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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" restrictions"
<br />which may be more restrictive than County regulations. The undersigned assumes responsibility for oompllance with any
<br />applicable deed restrictions.
<br />UNLlCENS!: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 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 ~re advised to contact the Pasco County Building Inspection Divlslon-llcenslng 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 Blo.ck"of this appllcath;m for which they will be responsible. If you, asthe 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 be Identified at the time of
<br />permitting. It Is further understood that Transportation Impact Fees and Resource Recovery Fees mustbe paid prior to
<br />receiving a .certiflcate 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 Uen 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 aU the Information 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 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, WaterlWastewater 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 />Uso EnvirOnmental Protection 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 .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 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 ':11ay 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 I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth In
<br />.thls 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 provislons'of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correction of errors In pl~ms, 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, thE\}ob Is considered abandoned.
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<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 INTEND TO OBTAIN FINANCING, CONSULT
<br />T Y . N EY BEF E D N .. 0 NEE T.
<br />FLORIDA JURAT (F;S. 117.03)
<br />
<br />Notary Public
<br />
<br />
<br />Notary Public
<br />
<br />OWNER OR AGENT.
<br />Subsctlbed and swom to (or affirmed) before me this
<br />by .. .
<br />Who Is/are personally known to me or haslhave produced
<br />. as Identification. '
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<br />Commission No.
<br />
<br />Commission No.
<br />
<br />Name of Notary typed, printed or stamped
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