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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 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 workis$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", 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'S/OWNER'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 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,WaterMastewater 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. -A .
<br /> I understand that the following restrictions apply to the use of fill:
<br /> Use of fill,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'.tle 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 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'F.,OR 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 /> plumbingl:signs, weils; .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 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 /> the permit-is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
<br /> may besequested, 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-TO OBTAIN FINANCING,CONSULT
<br /> WITH YO.UR,LENDER OR AN ATTORNEY BEFORE,RECORDING YOUR`N T MMENCEMENT.
<br /> --FLORIDA JURAT(F.S.117.03) -
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and sw •(o �"ffirmed)be 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 /> si
<br /> Commission No. Commission No. I
<br /> Name of Notary typed,printed or stamped Name.of Notary typed,printed or stamped
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