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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to lideed" 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 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 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, 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 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 hot properly licensed and is hot 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 of new buildings, change of
<br />use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance 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 713, Florida Statutes, as amended): If valu?'tion 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 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 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 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 />"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 "A" 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 st~m ~all. ,
<br />If fill material is to be used in any area, I certify that use of su~h fill Will not adversely, affect a?Jac~nt
<br />properties. If use of fill is found to adversely affect adjacent propertl~s, the. ow~er may be Cited for vlolatmg
<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 />th' ffidavit prior to commencing construction. I understand that a separate permit may be required for elect~lca.1 work;
<br />liS ab,l 'gn s wells pools air conditioning gas or other installations not specifically included in the apphc.atlon. A
<br />p um lng, Sl, " ", d t th 't t 'I t I It or
<br />ermit issued shall be construed to be a license to proceed With the work a~ no aS,au on .y.o, VIO ~:' cance, a er, ,
<br />~et aside an provisions of the technical codes, nor shall issuance of a permit prevent the B~II,dlng OffiCial from the~eaft~r
<br />requiring a !oITection of errors in plans, construction or violations of any codes. Every permit Issued shall become. m~a~d
<br />I th k uthorized by such permit is commenced within six months of permit Issuance, or If work authonze , Y
<br />un ess ,e ,wor aended or abandoned for a period of six (6) months after the time the work is commenced., An extenSion
<br />the p~'tIS sU~Pd In wrttlng from the Building OffIcial for a period not to exceed ninety (go) days and wlll demo:!'trate
<br />;:;:i(fla:I::~:e ~o~ the exte~slon. If work ceases for ninety (gO) consecutive days, th,\!ob Is considered abandone .
<br />
<br />RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />WA~~~~~EO;Vo"RE~p~g~::~~~~~ ~~UR PROPERTY. IF yOU INTEND TO OBTAIN FINANCING, CONSULT
<br />~~:H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMME CEMENT.
<br />
<br />FLORIDA JURAT (FcS. 117.03) / ,.,', L ,/,/,& ,~/~7
<br />CONTRACTOR //.. ,/ 4~ . ".0-
<br />Subscribed and s . to (or ~ffj, d) efore '}'e thiS ' ,
<br />by ""'1.r1tx' - /'7 v?
<br />Who is/are person Iy known to e or has/have produced
<br />as Identification.
<br />
<br />OWNER OR AGENT
<br />Subscribed and sworn to (or affirmed) before me this
<br />by
<br />Who Is/are personally known to me or has/have produced
<br />as Identification.
<br />
<br />Notary Public
<br />
<br />"o~;::';~~. JACQUl:L1N!: BOGES
<br />commlsslok~.&'r..\ Commission DO 621833
<br />-r'.. .-;t.' I:xplres uecemoer 12, 2010
<br />',1,"'R~;~~~'\'''' Bonded TtmJ Troy Fain mauranct eoo~7019
<br />Name of Notary typed, printed or stamped
<br />
<br />Notary Public
<br />
<br />commission No.
<br />
<br />Name of Notary typed, printed or stamped
<br />
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