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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 for the
<br />intended work, they are advised to contact the Pasco County Building Inspection Dlvlslon-Llcenslng 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 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 Identmed 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 certfficate of occupancy or
<br />final power release, the fees must be paid prior to permit Issuance. Furthermore, If Pasco COllnty 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 Instailation has
<br />commenced prior to issuance of a permit and that all work will be performed to meet standatds 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 "A" 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 o~ 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 conditions s~t forth In
<br />this affidavit prior to commencing construction. I understand that a separate permit may be required for electncal work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations not specmcally included In the application. A
<br />permit issued shall be construed to be a license to proceed with the work and not as. authority !o violat~, cancel~ alter, or
<br />set aside any provisions of the teahnlcal codes, nor shall issuance of a permit prevent the B~"dlng OffICial from thereaft~r
<br />requiring a correction of errors In plans, construction or violations of any codes. Every permit issued. shall become in~a~d
<br />unless the work authorized by such permit Is commenced within six months of permit Issuance, or If work authorize y
<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 nln~ty (90) days an3 wl'l demodstrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job Is consldere abandone .
<br />
<br />. . LURE TO RECORD A NOTICE OF COMMENCEMENT MAY. RESULT IN, YOUR
<br />:':~:~~~EO~:I~P~g~::~TS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LE D R OR' ATTO EY BEFO ECORDING YOU 0 ICE 0 NCE ENT.
<br />FLORIDA JURAT (F.S.117.03)
<br />
<br />OWNER OR AGENT /~ I~~ --
<br />Subscribed and swOm to (or afflnnoo) efore me thls----".
<br />by
<br />Who Is/are personally known to me or hasJhave produced
<br />as IdenUflcaUon.
<br />
<br />CONTRACTOR ~ ~
<br />Subscribed and sWOm to (or amnned) before me this
<br />-. by
<br />Who Is/are personally known to me or hasJhave produced
<br />as IdenUflcaUon.
<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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