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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restri�tions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with an
<br /> applicable deed restrictions. y
<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 ma a I for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor s si n
<br /> portions of the "contractor Block" of this application for which they will be responsibfe. If you, as the owner sign as tge
<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 ma a I to the construction of new buildings, chan e of
<br /> use in existing buildings, or expansion of existing buildings, as speci i d 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 ti e 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. F u r t h e r m o r e, i f P a s c o C oun ty Wa ter/Sewer Im act
<br /> fee s a r e d u e, t h e y m u s t b e p a i d p r ior to permit issuance in accor d a n c e w i t h a p p l i c a b l e P a sco Coun ty ordinances.
<br /> C O N S T R U C T I O N L I E N L q W ( C hapter 713, Florlda Statutes, as amended): If valuation of work is $2,500.00 or mo e, f
<br /> certify that I, the applicant, have been provided with a co
<br /> Protection Guide" prepared by the Florida Department of Agriculture Consu e� Affa rs!� If the cant s
<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.
<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 �II 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 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 fitl will not adversely affect adjacent
<br /> properties. 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 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 separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not s ecificall
<br /> permit issued shall be construed to be a license to proceed with the work and not as author ty o or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Eve
<br /> unless the work authorized by such permit is commenced within six months of perm t ss a o aif work authonzed
<br /> the permit is suspended or abandoned for a period of six (6) months after the time the 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 /> ,
<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. 117.03
<br /> � � .
<br /> OWNER OR AGENT , / CONTRACTO Gt— �
<br /> ubscri ed an swom to,4�r affirmedLbeforQ,me this �
<br /> � a"� bY fi�-+�ClC �4[/��@lyj bscribe and svyom to r afflrmed efor rqe this
<br /> o is/are personally known to me or has/have roduced ad � ��"
<br /> p Who is/are persona� knovm to me or has/have produced
<br /> as Identlflcatlon.
<br /> as identification.
<br /> Notary Public �_
<br /> Notary Public
<br /> ommission o. Commission No.
<br /> NOT
<br /> •`������''� Suzanne B311T' ARY PtiBLIC•STATE OF FLORIDA
<br /> Name of Nota � '� Name of Notary typed, pri t, �� SUZ8TIIIP,
<br /> '- •• Expires: :� V. 22, 2014 �I �btpea{ssioo # EE044504
<br /> BO:�'DEDTHRLATL.i?i�d ''-. .,�''Expires: iJOV.22,2014
<br /> B�`'DED THRL' A'f'I..i� i;C BO:�;;LtiG CO., INC.
<br />
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