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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 accordanc'e 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 Dlvlsion-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 entlUed 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 .certiflcate 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 WaterlSeWer Impact
<br />fees are due, they must be paidp~ior 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 materia" 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 bUlldmg uSing stem wall
<br />construction, I certify that fill will be used only to fill the area within the stem v.: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 pennlt 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 ~f the permItting conditions s~t forth In
<br />this affidavit prior to commencing construction. I understand that a separate perm~t. may be required for elect~Ical work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations not speCIfically In?luded In the application. A
<br />ermlt Issued shall be construed to be a license to proceed with the work and not as authOrity !o 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,after
<br />re uiring a correction of errors in plans, construction or violations of any codes. Every permit Issued shall become. Invalid
<br />un(ess the work authorized by such permit is commenced within six months of permit Issu~nce, 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 t~ exceed ninety (90) days an3 will ~emodstrate
<br />. justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job Is considere aban one .
<br />
<br />. UR FAILURE TO RECO~D A NOTICE OF COMMENCEMENT MAY. RESULT INYOUR
<br />~:~~~~~EO;'cittEI~P~gVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LEND R OR NA ORNEY BEFORE RECORDING YOU T CENT.
<br />FLORIDA JURA. T(F.S.1~7.0 . L~ . 'fJ '" ~ ~() IJJI-
<br />/1\ A- CONTRACTOR ~ V ."
<br />OWNER OR AGENT . ) ed) b fo thl
<br />Subscribed and swom to (or affirm e re me s
<br />Subscribed and swom to (or affirmed) before me this by
<br />by Who is/are personally known to me or haslhave produced
<br />Who is/are personally known to me or haslhave produced ,as Identification.
<br />as Identification.
<br />
<br />Notary Public
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<br />Notary Public
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<br />Commission No.
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<br />CommIssIon No.
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<br />Name of Notary typed, printed or stamped
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<br />Name of Notary typed, printed or stamped
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