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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 DivisIon-Licensing 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 th~t Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />receiving a .certiflcate of occupancy" or final power release. If the project does not Involve a certifl~ate 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 .Florlda 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, 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 uA", 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 w: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 good faith to inform the owner of the permitting conditions set forth In
<br />this affidavit prior to commencing construction. I understand that a separate permit may be. required for elect~lca~ work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically Included In the application. A
<br />ermlt Issued 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~eafter
<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 Issu~nce, or If work authorized. by
<br />the ermit'ls sus ended or abandoned for a period of six (6) months after the time the work IS commenced. An extension
<br />ma: be request:d, in writing, from the .Building Official for a period not to exceed nin~ty (90) days anJ ~i11 ~emodstrate
<br />,justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job Is consldere a an one .
<br />
<br />~:':':~~~EO;V~EI':.;P~g~::~~~ ~~~:~~~~E~~TI~~gS 1~~:N'tE:g~~~JN 'r.'.r~~~~~d~N~~~~
<br />
<br />WITH YOUR LENDER OR AN,ATTOR EY BEFORE RECORDING YOU N TICE F CO CE ENT.
<br />FLORIDA JURAT (F.S. 117.03) .
<br />
<br />OWNERORAGENT.~ ' .'
<br />Subscribed and sworn to (or afflnned) 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 islare personally known to me or has/have produced
<br />. as IdenUflcation.
<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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