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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to",j4ped"restrictions"``
<br /> which may be more restrictive than County regulations._ The undersigned assumes responsibility for compiianc-�,;.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 1ocal 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$2,500.00 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", (.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. r. -
<br /> Southwest Florida Water Management District-Wells, .Cypress Bayheads,, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls; Docks, NavigableWaterways.
<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"V":u Mess:expressly permitted. .
<br /> If the till 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, 1'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.attacfied 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 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 /> PAYINGTWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF,YO.0 INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH'YOUR LENDER OR AN ATTORNEY BEFORE RECORDING.YOUR NOTICE OF_CAMMEN.GEMENT-. -------
<br /> ---FL-GRIDK-JURA-T-(F.S.-11T.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
<br />
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