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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than Caunty regulations. The undersigned assumes responsibil'ity for compliance with any
<br /> applicable deed restrictions.
<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 locai 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 contractar 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 /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construcUon of new buiidings,change of
<br /> use(n 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 perm(t issuance. Furthertnor�e, ff Pasco County WateNSewer Impact
<br /> fees are due,they must be paid prior to pertnit issuance in axordance 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,1
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners
<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"prtor to commencement
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certiTy that all the infortnation in ttiis application is accurate and that all work
<br /> will be done in compliance with all appiicable laws regulating construction,zoning and land development Appiication is
<br /> hereby made to obtain a permit to do work and installatlon 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 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 work,and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agenaes indude but are not limited to:
<br /> - Departrnent of Environmental ProtecGon-Cypress Bayheads, Wetland Areas and Environmentaily Sensitive
<br /> Lands,WateNWastewater Treatment.
<br /> - Southwest Florida Water Management District-Weils, Cypress Bayheads, WeUand Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatmeht,
<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 fiil:
<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 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 permitted building using stem wall
<br /> construction,I certify that filI 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 /> propeRies. If use of fill is found to adversely affect adjacent propertias,the owner may be cited for violating
<br /> the condi6ons of the buiiding pertnit 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 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 commencing construction. I understand that a separate permit may be required for elecfical wbrk, .
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specfically 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,constructlon or violaUons of any codes. Every permit issued.shall become invalid
<br /> unless the work authorized by such pertnit 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 /> WARNING 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 COMM EMENT.
<br />' FLORIDA JURAT(F.S.117.03) � ,
<br />�� OWNER OR AGENT 4%'/G�'/L'�L CONTRACTO �'�--
<br /> ubscribed and swqr� (or atfirtned) efo th's u b and to(or affirtn )befo me this
<br /> !c�.� h�_.r�m� Pr�p�- �-�" y �. �s Q!'
<br /> o is/ personally known me or haslhave produced o islare rsonally n to me or haslhave produced
<br /> as fdentification. as identification.
<br /> .
<br /> Notary Public Notary Public
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