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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. {I
<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,.)
<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 and1and 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 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#ollowing 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 Js-prepared by a professional engineer-
<br /> licensed bythe State of Florida.
<br /> If.the till 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 withinthe;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 pian &required.
<br /> If I am the AGENTfOl2 lHE 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.,therwork,and not as authority to violate, cancel, alter,;or
<br /> set aside:ahy..provisions of the technical codes, nor,shall issuance: 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 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 INTE D OBTAIN FINANCING; CONSULT-
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING-YOUR'NO 'ICE OF CWMENCEMENT.
<br /> FLORMA JURAT(F.S:117:03)
<br /> i f t
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sWom to(or affirmed)before me this Subscribed and sw (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
<br /> :i
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