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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 CONTRACTOR RESPONSIBILITIE6: If the owner has hired a co'ntractar or
<br /> contractors to undertake work, they maybe required to be licensed in accordance with state-and local.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 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 89-07 and
<br /> 90-07, as amended. The undersigned.also understands, that such fees, as maybe 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"notinvolve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, 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,aslamended): 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 "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 /> CONTR,ACTORISIOWNER'.S'AFFID"IT: I certify that all the information in this-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 do Work and installation as indicated. I certify"that no work or installation has
<br /> commenced,prior-tolissuance,.,bf 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!Wastewatee'Trdalmbht;
<br /> Southwest Florida Water Management District-Wells, Cypress B.ayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls, Docks,,Navi6ablb'W6terway.�,
<br /> Department of Health & Rehabilitative Sbrvice6/En'Mr.drimental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US Environmental Protection Adendy=As*'best6s abat6rn0n-'t.'
<br /> Federal Aviation Authority-Runways.
<br /> I understand.that the following restrictions apply to the use of fill:
<br /> Use offill-is not allowed in Flood Zone W"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 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.
<br /> If fill ma'terial 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 maybe for violating
<br /> the conditions of the buildifig permit issued under.the attached.permit application, for lots less than one (1)
<br /> acre which,are elevated-.by-fill;';,an.enoirieered drainage,plan 1s required.
<br /> If I arn'the AGENT-FOR THE,OWNER, I promise in good faitK tol'informthe-b*her of the permitting conditions set forth in
<br /> this affidavit priorto-commencing construction. I understand that,a.separate permit may be required for electrical.work,
<br /> plumbing, air conditioning;`gas;-or other instailations not specifically included in the application. A
<br /> permit.issued,.shall.be-constru. ed-,to.be a_.Ilcense to proceed.With1he work and not as authority to violate, cancel, alter, or
<br /> set aside any provision.s.of the technicalcode's, nor,'shall issuance,of a permit prevent the Building Official from thereafter
<br /> requiring a correction of eirrors'in'plans, construction or violations of any codes. Every permit issued shall become invalid"
<br /> unless the work authorized by such
<br /> I 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 TO YOUR PROPERTY. IF YOU INTEND
<br /> ND TP,OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR,AN ATTORNEY BEFORE,RECORDING YOUR NOTICE 6P domMENCE MENT.'
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT - - CONTRA
<br /> CTOR---_--
<br /> and sworn to(or affirmed)before me this Subscribed and swo to(or affirmed)before me this
<br /> by by -
<br /> Who Islare personally known 10-1T e or has/have produced Who Is/are personally known to me or has/have produced,
<br /> as identification. as identification.
<br /> Notary Public Notary Public
<br /> Commission No. Commission No.
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br />
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