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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 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 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 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 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 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 "An 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 stem ,,",:all. .
<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 properti~s, the. ow~er may be cited for Violating
<br />the conditions of the building permit issued under the attached permit application, for lots less than ohe (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 '"
<br />this affidavit prior to commencing construction. I understand ~hat a s~parate perm~t. may ?e reqUlr~d for elect~lca.1 work,
<br />lumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatJons not speCifically ,"?Iuded.ln the application. A
<br />p 't' ed shall be construed to be a license to proceed With the work and not as authOrity to. Violate, cancel, alter, or
<br />~:~~~I~~S~ny provisions of the technical codes, nor shall issuance of a permit prevent the B~i1.dlng Official from the~eaft~r
<br />requiring a correction of errors in plans, construction or violations of any codes. Every ~ermlt Issued. shall become. ,"valid
<br />unless the work authorized by such permit is commenced within six months o.f permit Issu~nce, or If work authOrized. by
<br />the ermit is sus ended or abandoned for a period of six (6) mon.ths after the time th~ work IS commenced: . An extenSion
<br />p b t Pd in writing from the Building Official for a period not to exceed nmety (90) days and Will demonstrate
<br />~~a~l~e:~::fO~ the exte~sion. If work ceases for ninety (90) consecutive days, th'lJob is considered abandoned.
<br />
<br />, LURE TO RECORD A NOTICE OF COMMENCEMENT MAY t:tESULT IN YOUR
<br />~:~~~~~EO~~E~p~g~::~TS TO YOUR PROPERTY. IF YOU INTEND TO OBTAiN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />
<br />FLORIDA JURAT (F.S. 117.03) . r
<br />
<br />CONTRACTO
<br />SU7scrlbed and om to (or affirmed) befo me this
<br />"I 7~Jo<is by F:'}.e. t=:1l1\....." ~: I ';r_nY'/'.ry,
<br />~ Is/are personally known to me or has/have .oduced
<br />, . 'l')e;,,) 12- I l c.' as Identification.
<br />
<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 />-....
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<br />C;-f~ ~ ~ ~ . '- .loJ-...
<br />
<br />Notary Public
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<br />Commission No.
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<br />CommIssIon No.
<br />
<br />
<br />Name of Notary typed, printed or stamped
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