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<br /> NOTICE OF PE-ED RESTRICTIONS: The undersigned understands that this p rmit may be subject to"deed"r estrictions"
<br /> which may be more restrictive than County regulations. The undersigned licensed by the State of Florida. I
<br /> UNLICENSED-CONTRACTORS AND CONTRACTOR RESPONSIBILITIES" lf*the owner has 'hired a contractor *or
<br /> contractors to undertake work,-they may be required 10 be licensed in accorda�ice with state and local regulations. -If,the
<br /> contractor is not licensed as required by law, both the owner and contractor 1may be citedJor a misdemeanor-violation
<br /> under state law. If the owner--or-intended contractor are uncertain as..to what,licensing requirements may apply.forthe -
<br /> intended work, they are advised to contact the Pasco County Building Inspectic!n'Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has-hired -a'contractor or' contractors, he s advised to have the contractor(s) sign
<br /> portions,of the "contractor Block" of this-application-for which they will be resr onsible. 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 /> TRANSPORTATION:.IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to tilp.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, a:;ai -will be-,identified at the time.of
<br /> permitting. It is further understood that Transportation Impact Fees and R i ce 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. Furthermlore, 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)f If valuation of work is$2,500,00.or more, I
<br /> certify that -1,' the-applicant, have been-provided with a-copy of the Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Con�' umer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that I,have obtained a copy of-the above descei..-ed document and-promise.in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'SIOWNER'SAFFIDAVIT: I-certify.that,all the,information in t is 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 dowork E.irld'Installation as ihdicat;d. 1 certify'.that no work or installation has
<br /> commenced prior,to,1ssuance, of a permit and 'that all work will be performeY to meet'standards of all laws regulating
<br /> construction, County and City'cddes, zoning regulations, and land develiDprrlient regulations in,the jurisdiction. I also-
<br /> certify that I understand that the regulations of other government agencies mal y-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, Wet and Areas-and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment. ,. 11
<br /> - Southwest Florida Water Management District-Wells, Cypre s Baybeads, Wetland Areas, Altering
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable,Watenvays-.1
<br /> - Department of Health & Rehabilitative Services/Environmental 'lealth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - 'US-Environmental Protection Agency-Asbestos-abatement
<br /> - Federal Aviation Auihority-Runways.
<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 permitt A,4
<br /> If the fill material is to be used in Flood Zone "N', it is unde, od that a'drainage pI an addressing a
<br /> ,.compensating,-volume".will-be-submitted at time-of-permitting whil ch is..prepared.1py.a professional engineer
<br /> '
<br /> If the fill. material-is,to-be used in. Flood-Zone "Xin,connection'with a permitted building using stem,wall
<br /> construction, I certifythat fill will be used only to fill the area within 6 stem wall.
<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 affectadjacent propl?rtiesi,the,owner-may..be cited for violating
<br /> the conditions of the building permit issued under-the attached permit application, for lots less than one (1)
<br /> acre which':are elevated by fill, an engineered drainage plan is req,ired.
<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 /> thisaffidavit prior to commencing construction. I understand that a separatel permit maybe required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning;-gas, or other installations notl 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 permiti 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 9f permit issuance, or if'work authorized.Ip
<br /> the permit is suspended or abandoned for a period*of six(6) months after the tpe the work is commenced. An extension
<br /> may.be requested,..in writing,'-from the Building Official for&period not-to ex8eed ninety(90) days and will demonstrate
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<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 C IMME�CEMENT MAY RESULT IN-YOUR
<br /> WITH-Y.OUR,LENDEROR.-AN-'AT--TORNEY-BEFO'RE-RECORDING-YOUR'N'l,�TICEOF-COMMENCEMENT-.---
<br /> OWNER OR AGENT CONTRACTO
<br /> Subscribe&and sworn;to(or affirrned)-before,me this Subscribed and sworn to Olir affirmed),before,me this
<br /> by by
<br /> Who Ware-personally known to me or hasthave produced is/are personaTiy'knov Wi to me or,has/have produced
<br /> asidentification. -1 _as identification..
<br /> Notary
<br /> Public Notary Public
<br /> Commission No. Commission No.
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<br /> Name~Notary typed,printed—stamped Name—Notary typed,. .
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