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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restriotions"
<br />which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br />applic~ble dee.d restrictions.
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br />contracton:;' 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.l;)e, 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 Dlvislon-LiceR~i~g.S~ctlon at 727-847-
<br />8009., Furthermore, If the owner h~shlred 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,.ITIES IMPAcT 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 COllnty Ordinance {lumber 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 t;ees 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 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 Guid~~ prep-ar~d ~y tn~ Flprlda ,Department of Agriculture and Consumer Affairs. If the applicant is someone
<br />other than the .owner", I certify that! have oDtalnt!d~a cbPY' of.the abO'1e'€leacrlbed 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 appllcatlon~IS ,~ccurale' aod 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 ofa permit and that all work will be performed to meet.~tandards 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 Arel;ls 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 expr~ssly permitted. '
<br />If the fill material Is to be used In Flood Zone "N, 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 />IIcense(jby 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 ~all. ,
<br />If fill material Is to be used In any ~rea, I certify that use of su~h fill Will not adversely. affect adjac?nt
<br />properties. If use of fill Is found to adversely affect adjacent propertl~s, the,ow.ner may be Cited for violatmg
<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 ~f the permlttln~ condltrons s~t forth In
<br />this affidavit prior to commencing construction. I understand that a separate permit may be reqUired for electrlca,' work,
<br />lumblng, signs, wells, pools, air conditioning, gas, or other Installations not specifically in~luded, In the application. A
<br />p 't I d hall be construed to be a license to proceed with the work and not as authOrity to Violate, cancel, alter, or
<br />~:~~~Id~s~~ s rovisions of the technical codes, nor shall Issuance of a permit prevent the Building Official from the~eaft~r
<br />requiring a c~irectiori of errors In planS, construction or violations of any codes. Every permit Issued, shall become. In~r~d
<br />I ' th k authorized by such permit is commenced within six months of permit issuance, or If work authorize , Y
<br />un ess ,~':o~s ended or abandoned for a period of six (6) months after the time the work is commenced. An extenSion
<br />the p~rml I ,s t Pd In writing from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br />~:~fia~l~e:~:e ~o~ the exten'sion. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
<br />
<br />, , ' RD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />W:~:~~~EO:~:I~P:g~:~~~~~~ ~~~:~~OPERTY. IF YOU INTEND TO OaTAIN FINANCING, CONSULT
<br />~ITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />
<br />FLORIDA JURAT (F. . 3) -
<br />
<br />
<br />OWNER OR AGENT
<br />Subscrlbed and swo to r affirmed) before
<br />by
<br />Who Is/are personally known to me or has!h ve, produced
<br />"""\'t,.....~ ~ lit... .........: as Identiflcation;
<br />
<br />
<br />r frMJn; tJ f3, J~ Notary Public
<br />Commission No. "1> G\ :t.1 a ~:)~
<br />
<br />
<br />NTRACTOR
<br />Subscribed and sworn to (or affirmed) before me this
<br />, by
<br />Who Isfare personally known to me or hasfhave produced
<br />as Identlflcatlon.
<br />
<br />Notary Public
<br />
<br />Commission No,
<br />
<br />. .' " ' ,', ' .~ CennieB'elknap Name of Notary typed. printed or stamped
<br />.',.",:,N,ame of Notary typed. printed or:: '~,' ", ~ CommissiQn #D0218855
<br />'r< ,,' \~" ~,;}Expires: iun.?2. 2007
<br />tt'.'" ' ",~wj\.~" Bonded Ih!".J
<br />1.';<, . "'11'\\ AtJart~jc r~ondit';_? Co.. frlC..
<br />
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