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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 restricfions.
<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 contraator 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 IMPACTIUTILITIES 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 buiidings, vr 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 Resou�ce 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 appiication is accurate and that ali 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 jurisdictivn. 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 Environmentai Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-We11s, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
<br /> - Department vf Health & Rehabilitative ServiceslEnvironmental Flealth Unit-Welis, Wastewafer Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authvrity-Runways.
<br /> I understand that the following restrictions apply to the use of fifl:
<br /> Use of fill 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 tv be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify that �II 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 virill 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 Iots 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, poois, air conditioning, gas, or other installations not specifically 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 violafe, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance vf a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit (ssued shall become invalid
<br /> unless the work 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 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 /> the ob is considered abandoned.
<br /> Justifiable cause for the extension. If work ceases for ninety (9U) consecutive days, \ j
<br /> WARNING TO OWNER: YOUR EN TO YOUR PROP RTl(. YOU INT ND �BTA N G C
<br /> PAYING TWICE FOR IMPROVEM
<br /> WITH YOUR LENDER OR AN ATTORNEY � FORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT (F.S. 117.0 :,
<br /> CONTRACTOR
<br /> OWNER OR AGENT_ Subscribed and swom to (or affirmed) before me this
<br /> Subscribed and swom to (or a irmed) before me this bY
<br /> bY Who fs/are personaily known to me or has/have produced
<br /> Who (s/are personally known to me or has/have produced as identfficatton.
<br /> as idenUfication. ,
<br /> �
<br /> Notary Public � - ,� .. • JACQUELINE BOGES
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<br /> Commts n N� �� p� 12, 2p�4
<br /> Commission No.
<br /> T1wu iray Fdn kawia 8063657079
<br /> Name of Notary typed, printed or stamped
<br /> Name of Notary typed, printed or stamp
<br /> ���b� �!( - �O(- ��� -�
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