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<br />NOTICE OF D ED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br />which may be ore restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br />applicable dee restrictions.
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br />contractors to ndertake work, they may be required to be licensed in accordance with state and local regulations. If the
<br />contractor is n t licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br />under state la . 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. Furthe more, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br />portions of th .contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br />contractor, tha may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br />County.
<br />TRANSPORT TION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transport tion Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br />use in existin buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br />90-07, as am nded. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br />permitting. It s further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />receiving a "c rtificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br />final power rei ase, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br />fees are due, ey must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br />CONSTRUCT ON 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 Gu de" 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 th "owner" prior to commencement.
<br />CONTRACT R'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br />will be done i 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 rior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br />construction, ounty and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I u derstand that the regulations of other government agencies may apply to the intended work, and that it is
<br />my responsibi ity to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br />D partment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />L nds, Water/Wastewater Treatment.
<br />S uthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br />atercou:-ses.
<br />A my Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br />D partment of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br />S ptic Tanks.
<br />U Environmental Protection Agency-Asbestos abatement.
<br />F deral Aviation Authority-Runways.
<br />I understand t at the following restrictions apply to the use of fill:
<br />U e 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 />" ompensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br />Ii ensed 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 />c nstruction, 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 />p operties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br />t e conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br />a re which are elevated by fill, an engineered drainage plan is required.
<br />If I am the A ENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br />this affidavit rior to commencing construction. I understand that a separate permit may be required for electrical work,
<br />plumbing, sig s, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br />permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a c rrection of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br />unless the w rk authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br />the permit is uspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br />may be requ sted, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br />justifiable ca se for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
<br />
<br />WARNING T OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWI E FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIOA JURA (F.S.117.03)
<br />
<br />OWNER OR AG NT
<br />Subscribed and worn to (or affirmed) before me this
<br />__b
<br />Who is/are pers nally kno\M1 to me or has/have produced
<br />as identification.
<br />
<br />Notary Public
<br />
<br />
<br />Commission No.
<br />
<br />Name of Notary ped. printed or stamped
<br />
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