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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restric�U'ons" •
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any' �f
<br /> appiicable deed resfictions. _.
<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 local regulations. If the
<br /> contractar is not ticensed 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"cantractor 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 entitied to permitting privUeges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT 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 specifled 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, 'rf Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to pertnit issuance in accorclance with applicable Pasco County ordinances. - -
<br /> CONSTRUCTION LIEN LAW(Chapter 713,F�orida 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 ConsVuction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Departrnent of Agricuiture 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�'prtor to commencement
<br />� CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is a�rate and that all work
<br /> will be done in compliance with all applicable laws regulating construction,zoning and land development Appiication is
<br />� � hereby made to obtain a pertnit to do work and installatfon as indicated. I certify that no work or installatlon has
<br /> commenced prior to issuance of a permit and that all work wiil 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 govemment agencies may apply to the intended woric,and that ft is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agenaes inciude but are not.limited to:
<br /> - Departrnent of Environmental Protection-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
<br /> Lands,WaterMlastewater Treatment. � '
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Departrnent of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater TreaUnent,
<br /> Septic Tanks. '
<br /> - US Environmerrtal Protection Agency-Asbestos abatemen�
<br /> - ' - Federal Aviation Authority-Runways.
<br /> I understand that the faliowing restrtctions apply to the use of fill: ,
<br /> - Use of fill is not allowed in Fiood 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 Ume of pertnitting which is prepared by a professionai engineer
<br /> licensed by the State of Florida. ' �
<br /> - If the fiil 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 only to fill the area within the stem wall.
<br /> - If fiil 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�nditions of the bullding pertnit issued under the attached pertnit application,for lots less than one(1)
<br /> acre which are elevated by fiil,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,I promise in good faith to.infortn the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate pertnit may be required for electrical work,
<br /> , plumbing, signs, welis, pools, air conditioning, gas,or other instaliations not specifically induded 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 Offlcial 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 /> IWARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br />� WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)� -
<br /> OWNERORAGENT��� G���//L�9�� CONTRACTO `
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<br /> Who is/are rsonally known t e or has/have produced Who islare rsonally known to e or has/have produced
<br /> as identification. as iderttificaqan.
<br /> Iic � `" Notary Public
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