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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 wi►n 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 maybe 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 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(Chapter713, 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 l 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,id`entify.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 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 /> 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 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 I&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, wells, pools, air conditioning, gas, or other installations not specifically included in the Japplication. 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 1from 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 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 /> --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 NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03) 77
<br /> OWNER OR AGENT CONTRACTOR /
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before a 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
<br />
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