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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 und.ertake 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 />~nder 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 Division-Licensing Section at 727-847-
<br />8009. Furthermore, if the owner has hired a contractor or contractors, he Is advised to have the contractot(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 IMPACT/UTILITIES 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 specffied 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 ~e Identified at the tUne of
<br />permitting. It Is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />receiving a .certlflcate 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 Colinty 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 hav.e 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 "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 to be used in Flood Zone uA" 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 wall.
<br />If fill material is to be used In any area, I certify that use of such fill will not 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 condltJonsset 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 Installations not specffically Included. In the application. A
<br />ermlt Issued shall be construed to be a license to proceed with the work and not as authority ~o Violate, cancel, alter, or
<br />~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereaft~r
<br />re uirin a correction of errors In plans, construction or violations of any codes. Every permit issued shall become. invalid
<br />un~ess ~e work authorized by such permit Is commenced within six months of permit .issuance, or If work authOrized by
<br />the ermit Is suspended or abandoned for a period of six (6) months after the time the work Is commenced: An extension
<br />ma: be requested, in writing, from the BUilding Official for a period not to exceed ninety (90) days an: wl'l ~emodstrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is consldere aban one .
<br />
<br />. ECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />~:~~~~~EO~:~P~g~::~~~~~ ~~~R PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />
<br />ITH YOUR LENDE 0 N ATTO EY BEFO E CORDING YOUR NOT CE F C NEE T.
<br />FLORJDAJURAT (F.S. 117.03)
<br />
<br />CONTRACTOR
<br />Subscribed and sWorn to (or amnned) before me thIs
<br />by
<br />Who Is/are personally known to me or haslhave produced
<br />as IdenUflcaUon.
<br />
<br />OWNER OR AGENT
<br />Subscribed and sworn to (or amnned) before me this
<br />by
<br />Who Is/are personally known to me or haslhave produced
<br />as IdenUftcaUon.
<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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