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<br />A. NOTICE OF DEED RESTRICTIONS
<br />
<br />The undersigned understand that this permit may be subject to "deed restrictions" which may be more restrictive than County regulations, The
<br />undersigned assumes responsibility for compliance with any applicable deed restrictions,
<br />
<br />B, UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />
<br />If the owner has hired a contractor or contractors to undertake work, he may be required to be licensed in accordance with State and local
<br />regulations. it the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under
<br />State law, If the owner or intended contractor is uncertain which licensing requirements may apply for the Intended work, he is advised to
<br />contact the Pasco County Building Inspections Division, Licensing Section, at (727) 847,8009,
<br />
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractors sign portions of the "Contractor Block" of
<br />this application for which he will be responsible, If you as the owner sign as the contractor, you are indicating that you, rather than the
<br />contractor, are responsible for the work, If the contractor wishes you to sign as contractor, that may be an indication that he is not prope~y
<br />licensed and is not entitled to permitting privileges in Pasco County,
<br />
<br />C, IMPACT FEESIUTILlTIES IMPACT AND RESOURCE RECOVERY FEES
<br />
<br />The undersigned understands that Impact Fees and Resource Recovery Fees may apply to the construction of new buildings, change of use
<br />in existing buildings, or expansion of existing buildings. The undersigned also understands that such fees as may be due will be identified at
<br />the time of permitting, It is further understood that Impact Fees and Resource Recovery Fees must be paid prior to receiving a "Certificate of
<br />Occupancy" or final power release, If the project does not involve a Certificate of Occupancy or final power release, the fees must be paid
<br />prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact Fees are due. it must be paid prior to permit issuance in
<br />accordance with applicable Pasco County ordinances.
<br />
<br />D, CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended)
<br />
<br />If valuation of work is $2,500,00 or more, I certify that I, the applicant, has been provided with a copy of the Florida Construction Lien Law,
<br />Homeowner's Protection Guide prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone other
<br />than the owner, I certify that I have obtained a copy of the above,described document and promise in good faith to deliver it to the owner prior
<br />to commencement.
<br />
<br />E. CONTRACTOR'SIOWNER'S AFFIDAVIT
<br />
<br />I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating
<br />construction, zoning, and land development.
<br />
<br />Application is hereby made to obtain a permit to do work and installation as indicated, I certify that no work or installation has commenced
<br />prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County codes, zoning
<br />regulations, and land development regulations in the jurisdiction, I also certify that I understand that the regulations of other government
<br />agencies may apply to the intended work and that it is my responsibility to identify which actions I must take to be in compliance, Such
<br />agencies include, but are not limited to:
<br />
<br />Department of Environmental Protection: Cypress bayheads, wetland areas, environmentally sensitive lands, and water/wastewater
<br />treatment.
<br />
<br />Southwest Florida Water Management District: Wells, cypress bayheads, wetland areas, and altering watercourses,
<br />
<br />Army Corps of Engineers: Sea walls, docks, and navigable waterways,
<br />
<br />Florida Department of Children and Family Services, Environmental Health Unit: Wells, wastewater treatment, and septic tanks,
<br />
<br />U,S, Environmental Protection Agency: Asbestos abatement.
<br />
<br />Federal Aviation Authority: Runways,
<br />
<br />I understand that the fOllowing restrictions apply to the use of fill:
<br />
<br />
<br />Use of fill is not allowed in Flood Zone "V' unless expressly permitted,
<br />
<br />
<br />~u~~7t1~~~r\~~ lfm~e o~~~~~~ti~~~i~~~~ ~~~~~~~ g~~e~~~~~~s\~~~lae~~~~~~~ll~~~e~dg~1~~ins'la~e"gY~~~i~~ating volume" will be
<br />
<br />If fill material is to be used in Flood Zone "A" in connection with a permitted building using stem,wall construction, I certify that fill will
<br />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 adl"cent pr~erties, If use of fill is found
<br />~~t~gh~~s~~~rrea~p~;'~j,\'tT~~t Wgtl~~l~s~ht~aOnw~.\'~ ~)~~~ ~1,1ghf~~:i~I~~~t~dh~y ~~C~~"enn'g~e~~~~~ai'~~g~ep~~l i;~~~~ir~~der the
<br />
<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 this affidavit prior to
<br />commencing construction.
<br />
<br />I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not
<br />specifically included in the application,
<br />
<br />A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of
<br />the technical codes nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or
<br />violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit
<br />issuance, or if work authorized by the permit Is suspended or abandoned for a period of six months after the time the work has commenced, An
<br />extension in writing, may be requested from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the
<br />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 PAYING T E FOR IMPROVEMENTS
<br />TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER 0 N AT NEY BEFO
<br />YOUR NOTICE OF COMMENCEMENT, ~ /
<br />
<br />
<br />SIGNATURE:--f). .. :t':h,a../2..- SIGNATURE: % ~
<br />: ~W~ENT C
<br />STATE OF FLORIDA COUNTY PASCO STATE OF FLORIDA COUNTY PASCO
<br />
<br />identification) as identification,
<br />
<br />(type of
<br />
<br />
<br />The foregoing instrument was acknowledged before me this _
<br />200 by
<br />(name of person acknowledging), who is personally known to me or who
<br />has produced
<br />
<br />(type of
<br />
<br />NOTARY
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<br />~
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<br />dv/pc93043032
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<br />Rev, 3/1/05
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