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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 />~nder 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. It 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 RESOUf{CE RECOVERY FEES: The undersigned Understands
<br />that Transportation Impacf Fees and Recourse Recovery Fees may apply to the construct/on 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 ~e Identified at the tline of
<br />permitting. It Is further understood that Transportation Impact Fees and Resource Recovery Fees inust 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 compllanc,e 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 ~ork will be performed to meet standards of. all laws regulating
<br />construction, County and City OOdes, 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, Wetl~nd 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 material is to be used In Flood Zone A 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 AA" 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 o~ such fill Will not adversely affect adjac~nt
<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 OWNE~, I promise in good faith to Inform the owner ~f the permitting conditions set forth In
<br />this affidavit rior to commencing construction. I understand that a separate permit may be required for electrlca.1 work,
<br />I bi . P wells pools air conditioning gas or other installations not specifically included in the application. A
<br />p ~r:it 7~~u:~nSshall be 'constr~ed to be a Iicen~e to proceed with the work and not as. authorlo/ !o violate, cancelh alter, or
<br />~et aside any provisions of the technical codes, nor shalllss~ance of a per~lt pr~vent the B~t1ldln~e~~~~~: ~::~:~~:~f~
<br />
<br />reql Uirintgh a corrkectlothnOOr!lzee~O~Sy ~u~~np~r~~~r:r~~~~:~c~~'~:f~~ ~rxa~~fhSe~f p;~~ ,)se::nc: or if work authorized by
<br />un ess e wor au ft th tl th . rk Is commenced An extension
<br />
<br />;:E:;J:!~fn~~~~:r:~:~=:~~i:~~~:i~:~=}w~= ~~i \~~~~ ::n~:~~bate
<br />
<br />NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />WARNING TO OWNER: YO~::~~~~~ ~~~:~~~~E~TY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />~~J~:o~I~~:g:RI~:~ ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDAJURAT(F':.:t)S,117~.03) ..0 . . ~~-
<br />I ~ CONTRACTO
<br />OWNER OR AGENT .. or fflnn b~ Is
<br />Subs be and sWOCQ to (or!J ~) before ~~ this SUb~Crl ,~ n ~wo ( C. ~ A 8- ) ~ , ~1l R:te l2-
<br />7 'l by -\.) A ~ I 15 tJ IV lIy kn 0 me or ha reduced
<br />Who sla per a y me haslhave produced Who r ersona as Iden caUon.
<br />as Ide ncaUon.
<br />
<br />
<br />Notary Public
<br />
<br />
<br />Notary Public
<br />
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