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<br />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 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 fot the
<br />intended work, they are advised to contact the Pasco County Building Inspection Dlvisioli-Ucenslng section at 7'21-847-
<br />8009. Furthermore, if the owner has hired a contractor or contractors, he Is advised to havethEi contrador(s) sign
<br />. portions of the .contractor Block" of this l:Jppllcation 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 hot entitled to permlttihg privileges in Pasco
<br />County. . . .... . . .
<br />TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE REOOVERY FEES: The undersigned understahds
<br />that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of hew buildings, chahge of
<br />. use in existing buildings; or expansion of existing buildings, as specified In Pasco County Ordinance hLlmber 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 pdor to
<br />. receiving a .certificate of occupancy" or final power release, If the project does hot.lnvolve a certific~te of occLlp~hcY or
<br />final power release, the fees must be paid prior to permit Issuance. Furthermore; if Pasco COl,Jnty 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 statu~es, 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 thliit 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 compllanc;e with all applicable laws regulating construction, zoning and land development. -Appiicallon 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 p~rformed to meet standards of all laws regulating
<br />construction, County and City codes, zoning regulations, and land development regUlations In the jurlsdlctioh. I aiso
<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 hot limited to:
<br />Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, WaterlWastewater Treatment. .'
<br />Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Aiteririg
<br />Watercourses. .' .
<br />Army Corps of Engineers-Seawalls, bocks,.Navigable Waterways.
<br />Department of He~lth & Rehabilitative SerVices/Environmental H~alth 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 o1.fill is not allowed inFlood Zone.V' unless expressly permitted. .
<br />If the fill material Is to be used in Flood Zone .N, 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 "N In connection with a permitted building using stem wall
<br />construction, I certify that fill will be used only to fill the ar~a within the stem wall.
<br />. If fill material is to be used in' any area, I certify that use of such fill will hot 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 promise In good faith to Inform the' owner of the permitting conditions set forth In
<br />this affidavit prior to commencing.con~truction. I understand that a separate permit m~y be required for electrical wor~,
<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 Iicens.e 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 B~i1ding Official from t~e~eat:t~r
<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 o,f permit Issuance, or If work authOrized .bY
<br />the permit Is suspended or abandoned for a period ofslx (6) months after the time th~ work Is commenced: . An extension
<br />may be requested, in writing, from the Building Official for a period not to exc::eed ninety ~90,> days. and will. demonstrate
<br />. justifiaple cause for tht:l 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 COMMENCEMEN~ MAy ~E~UL t IN YOUR
<br />. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. I.F YPU INTEND TO OBTAIN FINANCING; CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDA JURAT (F,S. 117.03)
<br />OWNER OR AGENT .
<br />Subscribed and swom to (or afflnned) before me this.
<br />. by .
<br />Who Islare personally known to me or haslhave produced
<br />as Identification.
<br />
<br />CONTRACTOR . . .
<br />Subscribed and swom to (or afflnned) before me this
<br />by
<br />. Who Islare personally known to me or has/have produced .
<br />. asldentiflcaUon.
<br />
<br />Notary Public
<br />
<br />NotarY Public
<br />
<br />Commission No.
<br />
<br />Commission No. .
<br />
<br />Name of Notary typed. printed or stamped
<br />
<br />Name of Notary typed. printed or stamped
<br />
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