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<br />, N~TICE OF DEED RES"!"RICTIONS: The undersigned understands that this 'permit may be subject to "deed;' ~estrictloris"
<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 reqUlrement~ may apply,fot the
<br />Intended work, they are advised to contact the Pasco County Building Inspection Dlvlsloli-Ucenslng Section at 727-847-
<br />800~. 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 ~ppllcatlon for which they. will be tesponslblEi. If you, as the owher sign as the,
<br />contractor, that may be an Indication that he is not properly licensed and Is hot entitled to permittihg privileges In Pasco
<br />County. , ,',' ' '
<br />TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOUROE REOOVERY FEES: The undersigned understahds
<br />that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of hew buildings, chahge of
<br />'use in, existing buildings; or expansion of existing buildings, as specified in Pasco County Ordinance humber 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 tif
<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 hot Involve a cenificate of occupahcy or
<br />filial power release, the fees must be paid prior to permit issuance. Furthermote; it Pasco COl,Jnty WateriSewer 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 Statu.es, 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 arid land develop'inent. 'Application is
<br />hereby made to obtain' a permit to' do work and Installation as indicated. I certify that ho work or Installation has
<br />commenced prior to issuance of a permit and that all Work will be p~rformed to meet standards of all laws regulating
<br />construction, County and City codes, zoning regulatJons, 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 hot 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,' Wetlahd Areas, Altering
<br />Watercourses. ' , " " ,
<br />Army Corps of Engineers-Seawalls, Docks, ,Navigable Waterways. ", " ,
<br />Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, WasteWBter Treatment,
<br />Septic Tanks. " ' . ' ,
<br />US Environmental Protection ~~gency-Asbestos abatement.
<br />Federal Aviation Authority-Runways. ,
<br />I understand that the following restrictions apply to the, use of fill: '
<br />, _ Use offill Isnot allowed inFlood zone "V" unless expressiy permitted.
<br />. If the 'fill material Is to be used In Flood Zone RN, It Is understood that a drainage plan addressing a
<br />Rcompensating volumeR will be submitted at time of permitting which is prepared by a professional engineer
<br />licensed by the State of Florida. ' ' , R " .' . ; ,
<br />If the fill material is to be used In Flood Zone A in connection With a permitted building using stern 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 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 ~f the permlttln~ condlbonsset forth In
<br />this affidavit prior to commencing. construction. I understand that a s.eparate permit may be reqUIred for electrlca,l wor~,
<br />, . plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically Included In the application. A
<br />permit Issued shall be construed to be a Iiceins,e to proceed with the work and not as authority !o violate, cancel, alterj or
<br />set aside any provisions of the technical codes, n~r shalllss~ance of a permit prevent the B~lIdln9 OfficIal from .the~ea~~r
<br />, requiring a correction of errors in plans,constructlon or violations ,of any codes. Every permit lssu~d. shall become. Inda~d
<br />unless the work authorized by such permit Is commenced within six months o.f permit Issuance, or If work authOrize y
<br />, the ermit is suspended or abandoned for a period of six (6) months after the bme the work Is commehced: An extension
<br />p b . , ted 'in writing from the Building OffIcial for a period not to exceed ninety (90) days and wlII,demonstrate
<br />~:Kfia~l~e:~:efo~ the exten'slon. If work ceases ,for ninety (90) consecutive days, the job Is considered abandoned.
<br />
<br />'. ' '1 URE TO RECORD A NOTICE OF COMMENCEMENT MAy ~E~ULt IN YO~R
<br />, '~:~~~~~EO~~EI~P~g~:,:~~s TO YOUR PROPERTY. IF YOU INTEND, TO OBTAIN FINANCING; OONSUL T
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDA JURAT (F.S. 117.03)
<br />OWNER OR AGENT '
<br />Subscribed and swom to (or affirmed) before me this
<br />, 'by , "
<br />Who Islare personally known to me or has/have produced
<br />as IdenUflcaUon,
<br />
<br />CONTRACTOR' " ' '
<br />Subscribed and swom to (or amnned) before me thIs
<br />by
<br />Who Islare personally known to me Dr haslhave produced
<br />, ' asldenUflcaUon.
<br />
<br />Notary Public
<br />
<br />Nolary Public
<br />
<br />Commission No.
<br />
<br />Commission No, '
<br />
<br />Name of Notary typed, printed or stamped
<br />
<br />. .
<br />Name of Notary typed, printed or stamped
<br />
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