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<br /> A. NOTICE OF DEED RESTRICTIONS
<br /> The undersigned understand that this permit may be subject to"deed restrictions"which may be more restrictive than County regulations. The
<br /> undersigned assumes responsibility for compliance with any applicable deed restrictions.
<br /> B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br /> If the owner has hired a contractor or contractors to undertake wads,he may be required to be ficensed in accordance with State and local
<br /> regulations. It the contractor is not licensed as required by law,both the owner and contractor may be cited for a misdemeanor violation under
<br /> State law. If the owner or intended contractor is uncertain which licensing requirements may apply for the intended work,he is advised to
<br /> contact the Pasco County Building Inspections Division,Contractor Licensing Section,at(727)847-8009.
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<br /> Furthermore,if the owner has hired a contractor or contractors•he is advised to have the contractors sign portions of the"Contractor Black"of
<br /> this application far which he will be responsible. If,you as the owner sign as the contractor•you are indicating that you,rather than the
<br /> contractor,are responsible for the work. If the contractor wishes you to sign as contractor,that may be an indication that he is not property
<br /> licensed and is not entitled to permitting privileges in Pasco County.
<br /> C. IMPACT FEES/UTILITIES IMPACT AND RESOURCE RECOVERY FEES
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<br /> The undersigned understands that Impact Fees and Resource Recovery Fees may apply to the construction of new buildings,change of use
<br /> in existing buildings,or expansion of existing buildings. The undersigned also understands that such fees as may be due will be identified at
<br /> the time of permitting. It is further understood that Impact Fees and Resource Recovery Fees must be paid prior to receiving a"Certificate of
<br /> Occupancy'or final power release. If the project does not involve a Certificate of Occupancy or final power release,the fees must be paid
<br /> prior to permit issuance. Furthermore,if Pasco County Water/Sewer Impact Fees are due,it must be paid prior to permit issuance in
<br /> accordance with applicable Pasco County ordinances!
<br /> D. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended)
<br /> If valuation of work is$2,50o.00 or more,I certify that I,the applicant,has been provided with a copy of the Florida Construction Lien Law-
<br /> Homeowne/s Protection Guide prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other
<br /> than the owner,I certify that I have obtained a copy of the above-described document and promise in good faith to deliver it to the owner prior
<br /> to commencement.
<br /> E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br /> I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating
<br /> construction,zoning,and land developmerrL
<br /> Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced
<br /> prior to issuance of a permit and that all work will be performed to meet standards of all laws regulabn construction,County codes,zoning
<br /> regulations,and land development regulations in the jurisdiction.I also certify that I understand that�e regulations of other government
<br /> agencies may apply to the intended work and that it is my responsibility to identify which actions I must take to be in compliance. Such
<br /> agencies include,but are not limited to: j•
<br /> • Department of Environmental Protection: Cypress bayheads,wetland areas,environmentally sensitive lands,and water/wastewater
<br /> treatment.
<br /> pe • Southwest Florida Water Management District:Wells,g I cypress bayheads,wetland areas,and altering watercourses.
<br /> • Army Corps of Engineers: Sea walls,docks,and navigable waterways.
<br /> • Florida Department of Children and Family Services,Environmental Health Unit Wells,wastewater treatment,and septic tanks.
<br /> • U.S.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 Zane"V." ;
<br /> • If fill material is to be used in Flood Zane"A,"it is understood that a drainage.plan addressing a"compensating volume"will be
<br /> .submitted at the time of permitting which is prepared by a professional engineer licensed by the State of Florida.
<br /> • If fill material is to be used in Flood Zone"A"lin connection with a permitted building using stem-wall construction,I certify that fill will
<br /> be used only to fill the area within the stem wall.
<br /> • If fill material is to be used in arty area,I certify that use of such fill will not adversely affect adjacent pro erties. If use of fig is found
<br /> to adversely affect adjacent properfies,the owner may be died for violating the conditions of the Building Permit issued under the
<br /> attached permit application. For lots less than one(1)acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,I promise in goad faith to inform the owner of the permitting conditions set forth in this affidavit prior to
<br /> commencing construction.
<br /> I understand that a separate permit may be required for electrical work,plumbing,signs•wells•pools,air conditioning,gas,or other installations not
<br /> specifically included in the application.
<br /> A permit issued shag be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of
<br /> the technical codes nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction.or
<br /> violations of any codes.Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit
<br /> issuance,or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work has commenced. An
<br /> extension in writing,may be requested from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the
<br /> extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILU5&XQ RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN PAYING TWICE FOR IMPROVEMENTS
<br /> TO YOUR PROPERTY. IF YOU I ND T 0 TAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
<br /> YOUR NOTICE OMMENC T.
<br /> SIGNATUR SIGNATURE:
<br /> O E OR AGE T CONTRACTOR
<br /> STATE OFI FLORIDA ,�•� n ,A STATE OF FLORIDA
<br /> COUNTY r�r(�C 1404Q Gt��'� COUNTY
<br /> The.foregoi i stru an yas ck a edg d before s �1 The foregoing instrument was acknowledged before me this
<br /> (date),by (date),by
<br /> (name of person acknowledging),who is p I kno to me or who (name of person acknowledging),who is personally known to me orwho
<br /> has produced has produced
<br /> (type of (type of
<br /> identification)as identification. identification)as identification.
<br /> Seal: NOTARY Seal: NOTARY
<br /> �.., ADAM R.MCAULEY
<br /> k *Notary Public,State Of Florida
<br /> Commission No.HH 86613
<br /> wpdatalbcslfonns/buildingpernitapplicaton_pc93043032 %0;"Omy Commission Expires:1/31/2025 Rev.6/10/15
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