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<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The undersigned understand that this permit may be subject to "deed restrictions" w~ich may be more restrictive than County regulations. The
<br />undersigned assumes responsibility for compliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to undertake work. he may be required to be licensed In accor?ance with S~te and local
<br />regulations. It the contractor Is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor VI?latio~ under
<br />State law. If the owner or Intended contractor Is uncertain which licensing requirements may apply for the Intended work, he IS adVised to
<br />contact the Pasco County Building Inspections Division, Ucensing Section, at (727) 847-8009.
<br />
<br />Furthermore, If the owner has hired a contractor or contractors, he Is advised to have the contractors sign po~ion.s of the "Contractor Block" of
<br />this application for which he will be responsible. If you as the owner sign as the contractor, you are Indl.ca~lng, that you, r~ther than the
<br />contractor, are responsible for the work. If the contractor wishes you to sign as contractor, that may be an indication that he IS not properly
<br />licensed and is not entiUed to permitting privileges in Pasco County.
<br />
<br />C. IMPACT FEES/UTILlT!ES IMPACT AND RESOURCE RECOVERY FEES
<br />
<br />The undersigned understands that Impact Fees and Resource Recovery Fees may apply to the construction of new buildings, change of use
<br />in existing buildings or expansion of exlsUng buildings. The undersigned also understands that such fees as may be due will be Identified at
<br />the Ume of permlttln'g. It Is further understood that Impact Fees and Resource Recovery Fees must be paid prior to receiving a "Certificate ?f
<br />Occupancy" or final power release. If the project does not Involve a Certificate of Occupancy or final power release, the fees must be paid
<br />prior to permit Issuance. Furthermore, If Pasco County Water/Sewer Impact Fees are due, it must be paid prior to pennit issuance In
<br />accordance with applicable Pasco County ordinances.
<br />
<br />D. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended)
<br />
<br />If valuation of work Is $2,500.00 or more, I certify that I, the applicant, has been provided with a copy of the F/orida Construction Lien Law -
<br />Homeowner's Protection Guide prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone other
<br />than the owner, I certify that I have obtained a copy of the above-clescribed document and promise In good faith to deliver it to the owner prior
<br />to commencement.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating
<br />construction, zoning, and land development.
<br />
<br />Application is hereby made to obtain a permit to do work and Installation as indicated. I certify that no work or installation has commenced
<br />prior to Issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County codes, zoning
<br />regulations, and land development regulations In the jurisdiction. I also certify that I understand that the regulations of other govemment
<br />agencies may apply to the Intended work and that it is my responsibility to Identify which actions I must take to be In compliance. Such
<br />agencies include, but are not limited to:
<br />
<br />. Department of Environmental Protection: Cypress bayheads, wetland areas, environmentally sensitive lands, and water/wastewater
<br />treatment.
<br />
<br />. Southwest Florida Water Management District: Wells. cypress bayheads, weUand areas, and altering watercourses.
<br />
<br />. Army Corps of Engineers: Sea walls, docks, and navigable waterways.
<br />
<br />. Florida Department of Children and Family Services, Environmental Health Unit Wells, wastewater treatment, and septic tanks.
<br />
<br />. U.S. Environmental Protection Agency: Asbestos abatement.
<br />
<br />. Federal Aviation Authority: Runways.
<br />
<br />I understand that the following restrictions apply to the use of fill:
<br />
<br />Use of fill Is not allowed In Flood Zone "V" unless expressly permitted.
<br />
<br />If fill material Is to be used In Flood Zone "A," it Is understood that a drainage plan addressing a "compensating volume" will be
<br />submitted at the time of permitting which Is prepared by a professional engineer licensed by the State of Frorida.
<br />
<br />If fill material is to be used In Flood Zone "A" in connection with a permitted building using stem-wall construction, I certify that fill will
<br />be used only to fill the area within the stem wall.
<br />
<br />If fill material is to be used In any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found
<br />to adversely affect adjacent ~rop'ertles, the owner may be cited for violating the conditions Of the Building Permit issued under the
<br />attached permit application. For lots less than one (1) acre which are elevared by fill, an engineered drainage plan is required.
<br />
<br />
<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 this affidavit prior to
<br />
<br />commencing construction.
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<br />.
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<br />.
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<br />.
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<br />.
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<br />I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not
<br />specifically Included In the application.
<br />
<br />A permit Issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of
<br />the technical codes nor shall Issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans. construcUon, or
<br />violations of any codes. Every permit Issued shall become Invalid unless the work authorized by such permit Is commenced within six months of permit
<br />issuance, or If work authorized by the permit is suspended or abandoned for a period of six months after the time the work has commenced. An
<br />extension In writing, may be requested from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the
<br />extension. If work ceases for ninety (90) consecutive days, the job Is considered abandoned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN PAYING TWICE FOR IMPROVEMENTS
<br />TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
<br />YOUR NOTICE OF COMMENCEMENT.
<br />
<br />The foregoing Instrument was acknowledged before me this
<br />200 by
<br />, (name of person acknowledging), who is personally known to me or who
<br />has produced
<br />
<br />SIGNATURE: /-?~
<br />CONTRACTOR
<br />STATE OF FLORIDA COUNTY PASCO
<br />
<br />The foregoing instrument w~ flcknq~le~~ before me this Dc) U
<br />;2~ 20fbby t</~~ ~t'P'>
<br />(name of person acknowledging). who's personally known to IDe or who
<br />has produced ,-
<br />
<br />
<br />(type of
<br />
<br />SIGNATURE:
<br />
<br />OWNER OR AGENT
<br />STATE OF FLORIDA COUNTY PASCO
<br />
<br />(type of
<br />
<br />identification) as IdentificaUon.
<br />
<br />NOTARY
<br />
<br />s. MULl
<br />MY COMMISS N # D0418873
<br />EXPIRES: July 22, 2009
<br />FI. NotaJy DisCOWlt Assoc, Co,
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