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ctigns"
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"-Testnri
<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 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 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 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 permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,theymust be paid prior to permit issuance in accordance 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, I
<br /> certify that [,- 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'SI,OWNEWS,AFF.IDAVIT: 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 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/Wastewat&r Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Meting
<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"V' unless,expressly permitted.
<br /> If the fill material'is to be used in Flood Zone "A", `it 1§'uhderstitiod 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 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 under,the.,91itacheid permit application, for lots less than one (1).
<br /> acre whlch;are,elevated by fill, an-engineered'drain6p plan is,required.
<br /> If I am the AGENTF6k'TkE OWNER, I promise in good*faItfi.to'Ihfdrm 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 shallbe construed to be a license to proceed with-theiwork and not as authority to violate, cancel, alter,or
<br /> set aside,any.provisions of the technical codes, nor shclll'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 /> th6 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 Js 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 TO OBTAIN FINANCING;CONSULT,
<br /> WITH YOUR LENDER OR ANATTORNEY BEFORE:RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT CONTRACTOR 7—/�, e�
<br /> Subscribed and sworn to(oraffirmed)before me this Subscribed and swam to(or affirmed)before me this
<br /> by
<br /> Who 1 s/a —by
<br /> re personally known to me or has/have produced Who is/are personally known to me or has/have produced
<br /> s identification. as Identification.
<br /> Notary Public Notary Public
<br /> Commission No. Commission No.
<br /> Name of Natary typed,printed or stamped Name of Notary typed,printed orsiampea
<br />
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