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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.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors"to undertake work, they maybe 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 contactor 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", I certify that] 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 a
<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 rdevelopment regulations in the jurisdiction. I also
<br /> certify-that 1.understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility., identify what actions l 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 /> 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 used only to fill the area within the 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 plan'is required.
<br /> If I am the AGENT FOR THE OWNER, I promise1n 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 RESIULT-IN YOUR
<br /> PAYING TWICE_FOR IMPROVEMENTS-TO YOUR PROPERTY. IF YOU.INTEND-TO OBTAIN FINANCING,--CONSULT
<br /> WITKYOUR 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 sworn to(or affirmed)before me this
<br /> by by
<br /> Who Ware 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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