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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restric.tions"
<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 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 I.MPACT/UTILlTIES 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 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.
<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 "V" unless expressly permitted.
<br />If the fill material is to be used in Flood Zone "An, 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 "An 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 ~all. .
<br />If fill material is to be used in any area, I certify that use of such fill Will not adversely, affect a?Jac~nt
<br />properties, If use of fill is found to adversely affect adjacent properti~s, the, ow~er 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 promise in good faith to inform the owner ~f the permlttln~ conditions s~t forth In
<br />this affidavit rior to commencing construction. I understand that a s.eparate perm~t may be reqUlr~d for elect~lca,1 work,
<br />lumbin Signs. wells, pools, air conditioning, gas, or other installations not speCifically in?luded, In the application. A
<br />p 't . g, d shall be construed to be a license to proceed with the work and not as authorrty to Violate, cancel, alter, or
<br />~:~~~i~~S~~y provisions of the technical codes, nor shall issuance of a permit prevent the B~i1.ding ~ff~i~ll :om the~eaftl~~
<br />re uirin a correction of errors in plans, construction or violations of any codes. Eve~ ~ermlt Issue . s a ecome, Inva I
<br />i ~ rk authorized by such permit is commenced within six months of permit Issu~nce, or If work authorrzed, by
<br />un ess e wo d d ~ ' d f six (6) months after the time the work IS commenced, An extension
<br />~::~~~~~~:~~:de~~e~r~~n~~~o~~~e ~~ifdfne~l~ffi~ial for a period not t~ exceed nin~ty (.90) da~~ an~ ~II ddemo~strate
<br />justifiable cause fo~ the extension, If work ceases for ninety (90) consecutive days, the Job IS conSI ere a an one .
<br />
<br />ORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />WARNING TO OWNER: Yg~::~~~~~ ~~~:~ROPERTY. IF YOU INTEND 0 OBTAIN FINANCING, CoNSULT
<br />~i:;O~I~~:g:RI~:R ATTORNEY BEFORE ECORDING YOUR NOTI OF COMMENCEMENT,
<br />
<br />FLORIDA JURAT (F.S, 117.03 ~
<br />CONTRACTO . -
<br />Sul;1sc.rlbed and sworn to (or affirmed) before mde this
<br />~ t:!> \ 0 \.r by fi-t...J, ((\(...k. (), (')'0" '" ~
<br />Who Is/are e.ersonally known to me or haslhave produced
<br />fl- l)~vt.~ \:u....--y(. as Identification.
<br />
<br />OWNER OR AGEN
<br />~Scrlbed and sworn to (or affirmed) before me thl
<br />S ;\b'- by l?"'~~ (,,,,,--" '0,(")' ,,,r!\c.
<br />Who Is/are personally known to me or haslhave produced
<br />?\.. 0. 'CO of"(. n. \: u..-- S<.. as Identification.
<br />
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<br />
<br />4- ~.~~ Notary Public
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<br />Notary Public
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<br />
<br />Name of
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<br />Name of Not
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