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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands thai this permit may be subject to "deed" restrictions'
<br />which may be more restrictiva than County regulations. Tha 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 tha owner or Intended contractor are uncertain as 10 what licensing requiremenls may apply for the
<br />intended wort<. they are advised to contact tha 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 applicallon for which thay will be responsible. K you. as tha oWnar Sign as the
<br />contractor. that may ba 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 undarsiands
<br />that Transporlallon Impact Feas and Recourse Recovary Fees may apply to tha construction of new bUildings. change of
<br />usa In exlsllng buildingS; or expansion of exlsllng buildings, as specifled In Pasco County Ordinance nurober 89-07 and
<br />90-O7, as amended. The undarsigned also understands. that such fees, as may ba due, will be identifiad at the tima of
<br />parmitting. Ills further undarstood lhat T ransporlallon Impact Faas and Resource Recovery Fees rousl be paid prior 10
<br />receiving a .certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br />final powar ralease. the lees musl be paid prior to perm II Issuance. Furlhermore, ii 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 Stalules. as amended): II valuation of Work. Is $2,500.00 or more, I
<br />certify that I. Ihe applicant. have been provided wllh a copy of the "Aorlda Construction Uen 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 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 cerlify that all thelnformallon in this application is accurate and that all work
<br />will be done in compliance with all applicable laws regulaling construction, zoning and land developmenl.Application is
<br />hereby made to obtain a permit to do w<>rl< and Installallon as indicated. I certify that no wort< or insiallation has
<br />commenced prior to Issuance of a permit and Ihal all work will be performed to meet standards of all laws regulallng
<br />construction, County and City codas, zoning regulallons. 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 inlended work, and thai It is
<br />my responsibility to Idenllfy what aclions I must take to be in compliance. Such agenctes inelude but are nollimited 10:
<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 />Departnient of Health & Rehabilitative ServiceslEnvironmental Heelth U nil-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 offill 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 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 10 be used in Flood Zone "A" In conneelion 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 nol adversely affect adjacent
<br />properties. If use of fill Is found 10 adversely affec\ adjacent properties, the owner may be cited for violating
<br />the condillons of the building permit issued under the attached permll application, for lols lass than one (1)
<br />. acre which are elevated by fill, an engineered drainage plan is required.
<br />III am the AGENT FOR THE OWNER, I promise in good faith 10 inform the owner of the permitting conditions sel forlh in
<br />this affidavit prior 10 commencing construction. I understand that a separate permit may be required for electrical wort<,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations nol specifically Included in Ihe application. A
<br />permit issued shall be construed 10 be a license to proceed with the wort< and nol as aulhority to violate, cancel, aller, or
<br />set aside My provisions of the technical codes. nor shall Issuance of a permll prevent the Building Official from Iherealier
<br />requirlng a correction of errors In plans, construction or violations of any codes. Every permit issued shall become invalid
<br />unlass the wort< authoriZed by such permit is commenced within six months of permillssuance, or 11 w<>rl< authorized by
<br />the permil is suspended or abandoned for a period of six (6) months after the time the wort< is commenced. An extension
<br />may be requesled, in writing, from lhe Building Official for a period not to exceed ninety (gO) days and will demonstrate
<br />justifiable cause for the extension. If work ceasas for ninety (90) consecullve days. the job is considered abandoned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEIlT MAY RESULT IN YOUR
<br />PAYING twiCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTE TO OBTAIN FINANCING, CONSULT
<br />WIn! YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR E OF COMMENCEMENT.
<br />FLORIDA JURAT (F.S. 117.03)
<br />OWNER OR AGENT
<br />Subscribed and swom to (or affirmed) before me this
<br />by .
<br />Who is/are personally known to me or has/have produced
<br />Iden . tion.
<br />
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
<br />Name of Notary typed. printed or stamped
<br />
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