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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands thaithiS 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 />applic~ble de,et:!' restrictions.
<br />UNl.,ISI;NSED CQ~TR.A.C:rORSA.ND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br />contractors tountfertake' wqrk, tl1~y' may be required to be licensed In accordanc~ with state ~nd local regulations. If the
<br />cOrltractor. I~ .not IIqensed as required by law, both the owner andbonlrs5:tor may be .Qlted' for' a f11lspem~a.i1or violation
<br />. '. - . " .- .. ...... .' - ' ~ '"'; , "
<br />understate law. ,IN~owner ort Intended contractor are uncertain a~ (0 ~hat licensing requirements may apply for the
<br />intepded, work., J~~Y. arfi) a~vised to contact the Pasco County Bulldl~g dnSpJ:!diQ!1 D1VJsIQn-;-JLlcetisl~g SeCtion at 727-847-
<br />8099.'.,' Furtherrnore,lf.tl:it;t owner h~s hired a contractor or contractors, he Is advised to have the contractor(s) sign
<br />portrons 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,.ITfES.IMPACT AND RESOURCE RECOVERY, FEES: The undersigned understands
<br />that Transportation Impact f;ees: and' R,a'cpurse Recovery Ife~s 'may apply. to t~e cOl1structiqn of new -buildings, change of
<br />use in existing buildings, or expansion of existing buildings, as speci~d In ~ascd County Ordinanc,e 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 113, Florida Statutes, as amended): If valuation of work Is $2,500.00 or more, I
<br />certify that I, the applica.nt, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
<br />. Pfot~ction ',(~uJde~ 'P,f~.P~~~. by-.the'.~rld~QepartIT!en~ of Agriculture and Consumer Affairs. .If the applicant is someone
<br />other than the 'owner , I certifY thilt 1 <have 'obtained a ~~ of the alWv;' d~~iPt;tdD~curnent and promise in good faith to
<br />deliver It to the .owner" prior to commencement. ." . . . ,.,~ \ . . ;
<br />CONTRACTOR'S/OWNER'S AFFIDAVIT: I cettlfy;tI'Iat'~I'htt.~~ation In this application Is accurate and that all work
<br />will be done in compliance with all applicable laws reguraJI~cpA:;truction, zoning and land development. Application is
<br />hereby made to obtain a permit to do work and installallon as\ Indicated. I certify that no work or installation has
<br />commenced prior to issuance of a permit and that all work will be perfotlljed 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 fn Flood Zone "V"unless expressly permitted... , . . . '
<br />If the fill material Is to be used In Flood Zone "~",. it is understood that a drainage' plan addressing a
<br />"compensating volume" will be submitted at time of pe,ftnttting-v;h1ch ~~<pfepar~~'by a.-pr.ofessio,nal 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 propertl~s, the.ow,ner 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.promlse 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 separate perm~t may be reqUired for electrlca.l work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other Installations not specifically In~luded. in the application. A
<br />ermlt Issued shall be construed to be a license to proceed with the work a~d not as authOrity !o vlolat~, cancel, alter, or
<br />~et aside any provisions of the technical codes, nor shall iss~ance of a permit prevent the Buildrng OffiCial from thereaft~r
<br />requiring a correction of errors In plans, construction or violations of any codes. Everr ~ermit issued shall become. invalid
<br />unless the work authorized by such permit is commen~ed within six months o.f permit Issu~nce, or if work authorized. by
<br />the ermit is suspended or abandoned for a period of SIX (6) mo~ths after the time th~ work IS commenced: An extenSion
<br />ma: be requested, in writing, from the Building Official for a penod not t~ exceed mn~ty (.90) da~s and Will demonstrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS conSidered abandoned.
<br />
<br />U FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />~:~~~~~EO:~EI~P~gV:MENTS 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)-
<br />
<br />OWNER OR AGENT .
<br />Subscribed and swom to (or afflnnEid) before me this
<br />by .
<br />Who Isfare personally known to me or haslhave produced
<br />as IdenttflcaUon;
<br />
<br />CONTRACTOR
<br />Subscribed and sworn to (or afflnned) before me this
<br />. by
<br />Who Is/are personally known to me or haslhave produced
<br />as IdenUtlcatlon.
<br />
<br />Notary Public
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
<br />Commission No.
<br />
<br />Name of Notary typed. printed or stamped
<br />
<br />;', Name of Notary typed; printed or stamped
<br />
<br />
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