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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 />. appllc?lbledeef;J 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 Qwner'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 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,..ITIESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transportation Impact Fees and Recourse Re,?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 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 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, Wastewate( 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 MV" 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 />.compensatlng 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 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 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 lam the AGENT FOR THE OWNER, I promise in good faith to Inform the owner ~f the permittin~ conditions s~t forth in
<br />this affidavit prior to commencing construction. I understand that a s.eparate perm~t may ~e required for electncal work,
<br />plumbing; signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically 1n~luded. in the application. A
<br />permit issued shall be construed to be a license to proceed With the work a~d not as authon~y !o vlolat~, cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall iss~ance of a permit prevent the BUlI,dln9 OffiCIal from the~eaft~r
<br />requiring a correction of errors In plans, construction or vlolatrons of any codes. Every ~ermit Issued shall become invalid
<br />unless the work authorized by such permit is commenced within six months o.f permIt 'ssu~nce, or if work authorized. by
<br />the permit is suspended or abandoned for a period of six (6) months after the trme 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) days and will demonstrate
<br />justifiable cause for the e?<tenslon. 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) - --P
<br />CONTRACTOR
<br />Subscribed and swo to (or affirmed) before me t~i R
<br />llGl~{:Y-i by r:<cheC-\- k. Q..u.r-hs"S ~)
<br />Who Is are personally known to me or has/have produced
<br />~L- D('J~ l.-\. (L as Identification.
<br />
<br />
<br />
<br />OWNER OR AGENT '
<br />Subscribed and swom to (or affirmed) before me thIs
<br />by ,
<br />Who Is/are personally known to me or has/have, produced
<br />as IdenUflcaUon;
<br />
<br />Notary Public
<br />
<br />~ ~~ Notary Public
<br />, ~,~~ Karen L. Miller
<br />Commission No. .:~ '. .
<br />-.. -.=
<br />~." ../~ Expires October 29,2010
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<br />
<br />Commission No.
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<br />hName of Notary typed, printed or stamped
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<br />
<br />Name of Notary typed, print
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