RESOURCE REC�VERY FEES: The undersigned und��rstands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply t� the'construction of new buildings, change of
<br /> use in existing buildings,. or expansion of existing buildings, as specified i Pasco County Ordinance number 8�l-07 and
<br /> 90-07, as amended. �Tfie unde�signed also unde�stands,'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 R�source Recovery Fees must be paic� prfor to
<br /> receiving a "certificate of occupancy" or final power release. If the project�oes not involve a certificate of occupancy or -
<br /> final power release, the fees must be paid prior to permit issuance. Furth�ermore, 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 /> 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 "F orida Construction Lien Law—HomE�owner's
<br /> Protection Guide" prepared 6y the Florida Department of Agriculture and ,:onsumer Affairs. If the applicant is someone
<br /> other than the "owner", I certify that I have obtained a copy of the above de�cribed document and promise in goo��faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> CONTRACTOR'SlOWNER'S AFFIDAVIT: f certify that all the information n 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 perFor ed to meet standards of ail laws rEsgulating�
<br /> construction, County and City codes, zoning,regulations, and land devel�pment 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. S�ch agencies include but are not limite�d to:
<br /> - Department of,Environmental Protection-Cypress Bayheads, � etland Areas and Environmentally ;3ensitive
<br /> Lands, Water/Wastewater Treatment. ,
<br /> - Southwest Florida Water Management District-Wells, Cy�ress Bayheads, Wetland Areas, Altering�
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterwa s.
<br /> - Department of Health & Rehabilitative Services/Environment�I Health Unit-Wells, Wastewater Tr�eatment,
<br /> Septic Tanks.
<br /> - US Envlronmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority.-Runway.s.
<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 per Initfed. 4 '
<br /> - If�the fill material is to be used in Flood Zone "A", it ls u derstood that a drainage plan addr�sssing 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 witFiiin the stem wall.
<br /> - If fill material is to be used in any area, I certify that use (�f such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent p�operties, the owner may be cfted for violating;
<br /> the conditions of the building permit issued under the attache� permit application, for lots less thari one (1)
<br /> acre which,are elevated by fill, an engineered drainage plan is r quired.
<br /> If I am the AGENT.FOR THE OWNER, I promise in good faith to inform th�owner of the permitting conditions se:t forth in
<br /> this affidavit prior to commencing construction. I understand that a separ ite permit may be required for electrical work,
<br /> plumbing,_ signs, wells, pools, air conditioning, gas, or other installations�iot specifically included in the applic�ation. A
<br /> permit issued.shall be construed to be a license to proceed with the work �nd not as.authority to violate, caricel, alter, or
<br /> set aside any provisions of the technical codes; nor shall issuance of a per�nit prevent the Buildirig Official from,thereafter
<br /> requiring a correction of errors in plans, construction or violations of any co�es: Every permit issued shall becorrie invalid
<br /> unless the work authorized by such permit is commenced within six mont�s of permit issuance, or if work authorized by.
<br /> the permit is suspended or abandoned for a period of six (6) months after tt��e 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)consecuti�e days, the)ob is considered abandoried.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY ESULT I!N YOUR
<br /> PAYING TWICE FOR IMPROVEMENT O YOUR PROPERTY. IF YOU NTEND TO OBTAIN FI A CING, CI�NSULT
<br /> -_.___WI.TH YOUR LENDER OR r4 ATTO N BEFORE RECORDING YOUR NOTICE OF OMME CE ENT.
<br /> FLORIDA JURAT(F 1 7.03) - - -- — _ _�.____ _.__ -- - -_ - _ ' - - -- --
<br /> OWNER OR AGENT • CONTRACTOR
<br /> Subscrlbed and sworn to(or affirmed)befo e me thls Subscrlbed and sworn o(or afflrmed)before e thls
<br /> by bY
<br /> Who Is/are personally known to me or has/have produced Who(s/are personally nown to me or has/have produced
<br /> as Identlflcallon. as tdentificaflon. ,
<br /> Notary Publlc Notary Public
<br /> Commisslon No, Commisslon No.
<br /> Name of Notary typed,prfnted or stamped Name of Notary typed,prtnted or stamped
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