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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. Bayheads, Wetland Areas, Altering
<br /> Southwest Florida Water Management District - Wells, Cyp ress Y
<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 fn material is be
<br /> be submitted ed at time of
<br /> me o permitting which understood
<br /> s prepared a
<br /> " engineer
<br /> "compensating volume" " will
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood n o i "A" in
<br /> area connection with htem wall.
<br /> permitted building using stem wall
<br /> e construction, I certify that fill will be u only
<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 ssued under the attached permit , applicationr for lots les violating )
<br /> the conditions of the building permit issued
<br /> 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 /> affidavit prior to commencing construction. I understand that aatio separate to permit
<br /> specifically may
<br /> e required n for e application. electrical
<br /> ica r ,
<br /> this as, or other
<br /> plumbing, issued shall be con wells, onstr air ued to be ai i cing, g
<br /> nor shall issuance of a permit prevent the Building Official from thereafter
<br /> e s stro be a license t proceed with the work and not as authority to, violate, cancel, alt
<br /> er, or
<br /> p ermit issu permit issued shall become ie
<br /> set aside any correction provisions err ors the in plans, codes, n codes. Every p
<br /> requiring a correct of r in plans, construction or violations of any
<br /> work authorized by such permit is commenced within six months
<br /> the time the issuance,
<br /> commenced. , or if work authorized
<br /> by
<br /> unless the w period of six (6) months o da s n will demonstrate
<br /> may permit requested, is suspended in or g, from the for a p
<br /> work ceases for ninety (90) consecutive days, the job is considered abandoned.
<br /> may be requested, in writing, from i he Building Official for a period not to exceed ninet (90 y
<br /> justifiable cause for the extension.
<br /> WARNING TO
<br /> OWNER: YOUR FAILURE TO RECORD A NOTICE YOU INTEND TO COMMENCEMENT MAY FINANCING, RE L IN YOU
<br /> CONSULT
<br /> TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
<br /> TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> F i LORIDA JURAT (F.S. 1 7.03)
<br /> OWNER OR AGENT 4 CONTRACTOR
<br /> �` Subscribed and sworn to (or affirmed) N4✓6
<br /> before me this ,
<br /> Su scrib and sworn (or affirr ed e re me h '
<br /> (, bit/ j A v
<br /> , 2,c( - by'. ! N ` Who is /ar�personally known to me or has /have produc
<br /> Who Is /are personally known to me or has/have • roduced
<br /> as identification.
<br /> ar Identification. Notary Public
<br /> sY'.., es' JACQUELINE BOGES otary Public
<br /> 2010 N
<br /> " "' s December 12, Expire C ommission No. '��"• - • .
<br /> Commission � ' � Bonded TnNT FamInsurence8043f5� a '* Commission DD 621833
<br /> '
<br /> '•-��..' • ,•I" 7 •er 2, 2010
<br /> Name of Notary ty : - '• �. r t ^ � • " ain Insurance 800385 -701;+
<br /> Name of Notary typed, printed or stamped
<br /> e '�'
<br />
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