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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 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 tcr the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specked 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", 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,Water/Wastewater Treatment.
<br /> Southwest Florida Water Management District-Wells, Cypress Bayheads;- Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corp's-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 /> understand that the following,restrictions.apply to the use of fill: --— - -- -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 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 adverselyaffect.adjacent;p'roperties;: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, wells, 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 code's.'-'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 NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> _P_AYING_T-W-10E FOR-.IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE�RECORDING-YOUR NOTICE-OF=COMMENCEMENT._
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT CONTRACTOR-
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before 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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