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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 />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 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 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 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-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 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 pf 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 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 "N, it is under~tood 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 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 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 gooq faith to inform the owner ~f the permittln~ conditions ~~t forth In
<br />this affidavit rlorto commencing construction, I understand that a separate per~lt may be.reqUlr~d for elect~lca.1 work,
<br />I bi I P wells pools air conditioning gas or other installations not specifically Included In the appllcatron. A
<br />p urn It ~g, 5 ~nshall be 'constr~ed to be a IIcen~e to proceed with the work and not as authority to violat~, cancel, alter, or
<br />~:~~Sid~S~~y ~rovisions of the technical codes, n~r shall Iss~ance of a per~1t pr~vent the B~i1'~~~e~~:II :::~:~~:~~~
<br />
<br />~~~~::~:. ~c:;::~t~~~o~:z:~o~~ ~u~~~~r~~~~str~~~o~eO~c~~I~:~h~~ ~:xa~o~~~~~~~: !~~5~~~:~:~~d~ ~~h~~~~~~i~~
<br />the p~rmlt is sU::de~~e~r~~n~b~~o~~~: f~~i~rn~I~~~~I~~~~ ~~~~: ~::to exceed ninety (90) days an: ~II ~emodstrate
<br />~:Xfla~l~e:::e fo~ the exte~sion. If work ceases for ninety (90) consecutive days, the job Is consldere a an one .
<br />, , NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />WARNING TO OWNER: YOUR FAILU~~ ~~~:~~~~E~TY IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />~i~N:O~I~~:g:~~:~V:~~::EY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDA JURAT (F.S. 117.03)
<br />
<br />CONTRACTOR
<br />Subscrlbed and swom to (or affirmed) before me this
<br />by
<br />Who Is/ere personally known to me or has/have produced
<br />. as Identification.
<br />
<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 />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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