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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 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 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 contractors) 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, 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): If valuation of work is$2,500.00 or more, I
<br /> certify that I, 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",1 certify.thatf have_obtaine'd 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: Lcertifythat,all.the.information,in,thisapplication is accurate and that all work
<br /> will be done in compliance with all applicabl1 .e 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`'Cify codes; zoning regulations, and land`development regulations in the jurisdiction. I also
<br /> certify that I;:underst'and 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,WaterMastewater Treatment. .
<br /> 'Southwest Florida Water Manag iement District-Welis, 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 /> USI 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 inli 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. I"
<br /> If the fill material is to be used'in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction,:l certify that fill will be used only to fill the area within the stem wall.
<br /> If fill materiat'is to be used in any, area, I certify that use of such fill will not adversely affect adjacent
<br /> properties-'1f;use.of:fill,is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permif issued under the attached permit application, for lots less than one (1).
<br /> acre-whidh,are�:elevated�by fill, an engineered drainage plan is required.
<br /> If f am the AOEN't'FO,I2TiHE.OWNER, I promise in good faith to`inform the:owner of the permitting conditions set forth"in
<br /> this affidavit'prior,to-'comrnencing.construction. I understand thata separate permit may be required for electrical work,
<br /> plum bing,,,;signs,_wells;--pools,'bir'conditioning, gas, or other installations;not'specifically included in the,application. A
<br /> permifissue&shall,be construed;to be a license l to,proceed with the work and not as authority to violate, cancel, alter, or _
<br /> set aside'any`provisions;.of;th :technical:codes, nor shall issuance of.a permit prevent the Building Official from thereafter
<br /> requiring-ib6lrrection tion or violations-of-any-codes: Every.permit issued shall become invalid
<br /> unless the:wotk 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 IOfficial for a-,-period-not to exceed ninety(90) days and will demonstrate
<br /> justifiable cause for the extensio'n."'Af'w 6tk.ceases for ninety(90)'06nsecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER:. YOUR!FAILURE TO,RECORD A NOTICE.OF-COMMENCEMENT MAY RESULT 1N YOUR
<br /> PAYING TWICE'FOR'IMPROVEMENTS-T.O YOURVROPERTY:'i IFYOU'IN7`EN6TO:OBTAIN FINANCING, CONSULT
<br /> WITH YOUR.�LENDER,.OR'AWA =ORNEY BEFORE'RECORDING.YOU !NOT ICE:;OF-COMMENCEMENT.
<br /> FLORIDA JURAT"(F:s:117:03)`-"— — -- - — — — -—---- --.— —
<br /> OWNER R AGENT CONTRACTOR
<br /> u ad and sw or a ed)befor a this Subscribed'and swom�to(or affirmed)before me this
<br /> by
<br /> WHO ism,
<br /> personally kno to me 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 /> 333 S
<br /> Commission No. C1G �p� Commission No.
<br /> Name of Notaryltypid,printed or st otary typed,printed or stamped
<br /> " ""�''' STEhMIEDAMS
<br /> ; M "t MY CQMMISSION#GG 33356T
<br /> e� EXPIRES:May 13,2D23
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