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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 hires 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 /> k_ 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 sigh 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.�'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 /> :,J,,.-.-•.--permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> a ncertificate
<br /> receiving of occupancy" or final power. release. If the project does not involve a certificate of occupancy or
<br /> power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> v--rfJees.are due,they must be paid prior to,permitissuance 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 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> #'n.i PhJpectlon Guide" prepared by the Florida Dep
<br /> artment 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 gowner"prior to commencement.
<br /> d CONTRACTOR'S/OWNER'S AFFIDAVIT:- 1,certify that all the information in this application is accurate and that all work
<br /> will be done in compliance w1ith,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 othergovernment.agencles 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 Beiyheads, 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. d"
<br /> Federal-Aviation Authority-ROnways.
<br /> I understand that the following re trictions apply to the use of fill: J.
<br /> Use of:fiII is not allowed in Flood Zone"W unless expressly permitted. 13
<br /> If the fill material io to be used in Flood Zone -W, 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 W in.connection with a permitted building using stem wall
<br /> construction, I,certify that fill Will be used only to filt-the area within the stem wall.
<br /> If fill material 'is to The 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 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 be requested, in writing, from the Building Official for a period not to exceed ninety(90) days and will demonstrate
<br /> justifiable cause fdr 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 Y'Qyk—
<br /> PAYING TW IC E_F 0 R-1 M P ROVE M E N TS-TO YOUR PROPERTY.AP YOU INTEND TO-OBTAIN N N A N_C1 N_G,CONSUL- T
<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 swam to(or affirmed)before me this
<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. is Identification".
<br /> Notary Public Notary Public
<br /> Commission No. Commission No
<br /> Name of Notary typed,printed or stamped
<br /> Name of Notary typed,printed or stamped
<br />
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