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MOTICE OF,DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br /> which may be more restrictive than Courity 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 conVactor or
<br /> contractors to undertake work, they may be required to be licensed in acxordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contrador may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended corrtractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspe�ction Divisior�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 "conVactor Block" of this application for which they will be responsibte. 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 pertnitting 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 appy to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buiidings, 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 occupanc�' 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, 'rf Pasco Counry WaterlSewer Impact
<br /> fees are due, they must be paid prior to pertnit issuance in accordance with applicable Pasco CouMy 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 "Fto�da Construction Lien Law—Homeowner's
<br /> Protection Guide° prepared by the Florida DepartmeM 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 documerrt and promise in good faith to
<br /> deliver it to the "owne�' prior to commencement.
<br /> CONTRACTOR'S/OVYNER'S AFFIDAVIT: I certify that all the information in this applicaGon 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 �nrork 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 govemme�t 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 indude but are not timited 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, WeUand Areas, Attering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis, Docks, Navigable Watervways.
<br /> - Department of Heatth 8 Rehabilitative Services/Environmental Health Unit-Welts, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmerrtal Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the folloWing r�estrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone "V" unless e�cpressly 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 "A" 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 aifect adjacent
<br /> properties. If use of fill is found to adversely affect adjacerrt properties, the owmer may be cited for violating
<br /> the conditions of the building permit issued under the attadied 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 OVYNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commenang construdion. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specificaly 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, aRer, or
<br /> set aside arry provisions of the technical codes, nor shall issuance of a pertnit preverrt the Building Oificiai from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the woiic 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 U�e work is commenced. An extension
<br /> may be 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 job is considered abandoned.
<br /> WARNING TO 01NNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTA1 ANCING, CONSULT
<br /> WITH Y R LE DER R AN ATT NEY BEFORE REC IN Y R N Ti F C NT.
<br /> FLORfDAJURAT(F.S.117.03) � / r
<br /> ���
<br /> OWNER OR AGENT CON7RpCTpR
<br /> Subsaibed an �wom to (or afirmed) before me this Sye 2-/ rd sw�� to (or alfim�ed) before me this ���7 /�
<br /> �� � y / �–
<br /> Who is/are personaly known to me o� has/have produced Who is/are peisonaly Imavn M me or has/have produced
<br /> as idendficatlon. P_KS+L, as idendficaUon.
<br /> Note Pudic �
<br /> �Y � Notery Public
<br /> Commissio� No.
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<br /> Name of Notary typed, priMed w stamped Name of N ' 'N
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