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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deedD restrictionsD
<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 Dlvlsfon-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 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 tht;lt 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 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-I-Jomeowner'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: .1 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, WaterlWastewater 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 till:
<br />. _ Use of till is not allowed in Flood Zone .V" unless expressly permitted.
<br />. If the fill materiaf is' to be used In Flood Zone "N, it is understood that a drainage plan addressing a
<br />.compensating volumeD 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~Jacent
<br />. properties. If use of fill Is found to adversely affect adjacent propertl~s, the. owner may be Cited for Violating
<br />the conditions of the building permit Issued under the attached p~rmlt 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 OWNE~, I promise in good faith to inform the. owner ~f the permitting conditions set forth In
<br />this affidavit prior to commencing construction. I understand that a separate per~~t may be.requlred for elect~lca.1 work,
<br />lumblng signs, wells, pools, air conditioning, gas, or other installations not speCifically In?luded In the application. A
<br />p ermlt is~ued shall be construed to be a license to proceed with the work and not as authOrity to vlolat~, cancel, alter, or
<br />~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCIal from the~e.aft~~
<br />requiring a correction of errors in plans, construction or violations of any codes. Every permit Issued tfshall :ec~:;e. In~a~
<br />unless the work authorized by such permit Is commenced within six months of permit Issu~nce, or word. a~ or~ze . y
<br />.. sus ended or abandoned for a period of six (6) months after the time the work IS commence. n ex enslon
<br />~::~~~:~~est:d, in writing, from the. Building OffIcial for a period not t~ exceed ninety (90) da~s an3 ~II ~emo:rtrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job Is consldere a an one .
<br />
<br />. ;':':~~~EO:O~EI:;P:g~:::rri=~~~ ~~II~:~~~~E~~~~~g~ 1~~:NMt~~~r.N 'r.',r;.:~~~~~d~N~~~~
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDA JURAT (F.S. 117.03)
<br />
<br />CONTRACTOR
<br />Subscribed and swom to (or amnned) before me this
<br />by
<br />Who is/are personally known to me or has/have produced
<br />. as Identification.
<br />
<br />OWNER OR AGENT .
<br />Subscribed and swom to (or amnned) 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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