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` '` � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"resUictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed resUictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If ihe owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contradar 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. Furthertnore, 'rf the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the°contractor BIocK'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 prope�iy licensed and is not entitled to pertnitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned unclerstands
<br /> that Transportation Impad Fees and Recourse Recovery Fees may appy 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 turther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a°certifipte of occupancy"or final power release. If the project does not invoive a certificate of occupancy or
<br /> final power release,the fees must be paid prior to permit issuance. Furthermore,ff Pasco County WaterlSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in acxordance with applipble Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of worlc is$2,500.00 or more,I
<br /> certify that I, the applipnt, have been provided with a copy of the "Fforida Construction Lien Law—Homeowners
<br /> Protection Guide"prepared by the Florida Departrnent of P�qriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owne�'prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the infortnation in this apptication is accurate and that all work
<br /> will be done in compliance with all apptiqble 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 perFortned to meet standards of all laws regulating
<br /> construction, County and City c�des, zoning regula6ons, and land development regulations in the jurisdiction. 1 also
<br /> certify that I understand that the regulations of other govemment agencies may appty to the intended woric,and that it is
<br /> my responsibility to identify what actions I must take to be in complfance. Such agenaes inGude 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-Welis, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Departrnent of Heafth & Rehabil'dative Senrices/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 appty to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V'unless expressly pertnitted.
<br /> - If the flll material is to be used in Ffood Zone "A°, it is understood that a drainage plan addressing a
<br /> "oompensating volume°will be submitted at time of pertnitting 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 pertnitted building using stem wall
<br /> construction,I certify that fill will be used onty 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 adversety affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties,the owner may be ated for violating
<br /> the canditions of the building pertnit issued under the attached pertnit 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 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 commenang consUuction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs,welis, pools, air conditioning, gas,or other installations not speafiqlty inGuded in the application. A
<br /> pertnit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,aRer,or
<br /> set aside any provisions of the technipl codes,nor shall issuance of a pertnit prevent the Building Offiaal from thereafter
<br /> requiring a correction of errors in plans,construcdon or violations of any codes. Every pertnit issued shall become invalid
<br /> unless the work authorized by such pertnit is commenced within six months of pertnit issuance,or if work authorized by
<br /> the pertnit 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,irom the Building Official for a period not to exceed ninety(90)days and will demonsVate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNIN6 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT I
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDAJURAT(F.S 117.03) � II
<br /> OWNERORAGE� � CONTRACTOR '
<br /> �S ai d to�Wr ,�er o�i f lhis Subsaibed and swom to(or affirtned)befare me this
<br /> by ovGn�P' l Y� by
<br /> Whq�/are nally kn t me o has/have produced Wlm islare personalry Imown to me or has/have produced
<br /> rC.•.��(�C�t-L.as identficatian as ideMification.
<br /> Notary Puhlic Notary Public
<br /> Commission No. Cammission No.
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed a stemped �,
<br /> — �
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