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<br />NonCE 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 regulation$. 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-Ucenslng Section at 727-347-
<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 wHI 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 privlIeges in Pasco
<br />County.
<br />TRANSPORTATION IMPAcTlunLlnEs IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new bulklingS. change of
<br />use in existing bulklings, or expansion of existing bulkllngs, as specified in Pasco COunty OrdInance number 8~7 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 OCQIpancy or
<br />final power release, the fees must be paid prior to permit Issuance. Furthennore. If Pasco COunty WaterlSewer Impact
<br />fees are due, they must be paid prior to permit Issuance in accordance with applicable Pasco County ordinances.
<br />CONSTRUcnoN UEN LAW (Chapter 713, FIortcIa S1atutIIs, 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'SIOWNER'S AFFIDAVIT: I certify that aN 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. AppIicatlon is
<br />hereby made to obtain a permit to do work and installation as indicated. I certify that no wort!. or instaNation has
<br />commenced prior to issuance of a permit and that all work win be performed to meet standards of all laws regulating
<br />constructiOn. County and City codes. zoning regulations, and land devetopment regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other government agencies may apply to the intended WOItt. and that it is
<br />my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not rmited to:
<br />Department of Environmental Protection-Cypress Bayheads, VI/eIland 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 SenriceslEnvironmental 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 bulkling 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 of such fiU 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 />aae which are elevated by fiR, 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 aflidavlt prior to commencing construction. I understand that a separate permit may be required for eIecttlcal work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other Instalatlons not specifically Included in the application. A
<br />permit Issued shall be construed to be a license to proceed with the work and not as authority to violate. cancel. alter. or
<br />set aside any provisions of the technical codes, nor shaH issuance of a permit prevent the Building Official from thereafter
<br />requiring a correction of errors in plans. construction or violations of any codes. Every permit issued shan become invalid
<br />unless the work authoriZed by such permit is commenced within six months of permit issuance, or If work authorized by
<br />the permit Is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br />may be requested, in writing, from the Buikling Official for a period not to exceed ninety (90) days and will demOnStrate
<br />justifiable cause for the extension. If wort!. ceases for ninety (90) consecutive days, the job is considered abandoned.
<br />
<br />WARNING 1'0 OWNER: YOUR FAlWRE 1'0 RECORD A NOnCE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR ...-ROVElllENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDA JURAT (F.S. 117.03)
<br />
<br />~9OR~~ ~ ~///7
<br />SubIIaibed and sworn to (or affirmed) before me this ~ and sworn \0 (or aIlirmel!l before me lhiI
<br />by >?,r./,. by Ala i1~f:JE7<. ;;LOOt.:,
<br />IJ\Iho isIare personally known to me or has/h8Ye produced IJ\Iho isla-e personally known to me or hasIhIIYe produoed
<br />as ideOOIicaIion. as idenlificalion,
<br />
<br />Notary Public
<br />
<br />
<br />Public
<br />
<br />CcmmisSion No,
<br />
<br />Name of NoIary typed, printed or stamped
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