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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands thatthls 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 deeo '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.llcensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br />understate 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""s 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/UTI~ITIES IMPAcT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transportation Impact Fees and Recourse ReC?overy 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 "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 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! 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, 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 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 hot 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 building using stem wall
<br />construction, I certify that fllI.w1ll be used only to fill the area within the stem wall.
<br />If fill material Is to be used in any area, , 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 i,ssued 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 of the permitting conditions set forth in
<br />this affidavit prior to commencing construction. I understand that a s,eparate perm!t may be required for electrica,l work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other Installatrons not speCIfically In?luded, 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 shall issuance of a permit prevent the BUil,ding Official 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 commen?ed within six months o,f permit issu~nce, 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.m.o;r? / /J c ~ <-
<br />
<br />OWNER OR AGENT ~C:Lt------ CONTRACTOR v - L--
<br />Subscribed and swom to (or affirmed) before me this Subscribed and swom to (or affirmed) before me this
<br />by , ' by
<br />Who Isfare personally known to me or hasfhave produced Who Isfare personally known to me or hasfhave produced
<br />as Identification; as Identification.
<br />
<br />
<br />Notary Public
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
<br />Commission No.
<br />
<br />r. Name of Notary typed; printed or stamped
<br />
<br />Name of Notary typed. printed or stamped
<br />
<br />~. . .
<br />b',i~.::,
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