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<br />NOTICE OF OEEO 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 />appllc?lble dee<;l 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 />understate 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 hels 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/UTII,..ITIESIMPACT 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 Water/Sewer Impact
<br />fees are due, they must be paldprlor to permit Issuance In accordance with applicable Pasco County ordinances,
<br />CONSTRUCTION LIEN LAW (Chapter 113, 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.1 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 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 fn 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 till 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 wall.
<br />If fill material Is to be used In any area, I certify that use . of such fill 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 />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 permlttln~ conditions s~t forth In
<br />this affidavit prior to commencing construction. I understand that a s,eparate perm~t may be reqUired for electrlca,l work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other Installations not speCifically in~luded,ln the appllcatron. 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 shall issuance of a permit prevent the BUil,ding Omclal from the~eaft~r
<br />requiring a correction of errors in planS, construction or violations of any codes. Every permit Issued shall 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 th~ work is commenced: An extenSion
<br />may be requested, in writing, from the Building Official for a period not t~ exceed nrn~ty (90) dars and Will demonstrate
<br />justifiable cause for the 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 YOUR
<br />PAYING TWICE FOR IMPROVEMENTS 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)
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<br />OWNER OR AGENT .
<br />Subscrlbed and swom to (or affirmed) before me this
<br />by .
<br />Who Isfare personally known to me or has/have produced
<br />as IdenUflcaUon;
<br />
<br />Notary Public
<br />
<br />...
<br />
<br />~~~ d~
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
<br />~
<br />~~ .t~, Karen L. Miller
<br />:~ '~ ..
<br />:.. - ..-
<br />
<br />Name of Notary typed. ....~~. October 29,2010
<br />, 'Wont Ilonckod TIOy Fa," -Insuranea. Inc 800-385-7019
<br />
<br />commission No.
<br />
<br />;,Name of Notary typed. printed or stamped
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