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<br />NOTICE OF neED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br />which may be more restrictive than County regulations. The undersigned assunies responsibility for compliance with any
<br />. applicable deec;lrestrictions.
<br />UNLICENSED CPNTRACTORS 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 violatlon
<br />understate 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 h~s 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/UTII,.ITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transportation Impact Fees and Recourse Re?overy 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! 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, WaterlWastewater 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 niaterialls to be used in Flood lone ON 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.
<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 ~e cited for violating
<br />the conditions of the building permit I.ssued 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 />this affidavit prior to commencing construction. I understand that a s.eparate perm~t may ?e requir~d for electrica,' work,
<br />plumbing, signs, weils, pools, air conditioning, gas, or other Installations not specifically In~luded.ln the applicatlo~. A
<br />permit issued shall be construed to be a license to proceed with the work and not as authorrty to Violate, cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Building Official from thereaft~r
<br />requiring a correction of errors in planS, construction or violations of any codes. Every ~ermlt issued shall become, Invalid
<br />unless the work authorized by such permit is commenced within six months o,f permit Issu~nce, or If work authorrzed ,by
<br />the permit is suspended or abandoned for a period of six (6) mo~ths after the time th~ work IS commenced: An extenSIon
<br />may be requested, In writing, from the Building Official for a perrod not t~ exceed nrn~ty (.90) da~s and Will demonstrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS conSidered abandoned.
<br />
<br />WARNING TO OWNER: Y UR FAILURE TO RECORD A NOTICE OF COMM NCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPRO EMENTS TO YOUR PROPERTY. IF YOU INTEND 0 OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN TIORNEY BEFORE RECORDING Y R NOTIC OF COMMENCEMENT.
<br />FLORIDA JURAT ( 7.03)
<br />
<br />
<br />CONTRACTOR ---
<br />Subscrtbed and swo to rmed) before me this
<br />by
<br />Who Is/are perso y known to me or hasfhave produced
<br />.I Blay as IdenUflcatlon.
<br />. No1ary Public, S1ate of Florida
<br />My Commission Expres October 25, 2010
<br />Com. No 00608871 Notary Public
<br />
<br />
<br />OWNER OR AGENT
<br />Subscribed and sworn to am ) before me thIs
<br />by .
<br />Who Islare personally known to me or has/have. produced
<br />J.EUay asldenflftcaUon;
<br />No1ary Public, S1ate of Florida
<br />My C misSion Expres October 25, 2010
<br />. om C N DOO~11 Notary Public
<br />om. 6.
<br />
<br />
<br />CommIssion No.
<br />
<br />
<br />stamped
<br />
<br />Name of Notary
<br />
<br />
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