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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 und.ertake 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 />~nder state law. If the own.er 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 Sedion at 727-847-
<br />8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sigh
<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: The undersigned understands
<br />that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction o,f hew buildings, change of
<br />use in existing buildings, or expansion of existing buildings, as specified in Pasco Colinty 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 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 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'!!;
<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 Bayheads; Wetland Areas, Altering
<br />Watercourses.
<br />Army Corps of Engineers-Seawalls, Docks, Navigable Waterw~lYs.
<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 in Flood Zone "V" unless expressly permitted.
<br />If the fill material is to be used in Flood Zone "N, 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 "N 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 stemw,all. . ..
<br />If fill material is to be used in any area, I certify that use of such fill Will hot adversely. affect a?Jac?nt
<br />properties. If use of fill is found to adversely affect adjacent properti~s, the.ow.n~r may be Cited fo~ 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~ conditions s~t forth In
<br />this affidavit prior to commencing construction. I understand that a s.eparate perm~t may ?e reqUlr~d for elect~lca.1 ~ork,
<br />lumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically In~luded.1n the application. A
<br />Permit issued shall be construed to be a license to proceed with the work a~d not as authorl~y ~o vlol~t~, c,ancel, alter,or
<br />~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~d
<br />re uiring a correction of errors in plans, construction or violations o~ any codes., Every ~ermlt Issued. shall become. Invall .
<br />i th work authorized by such permit Is commenced within SIX months of permit Issuance, or If work authorized. by
<br />~ne eS:rmi~ is suspended or abandoned for a period of six (6) months after the time th~ work is commenced: An extensIon
<br />ma: be requested, in writing, from the Building Official for a period not t~ exceed nrn~ty ~90) daYJ and Will demonstrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS consl e~ed abandoned.
<br />
<br />~:~=~~~EO:'~EI~P:g~:e~~~~~ ~~i~~~gE~~TI~~g~ 1~~N~E~~~;:JN~~~wrd~N~Y:t.~
<br />
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEME T.
<br />FLORIDA JURAT (F.S.. JJ.17 1J .03). ~ . n f
<br />.l\. ~ },O /1 Q k . CONTRACTOR C, ~~
<br />OWNER OR AGENI--C, tv', (.,f /l:> . d d t ( armed) beforE\ me this
<br />9Ut>scribe<<!,.and sworn to (or affirmed) before me thfs ~~J2~~I~,/n ~;oKI~b~t I ~. Sh oj,< p-L
<br />7-/5-()( by -K'rn},~rlb A- :~o~ duced WhOiS/a[;perSOnaIlYknownto~eorhas/haveprOdUCed
<br />Who Is/are personally known t me or as av pro 'c as Identification.
<br />lA~ as Identification. 'U-r'-
<br />
<br />
<br />
<br />Notary Public
<br />
<br />. i1>.:.:if.~:rv.,~., JACQ~E~INE BOGES
<br />Commlsslo o. -<l>E Ceffiml5SIOil 00 6211133
<br />'~i',,,,,li.'f,~ Expires December 12, 2010
<br />Name of Notary typed, ;J~i~ ;;~i~~"'pecl"""'._.'''"O MO'~~IUI.
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