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<br />NOTICE OF DEED RES1RICTIONS: 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 />applicable deed 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 />under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br />Intended work, they ere advised to contact the Pasco County Building Inspection Olvlslon-!.Icenslng Section et 727-847-
<br />8009. Furthermore, if the owner has hired a contractor or contractors, he Is advised to have the contractor(s) sign
<br />portions of the 'contrector Btock" of this application for which they wtll be responsible, If you, as Ihe 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/UTILITIES 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 bf
<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 Trensportation Impacl Fees and Resource Recovery Fees must be peld 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, 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 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 AN 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 applicatioh, for lots less thah 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 efI1davll prior 10 commencing construction, I understand that a separate permit may be required for electrlcel wor~,
<br />plumbing, signs, wells, pools, air condlllonlng, gas, or other Installellons hot spectftcelly Included In the appllcallon. A
<br />pennlllssued shell be construed to be a license 10 proceed with the work and noles euthorlty 10 violate, cenoel, eller, or
<br />set estde eny provisions of the technical codes, nor shell Issuance of a permll prevent the Building Official from thereafter
<br />requiring a correcllon of errors in plans, construction or vlolallons of eny codes. Every permillssued shall _ometnvalld
<br />unlesS the work authorized by such permills commenced within six months of permit tssuance, or II work authorized by
<br />the permit Is suspended or abandoned tor a period of six (6) months efter the time the work is commenced. An extension
<br />may be requested, in writing, from the Building omclal for e period not 10 exceed ninety (90) days and wlti demonstrate
<br />lustlftable cause tor the extension, If work ceases for ninety (90) oonsecullve days, the job Is considered abandoned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT!liAY RESULT IN YOUR
<br />PAYING lWlCE FOR IMPROVEMENTS TO YOUR PROPERlY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WI H Y RN Y BE ORE REC RDING YOUR NOTICE OF OM ENCEMEIIT,
<br />FLORIDA JURAT (F.S. 117.03) ~
<br />CONTRACTO. ~
<br />Subscribed and swom to (or affirm
<br />I by .
<br />Who 1~lare personally known to me 0 asfhave produced
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<br />~mml~~;~hJ~~
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<br />Notary Public
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<br />Name of Notary typed. prlnted or s
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<br />Al'l9eta Helme
<br />My CommiIIlOIl 00611711
<br />expires 0110312011
<br />
<br />Name of Notary typed,
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