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<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The undersigned understand that this permit may be subject to "deed restrictions" which may be more restrictive than County regulations. The
<br />undersigned assumes responsibility for compliance with any applicable deed restrictions.
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<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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<br />If the owner has hired a contractor or contractors to undertake work, they may be required t.J be licensed in accordance with state and local regu-
<br />lations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state
<br />law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to
<br />contact the Pasco County Building Division - Licensing Section at (727) 847-8009.
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<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of
<br />this application for which they will be responsible. If you, as th~ owner sign as the contractor, you are indicating that you, rather than the contrac-
<br />tor, are responsible for the work. If the contractor wishes you to sign as contractor, that may re an indication that he is not properly licensed and
<br />is not entitled to permitting privileges in Pasco County.
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<br />C. TRANSPORTATION IMPACT/UTILlTlESI~PACT A~D RESOLJRCE RECOVERY FEES
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<br />The undersigned understand that Transportation impact Fees and Resource Recovery Fees may apply to the construction (If new buildings,
<br />change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance numbers 89-07 and 90-07, as
<br />amended, The undersigned also understands, that such fees, as may be due, will be identified at the lime of permitting. It is further understood
<br />that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release.
<br />If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if
<br />Pasco County WaterlSewer Impact fees are due, they must be paid prior to permit issuance. In accordance with applicable Pasco County ordi-
<br />nances.
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<br />D. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended)
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<br />If valuation of work is $2500.00 or more, I certify that I, the applicant, have been provided with a copy of "Florida Ccnstruction Lien Law -
<br />Homeowner's Protection guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than
<br />the "owner," I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to
<br />. commencement.
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<br />E. CONTAACTOR'S/OWNER'S AFFIDAVIT
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<br />I certify that all the information in this application is accurate and that all work will pe done in compliance with all applicable laws regulating con-
<br />struction, zoning and land development.
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<br />Application is hereby made to obtain a permit to do work and installation as indicated. I certi,)' ~hat no work or installation has commended
<br />prior to issuance of a permit and that all work will be performed to meet standards of all laws red,~lating constriction. COUllty codes, zoning reg-
<br />ulations, and land development regulations in the jurisdiction. I also certify that I understand that the.regul&tions .of other government agencies
<br />may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include
<br />but are not limited to:
<br />
<br />. Department of Environmental Protection - Cypress Bayl,eads, We:land Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment.
<br />
<br />. Southwest Florida Water Manaaemellt District - Welle;, Cypress Bayheads, Wetland Areas, Altering Watercources.
<br />
<br />. Armv COrPs of En<;lineers - Seawalls, Docks, Navigable Waterways.
<br />. Department of Health & Rehabilitative Services Environmental HealthVnit ~ Wells, Wastewater Treatment; Septic Tanks.
<br />. US Environmental Protection Aaencv - Asbestos abatement.
<br />. Federal Aviation Authoritv - Runways.
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<br />I understand that the following restrictions apply io the LIse of fill:
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<br />. Use of fill is not allowed in Flood Zone "V" unless expressly pEmnitted.
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<br />. If fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at
<br />time of permitting which is prepared by a professional engineer licensed by the State of Florida.
<br />
<br />. If fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used
<br />only to fill the area within the stem wall.
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<br />. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to
<br />adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit
<br />application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required.
<br />
<br />If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner ot the permitting conditions set forth in this affidavit prior to
<br />commencing construction.
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<br />I understand that a separate permit may be required for electrical work, plumbing. signs, wells, pools, air conditioning, gas, or other installations
<br />not specifically included in the application.
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<br />A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cansel, alter, or set aside any provi-
<br />sions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors In plans,
<br />construction, or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced
<br />within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time
<br />the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and
<br />will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days. the job is considered abandoned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
<br />IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR~LENDER OR AN ATTORNEY
<br />BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
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<br />SIGNATURE SIGNATURE ~ ~ r
<br />OWNER OR AGENT I" CON CTOR
<br />7/dY/O/
<br />
<br />DATE
<br />
<br />DATE
<br />
<br />NOTARY AS TO
<br />OWNER OR AGENT
<br />
<br />NOTARY AS TO
<br />CONTRACTOR
<br />
<br />MY COMMISSION
<br />EXPIRES
<br />
<br />MY COMMISSION
<br />EXPIRES
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