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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this perr nit may be subject to "deed" restrictions"
<br />, which may be more restrictive than County regulations. The undersigned assum I'lS 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 aCcOrdan<''' with state and local regulations. If the
<br />contractor is not licensed as required by law, both the owner and contractor r ay be cited for a misdemeanor violation
<br />under state law. If the owner or intended contractor are uncertain as to what ,icensing reqUirements may apply for the
<br />intended work, they are advised to contact the Pasco County Building Inspectl n Division-Licensing Section at ri.t-847-
<br />8009. Furthermore, If the oWner has hired a contractor or contractors, he is advised to have. the contrador(s) sign
<br />portions of the "c;:ontractor Block" of this application for which they Will be re~ ponsible., If you; as the oWner sign as the
<br />contractor, that may be an indication that he is not properly licensed and Is ! ,ot ef1titled to permitting privileges in Pasco
<br />County. ' ,. .
<br />TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVE r{y FEES: The undersigned understahds
<br />that iransportation,lmpact Fees and Recourse Recovery Fees may apply.to thf construction of hew buildings, change of
<br />use in existing buildings; or expansion of existing buildings, as specified In Pa! ~o County Ordinance humber 89-07 and
<br />90-07, as amended. The undersigned also understands; that auch fees, as m Y,be due, iNiII be identified at the time of
<br />permitting, It Is further understood that Transportation Impact Fees and ResOl 'ce Recovery Fees must be paid prior to
<br />. receiving a "certificate of occupancy" or final poWer release. If the projtct dO'" i not ,involve a certificate of occLipahcy or
<br />filial power release, the fees must be paid prior to permit issuance. ~ 10' ej if Pasco County Water/SeWer Impact
<br />fees are due, they must be paid prior topermit issuance In accordaAM wfth r ",pfl :able Pasco County ordinances.
<br />CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amend81"): ' valuation of work, is $2,500.00 or more, I
<br />certify that I, the applicant, have been provided wtth a copy of the -Floric] Construction lien Law-Homeowner's
<br />Protection Guide" prepared by the Florida Department of AgricUlture and Con! Jme.r Affairs. If the applicant is someone
<br />other than the "owner", I certify that I have obtained a copy of the above descril !d 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 tb 3 application is accurate and that ail Work
<br />will be done in compliance with all applicable laws regulating construction, Zl ling and land developlllent.Application is
<br />hereby made to obtain a permit to. do work and installation as indicated. I certify that ho work or installation has
<br />commenced prior to issuance of a permit and that all work will be perform<~d f(, meet standards of all laws regulating
<br />construction, County and City codes, zoning regulations, and land develop me' It regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other government agencies me apply to the intended work, and that it is
<br />my responsibility to identify what actions I must take to be in compliance. SUet :1gencies include but are not limited to:
<br />_ Department of Environmental Protection-Cypress Bayheads, WE 'lnd Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment.
<br />Southwest Florida Water Management District-Wells, C1Pr' is Bayheads, VVetland Areas, Aitering
<br />Watercourses.
<br />Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br />Department of Health & Rehabilitative Services/Environmenbil1 t-f :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 offill is not allowed In Flood Zone "V" unless expressly perrr ,tted.
<br />If the fill m~terial is to b.e used in .Flood Z.one "A", it ~s. under.stood that a drainage plan addressing a
<br />"compensating volume" Will be submitted at time of permitting whlcb 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 rermitted 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 hot, advetselyaffect adjacent
<br />properties. If use of ~i11 is found to adversely affect adjacent properti~s the owner may be cited for violating
<br />the conditions of the building permit issued under the attached permll application, for lots less than one (1)
<br />acre which are elevated by fill, an engineered drainage plan is requ ired.
<br />If I am the AGENT FOR THE OWNER, I promise in good faith to inform the OW'ler 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 installationsn'Jl specificaily included in the application. A
<br />permit issued shall be construed to be a license to proceed with the work ~\ nd 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 />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU 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 sworn to (or affirmed) before me this
<br />by
<br />Who is/are personally known to me or has/have produced
<br />as identification.
<br />
<br />CONTRACTOR
<br />Subscribed and sworn to (or affirmed) before me this
<br />by
<br />Who is/are personally known to me or has/have produced
<br />as Identification.
<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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