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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 />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 are advised to contact the Pasco County Building Inspection Division-licensing Section at 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 .contractorBlock~ 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/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 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 thl:,it 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 paidpfior 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 ail 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 ail 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 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 ~all. ,'.
<br />If fill material Is to be used In any area, I certify that use of such fill will not adversely. affect a?Jacent
<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 p~rmit 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 OWNE~, I promise in good faith to inform the, owner ~f the permitting conditions ~et forth In
<br />this affidavit riorto commencing construction. I understand that a separate per~!t may be requir~d for elect~ical work,
<br />I b' . Pns wells pools air conditioning gas or other installations not speCifically included In the application. A
<br />p urn Itl~g~U:~ shall be 'constr~ed to be a IIcen~e to proceed with the work and not as authority to violate, cancel, aiter, or
<br />~:~~Sid~ any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II.dlng ~~i~11 ~om the~e,a~~J
<br />
<br />ruenqleUsirslntghea ~~::~~~~o~rz~~o~; ~u~~~~r~~~~s~~~~:~c~~I~:~h~~ ~rxa~~~:Se~f ::r~it ~se;~~~~u~r ifs w~rdk :A~~~~lt~~~~ by
<br />" d f . (6) th after the time the work IS commence. n ex enslon
<br />~::~~m;~~~:~:e"de~~e~r~rn~~~;o~~~~ f~~lfdine~i~ffi~I~I~or a ~~~o: not to exceed nin~ty (90) daf: an3 ~II ~emodstrate
<br />justifiable cause fo~ the extension. If work ceases for ninety (90) consecutive days, the Job Is cons ere a an one .
<br />
<br />, . CE OF COMMENCEMENT MAY RESULT IN YOUR
<br />WARNING TO OWNE~p:g~::~~~~~ ~~~:~~~~~~T:F YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />:i~N;o1':.I~~:g:R OR AN, ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDA JURAT (F.S. 11 03) ~ '? L ~ - ,
<br />{:: , .-" ~ ~ CONTRACTOR
<br />Subscribed and ~;o~~*,~efore me .thls
<br />
<br />Who Is re personally known to me or h~ produced
<br />as Identification.
<br />
<br />...
<br />
<br />Notary Public
<br />
<br />
<br />Notary Public
<br />
<br />Name of Notary typed, printed or
<br />
<br />
<br />, Name of Notary typed. printed or sta
<br />RUSSELL S.' ~ ..~^'" ~
<br />MY COMMISSION # '
<br />EXPIRES: July 2
<br />Fl, NotaJyDisCOfJt" ,_ ~
<br />if'"V\,-\ ...~
<br />
<br />Os SELL S. MUtt
<br />MY COMMISSION # 0D418~ '3
<br />IlXPIRES: July 2:. "!;;i\
<br />FJ. NOl1lI:Y DiS<Wo', ."_ ('0,
<br />-; ~'<
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