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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 respansibility for compliance with any
<br />applicable deed restrictians. ' .'
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor ar
<br />cantractors to. undertake work, they may be required to. be licensed in accardance with state and local regulatians. If the
<br />contractor is nat licensed as required by law, bath the owner and contractar may be cited for a misdemeanor vialation
<br />under state law. If the awner ar intended contractor are uncertain as to what licensing requirements may apply for the
<br />intended work, they are advised to contact the Pasco Caunty Building Inspectian Divisian-Licensing Section at 727-847-
<br />8009. Furthermore, if the awner has hired a cantractor or contractors, he is advised to. have the contractar(s) sign
<br />portions of the "contractar Block" of this application for which they will be respansible. If you, as the awner 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 />Caunty.
<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 af
<br />use in existing buildings, ar 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 understaad that Transportation Impact Fees and Resource Recovery Fees must be paid priar to
<br />receiving a "certificate of accupancy" or final power release. If the project does nat invalve a certificate of accupancy or
<br />final power release, the fees must be paid priar 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. Caunty ardinances.
<br />CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of wark is $2,500.00 or more, I
<br />certify that I, the applicant, have been provided with a copy af the "Flarida Construction Lien Law-Homeowner's
<br />Protection Guide" prepared by the Flarida 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 gaod faith to
<br />deliver it to. the "awner" prior to cammencement.
<br />CONTRACTOR'S/OWNER'S AFFIDAVIT: 'certify that all the informatian in this applicatian is accurate and that all wark
<br />will be done in campliance with all applicable laws regulating construction, zaning and land develapment. 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 priar to issuance of a permit and that all wark will be performed to meet standards of all laws regulating
<br />constructian, County and City cades, zaning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of ather gavernment agencies may apply to the intended wark, and that it is
<br />my responsibility to identify what actions I must take to. be in campliance. 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 Flarida 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 Fload 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 />"campensating volume" will be submitted at time af permitting which is prepared by a professional engineer
<br />licensed by the State of Flarida.
<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.
<br />If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br />praperties. 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 applicatian, far 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, 1 promise in good faith to infarm the awner of the permitting conditions set farth in
<br />this affidavit prior to commencing canstruction. I understand that a separate permit may be required for electrical work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or ather installations not specifically included in the applicatian. A
<br />permit issued shall be construed to be a license to. proceed with the wark and not as authority to. vialate, cancel, alter, or
<br />set aside any pravisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correctian of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br />unless the work autharized by such permit is commenced within six months of permit issuance, ar 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 extensian
<br />may be requested, in writing, fram the Building Officia~ for a periad not t~ exceed nin~ty (,90) da~s and will demonstrate
<br />justifiable cause for the extension. If work ceases for mnety (90) cansecutlve days, the\.Job IS considered abandaned.
<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 INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDA JURAT (F.S. ~7.0 (l A
<br />
<br />OWNER OR AGEN / CONTRACTOR .~ .
<br />subs~be~d swo~ to (or affirme efore me this ~ubWibed and s mJto (or affirme efore me thiS
<br />e., ts- ~by L' l1-~rO 6' by '_D~>l-\.v..'ll.. ,,'AM? 5
<br />Who Is/are peJ]'nn~lly known to me or has/have produced Who is/are per!i~nown to me or haslh~ve p~odu?ed
<br />as Identification. as Identification.
<br />
<br />
<br />Notary Public
<br />
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