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<br />II
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<br />NOTICE OF DEEp RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrlctlons.
<br />which may be more restrictive than County regulations. The undersigned assumes responsibility for oompllance with any
<br />applicable deed restrictions.
<br />UNLlCENSJ:D CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br />contractors to undertake work, they may be required to be licensed tn 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 app!y 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 not properly licensed and Is not entitled to permitting privileges in Pasco
<br />County.
<br />TRANSPORTATION ~MPACT/UTILlTIES 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 b~ Identified at the time of
<br />pem1ltting. It is further understood that Transportation Impact Fees and Resource Recovery Fees mustbe 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'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 t~at 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 aHthel.nformation in this application Is accurate and that all work
<br />will be done In compliance with all applicable laws regulating construction, z~:mlng 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' 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 Englneers-Seawalls, Docks, Navigable Waterways.
<br />Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br />Septic Tanks. .
<br />US' Environmental Proteotion Agency-Asbestos abatement.
<br />Federal Aviation Authority-Runways, '
<br />I understand that the following restrictions apply to the use offill:
<br />Use of fill Is not allowed in Flood Zone Ny" 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,professlonal 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, , certify that fill will be used only to fill the area within the stem wall. I
<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 properties, the owner 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 , am the AGENT FOR THE OWNER, I promise In good faith to inform the owner of the permitting conditions set forth In
<br />,this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br />plumbing, signs, 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 provlslon~r of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correction of errors in plans, construction or violations of any codes. Every permit Issued shall become Invalid
<br />unless the work authorized by such permit Is commenced within six months of permit issuance, or If work authorized by
<br />the permit Is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br />maybe requested, In writing, from the Building OffIcial for a period not to exceed ninety (90) days and will demonstrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, th~ob Is considered abandoned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INl€ND TO OBTAIN FINANCING; CONSULT
<br />WT '. N TT EYBEFO E RDIN Y N TIMENT.
<br />FLORIDA JURAT (F;S. 117.03)
<br />
<br />Notary Public
<br />
<br />
<br />OWNER OR AGENT.
<br />Subscribed and sworn to (or affirmed) before me this
<br />by .
<br />Who Islare personally known to me or haslhave produced
<br />. as Identification. '
<br />
<br />~
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
<br />Commission No." ,P UC-STATE Of FLORIDA
<br />~,... "'" San ra L. Sozzi
<br />N fN ttyp drt ted. ta: :C'~ffiffii:J3i8I'lfDDClSJ74
<br />amao oary a ,p n ors m .",,,,,,,"-Expires: ~ov. 16,2010
<br />BO\DFD TERC ATL-'c\iIC BO\D!\G co, !\(
<br />
<br />Nama of Notary typed, prtnted or stamped
<br />
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