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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 violatiOh
<br />under state law. If the owner or intended contractor are uncertain as to what licensing requirernents may apply for the
<br />intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Sedion 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 "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/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: Theundersigned understands
<br />that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, change tif
<br />use in existing buildings, or expansion of existing buildings, as specified In Pasco COlinty 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 Transportatioh Impact Fees and Resolirce 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 Bayheadsj 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 offill is not allowed In Flood Zone .vn unless expressly permitted.
<br />If the fill material is to be used in Flood Zone "An, 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 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 hot 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 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 ?e requir~d for elect~ica,1 work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations not speCifically In~luded.1n the apphcatlon. A
<br />permit issued shall be construed to be a license to proce~d with the work a~d not as authorl~y ~o vlolat~,cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II,dlng OffiCial from the~eaft~r
<br />requiring a correction of errors in plans, construction or violat~o~s o! any codes., Every ~ermlt Issued, shall become. Invah~
<br />unless the work authorized by such permit is commenced Within SIX months of permit Issuance, 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 n1n~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 VqUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOult 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)
<br />
<br />OWNER OR AGENT ~M' g~""-----
<br />Sybscrlbed and.AWOVl to affi"!ledl.before me this / 5"'1'......
<br />tcbrWV'ife"'Y ~ ~T~ CfJlA..n,./:;
<br />Who Is/are ersonally known to me or haS/have produced
<br />-po L-. as Identification.
<br />
<br />." - -----
<br />CONTRACTOR""c:... y-
<br />Subscribed and swo {ojQr affirmed) before me this Is-r-...., r'a.P.
<br />,;2t?o 7 by uuk C! Otu"lt!!,....;
<br />Who Is/are personally known to me or haslhave produced
<br />p. 1--. as Identification.
<br />
<br />z~~~ Nom~P~i,
<br />
<br />Co mission o. NOTARY PUBLIC ~T^Tf Qf FlQl.lT~)\
<br />"........'... Suzanne Bahr
<br />
<br />Name of Notary typed, Prlnt~~mlSSlon # pOCO ll'.~
<br />-_" .,.' Expires: NO\. 15. ~O" )
<br />BO~Dill THRU AIL )me BO"W.1.i U), L._
<br />
<br />~~ p~ "oW,b'"
<br />Commission o.
<br />NUlflliY PUBLIC.STATE OF FLORiDA
<br />..Il:~"u"""""
<br />
<br />Name of Notary typed, prlnte ~ r~mmission # DD60 1110
<br />
<br />-.".""\,,., Expires: NOV. 15 2010
<br />BO.\DED fHRLi AfL STle BOl\DING co., ]",
<br />
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