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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 maybe 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,.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";f.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 /> CONTRACTORIS/QWNER'S.AFFIDAVIT:- 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 andland 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,1Nater/Wastewater Treatment.
<br /> Southwest Florida Water Management District-Wells, 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 /> US Environmental Protection Agency-Asbestos,abatement-�
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use offil
<br /> Us'e 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-.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"'ik,donnection with a permitted building using stem wall
<br /> construction;I certify that fill will be used only to fill tlie°'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-,attached permit application, for lots less than one (1).
<br /> acre which>are..elevated by fill, an engineered drainage.plan is:required.
<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 /> this affidavit'-prior to-commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing;:�signs, well's; pools, air conditioning, gas; or other installations not�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 permit prevent the Building Official from thereafter:-,..'.:
<br /> requiring.a correction of errors in plans, construction or violations oUany 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 /> 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 NOTIC-E-OF=COMMENCEMENT MAY-RESULT IN YOUit --- -
<br /> PAYING-TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF'YOU INT'END TO.OBTAIN FINANCING; CONSULT"
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE:RECORDING YOUR'NO � F COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT CONTRACTOR i
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and swo 0 or affirme afore me this
<br /> by by
<br /> Who Is/are personally known 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 /> Commission No. Commission No. {
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped .
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