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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which maybe 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 contraelor 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.lmpact 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$2500.00 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 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 bistrict 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 /> I understand that the following restrictions apply:to-the use of fill:Use of fill is not allowed in-.Flood Zone"V"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.subrnitted 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 useI&only..to fill the area within the stem.wall.
<br /> If fill material is to be used'in anyarea, 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 maybe cited for violating
<br /> the conditions of the building perrhit;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 afterthe 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 1MPROVEMENTS TO'YOUR"PROPERTY. IF.YOU.INTEND TO.OBTAIN-FINANCING,.CONSULT
<br /> WITWYOUR LENDER=OR AN ATTORNEY BEFORE.RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> -FLORIDA JURAT(F.S 117.03) _
<br /> y OWNER OR AGENT�i���I`FV1C� �� 1R�J� CONTRACTOR y — Y
<br /> Subscribed ands to(or affirmed) f e men this - Subscribed.and sw to or affirmed)be m�this A
<br /> bY'��)�° 6 1 ✓1 by Y `P V1 t7�—c,t�L ✓�
<br /> Who is/are personally known tome or has/have pro uced Who is/are personally known to me or a /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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