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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 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$2,5.00.00 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 andj 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 1
<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. , i
<br /> US Environmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority=Runways.
<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 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%use.&only to fill the area within the stem Wall.
<br /> If fill material is to be used :in any:area; [certify that use lof such fill will not adversely affect adjacent
<br /> properties. If use of fill is found'toyadverselyrafFect.adjacent.properties, the:owner may 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, ('promise in good:faith;to inform the owner of the permitting conditions set f6rth in
<br /> this affidavit prior to commencing construction. 11 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
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<br /> unless the work authorized by such permit is commenced within:six months of permit issuance, or if work authorized by fA
<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�,INTEND TO OBTAIN FINANCING,CONSULT
<br /> 1(VITH, OUR-LENDER.ORAN ATTORNEY BEFORE=RECORDING=YOUR NOTICE-OF COMMENCEMENT-. - — — ---
<br /> FLORIDA JURAT(F.S...117.0 ) I Q�Q
<br /> OWNER OR AGENT l� Gam' CONTRACTOR '4 F
<br /> Subscribed and swo t (or affirmed?pefo,[!.(ne t� Subscribed and s •m • •r affirmed befor e thi
<br /> by �r3*(PGN ( (G� by
<br /> a (�C!/l
<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
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<br /> Commission No. Commission No.
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<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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