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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permft may be subject to "deed" restrictions"
<br /> which may be more restrfctive than County regulations. The undersigned assumes responsibilfty for compl�ance 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 Ifcensed 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 mfsdemeanor violation
<br /> uncier state law. If the owner or intended contractor are uncertain as to what licensing requirements may appiy 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 /> coritractor, 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 aiso understands, that such fees, as may be due, wiil be identified at� tha time of
<br /> permftting. It is further understood thak Transpo�tation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy" or finai power release. If the project does not involve a certificate of oGcupancy or
<br /> fin��l power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/S wer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinanc�s.
<br /> C�NSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.Op or more, I
<br /> certify that I, the applicant, have been provided with a copy of the "Fiorida Construction Lien Law—Hbmeowner's
<br /> Prc�tection Guide" prepared by the Florida Department of Agriculture and Consume� Affairs. If the appiicant is someone
<br /> other than the "owner", I certify that I have obtained a copy of the above described document and promise in �ood faith to
<br /> deHver it to the "owne�" prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and t�at all work
<br /> will be done in compliance with all applicabie laws regulating constructian, zoning and land development. A�plication is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> cornmenced 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 jurisdic�ion. I also
<br /> certify that i understand that the regulations of other government agencies may apply to the intended work, alnd that it is
<br /> my responsibility to identify what actfons I must take to be (n compliance. Such agencies include but are not limited fo:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Fiorida Water Management District-Wells, Cypress Bayheads, Wetland Are�s, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
<br /> - Depa�tment of Health 8� Ftehabilftative Services/Enviranmental Health Unit-Wells, Wastewater' Treatment,
<br /> Septic Tanks.
<br /> - US Environmental P�otectian Agency-Asbestos abatemont.
<br /> Federal Avfation Authority-Runways.
<br /> I understand that the following restrictioc�s apply to the use of flli:
<br /> Use of fill is not ailowed in F=1ood Zone "V" unless expressly permitted.
<br /> if the fiil materfal is to bes used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" wiil be submitted at time of permitting which is prepared by a,professional engirteer
<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 fifl wiil be used oniy to fill the area within the stem waii.
<br /> - If fiii material is to be us�sd in any area, I certify that use of such fiil will not adversely affect adJacent.
<br /> propertfes. If use of fill fs 1`ound 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 /> thi.� affidavit prior to commencing construction. I understand that a separate permit may be required for ele�trical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not speciflcally 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, alter, or
<br /> sek aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frotn thereaffer
<br /> requiring a correction of errors in plans, canstruction or v(olations of any codes. Every permit issued shali bedome invalid
<br /> unAess the work �uthorized 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 the work is commenced. An extension
<br /> m7y be requested, in wr(ting, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If w�xk ceases for ninety (90) consecutive days, th�job is considered abantloned.
<br /> W�4RNING TO OWNER: YOUR FAtI.URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENl'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RE�ORDING YOUi� NOTICE OF COMMENCEM�NT
<br /> FLl�F21DA JURAT (F.S. 117.03)
<br /> OWNER OR A(3ENT . CONTRACTOR
<br /> Subscribed and swom to (or affirmed) before me this Subscribed and swom to (or afflr►ned) before me this
<br /> by ' bY
<br /> Who Is/are personally known to me or hasihave produced Who Is/are personally known to me or has s d nUficaUo�n.
<br /> as IdenUflcatlon.
<br /> Notary Pubiic No#ary Public
<br /> Commisslon No. _ Commission No. '
<br /> Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
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