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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 �egulations. The undersigned assumes responsibility for compliance with any
<br /> applicabie 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 owne� 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 owne� sign as the
<br /> contractor, that may be an indication that he is not properly ficensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTiLIT'tES 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"ce�tificate of occupancy° or flnal power �elease. 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, ff 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 Depa�tment 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 applicatfon 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 jurisdictian. 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, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Federal Aviativn Authority-Runways.
<br /> I understand that the foilowing restrictions apply to the use of fill:
<br /> Use of fill is not allowed in Fiood Zone "V" unless expressly permitted.
<br /> If the fill materiai 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 Fiorida.
<br /> If the fill material is to be used in Fiood 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 affect adjacent
<br /> properties. If use of fill is found to adversely affect adJacent properties, the owner may be cited for viotating
<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 fiil, an englneered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in goad faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing constnaction. i understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, poofs, air conditioning, gas, or other installations not specifically included in the application A
<br /> permit issued shaii be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, 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. Every permit issued shall become invalid
<br /> unless the work authorized by ndon d for od of six (6) m after he ti p e the co�mmenced. An sion
<br /> the permit is suspended or aba
<br /> may be requested, in writing, from f Work Ice�as e sOf�orininety (90) days, the job is� ed blandonedstra e
<br /> justifiable cause for the extension.
<br /> WARNING TO OWNER: YOUR FAILU TE T� UR PROPERTI(. YOU INTEND O A N FI NG, CONSULT
<br /> PAYING TWICE FOR IMPROVEMENTS
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT (F.S. 117.03) � f ) . � � �� �� C�'
<br /> �,v CONTRACTOR ��-d r� j" '� �
<br /> OWNER OR ACiENT Sub cribed and swom to ( atfl�ore r�tt►18 _ _
<br /> Su scribed and sw�m, n(o�ftirmed) b re �, his� '� n ` _// by `, �" </(/
<br /> /� I_ b y �.. .-r. . �3 � P v�
<br /> Who islare p rsonally to me or haslF�ave produced
<br /> Who islare �rsonally k own to me or haslhave produced �� e as identification.
<br /> �;�_,�y� _as identlflcatlon.
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<br /> Notary Pubiic
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<br /> �d, rinted ar stamped �— Name of Notary tyP � �rF���_ ,'
<br /> Name of Notary tyP P ��.,�.�
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