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<br />NOTICE OF DEED ~ESTRICTlONS: The undersigned underslands that ,this permit may be subject to 'deed" restrlollons" .
<br />which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br />applic~ble deet;J. restrictions.
<br />UNLICENSED CONTRACTORS' AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br />contra,ctors to undertake work. they may be required to be licensed In accordance with slate 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 slate law_ If the owneror 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 h~shired 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 responslble- 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/UTI,-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 01
<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 />permltting- Ills further understood that Trensportallon 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 occupancy or
<br />flnal power release, the fees must be paid prior to pennK Issuance. Furthermore, 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 />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 eppllcant, have, been provtded wllh 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 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 prtor to Issuance of a penn It and that all work will be perfonned to meet slandards 01 all laws regulallng
<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 .Y" unless expressly permitted. '
<br />If the fill material Is to be used In Flood Zone "N, it is understood that a drainage plan addressing a
<br />'campensallng volume" will be submltled at time of permKllng which Is prepared by a professional engineer
<br />ncense~by the State of Florida.
<br />, If the fill material Is to be used In Flood Zone "A" In connection with a permitted building using stem wall
<br />construction, I certify that fill.wlll be used only to fill the area within the stem wall.
<br />If fill matertal Is to be used In any area, I certify that use of such flll will nol adversely affecl adjacent
<br />propertles- If use of fill Is found to adversely affect adjacent properlles, the owner may be cited for violating
<br />the conditions of the building permit I,ssued under the attached pennlt application. for lols 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 felth to Inform the owner 01 the pennllllng conditions set forth In
<br />this affidavit prtor to commencing constructlon- I understand that a s.eparate permit may ~e required for electrtcal work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other InstallatIOns nol speclflcally ,"duded. In the appllcatlon- A
<br />permit Issued shall be construed to be a license to proceed with the work and not as aulhorlty to Violate. cancel, aller, or
<br />set aside any provisions of the technical codes, nor shalllssuanee of a permit prevent the Bull~lng Official from the~eaft~r
<br />requiring a correction of errors In plans. construction or violations of any codes- Every permlllssued shall become. ,"val,d
<br />unless the work authorized by such permllls commenced within six months o.f penn,l Issu~nce, or If work authonzed .bY
<br />the penn It Is suspended or abandoned for a period 01 six (6) months after the time the work IS commenced- An exlens,on
<br />may be reqUested, In wrttlng, from the Building Offictal for a period nol t~ exceed nln~ty (,90) days and will demonstrate
<br />jusllflable cause for the extenslon- If work ceases for ninety (90) consecut,ve days, the lob 's conSidered abandoned,
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING lWICE 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) (
<br />
<br />OWNER OR AGENT
<br />Subscribed and swom to (or affirmed) before me this
<br />by ,
<br />Who Islare personally known to me or haslhave, produced
<br />as Identiflcation;
<br />
<br />
<br />
<br />
<br />Notary Public
<br />
<br />Notary Public
<br />
<br />com~sslonNa;,=trr ,,2, ",~ ~$
<br />, , ~:" /1 CommISSloooo621a3;
<br />'1~ .,,~ r=~~2;~
<br />Name of Notary ~'prl_dOIi ' 11{)
<br />. 110O'385-7019
<br />
<br />=
<br />
<br />commission No.
<br />
<br />;\Name of Notary typed. printed or stamped
<br />
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