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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 County regulations. The undersigned assumes responsibility for compliance.with:any,....,.;
<br /> applicable—deed—restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACOOk RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors'to undertake work, they-maybe required to be licensed In-accordance with state-and.local.regulations'.'Af,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 adviised,.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 /> 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 specified in Pasco County Ordinance number 89,0,7-and,:
<br /> 90-07, as amended. The undersigned also understands, that such fees, as maybe 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.p'roject does not involve a certificate of occupancyor
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, it 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.7.13, Florida Statutes, as amended);-_.If valuation of work.is$Z500.00 or,more, I
<br /> certify-that 1, 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 /> CONTRACTOR'S/OWNER'S AFFIDAVIT:-_ (:certify that.alGthe:information in this application-is accurate and that allwork
<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 to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment: . t
<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 W"unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zane "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. 11
<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 fill-is found-to adversely affect adjacent properties, the owner may be-cited for violating
<br /> the conditions of the building permit issued undertthe 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 electrical work,
<br /> plumbing, signs, wells,-pools, -air conditioning, gas, or other installations not-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 /> 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 /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS 7O YOUR PROPERTY."1F YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER-OR-AN-AT-ORNE(-BEFORE RECORDING:'YOUR.N TICE•O -COMMENCEMENT:-- - -
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and swom to(or affirmed)before me this S bsc'bed and swom to(or affirmed)before me this
<br /> by �_9b
<br /> Who is/are personally known to me or has/have produced Who Is/are ppr1onally own o me or has/have produced
<br /> as identification. as identification.
<br /> Notary Public Notary Public
<br /> Commission No. Co 410 n No.
<br /> Name of Notary typed,printed or stamped Name of Notary 1 =FF150422
<br /> ExpiA
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