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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 /> appficable deed restrictfons.
<br /> UNLICEPdSED CONTRACTORS APdD COPdTRACTOR RESPOMSIBILITIES: If the owner has hired a contractor or
<br /> contraciors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> i 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 may apply for the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Divisior�Licensing Section at 727-847-
<br /> 8009. Furthermore, ff 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 appiication 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 /> TRANSPORTP.TIOfd IANPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undetsigned understands
<br /> ihat Transpo�tation 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 fdentified 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 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, 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 /> CONSTRUCTIOId LIEfd U41M(Chapter 793,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 tFie `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"owne�'prior to commencement.
<br /> COIdTRACTOR'SIOWNER'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 instaliation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of ali 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 otFier govemment agencies may apply to the intended work,and that it is
<br /> my responsibility to identffy what actions I must iake to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Ihletland Areas and Environmentally Sensitive
<br /> Lands,Water/Wasiewater 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 restrictfons apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone'V°unless expressly permitted.
<br /> - If the ftil materfal is to be used in Fiood Zone "A", (t 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 connecfian with a permitted building using stem wall
<br /> construction,I certify that flll will be used only to fill the area within the stem wail.
<br /> - If fill material is to be used in any area, I certify that use of such fill wiil 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 /> 1f I am the AGENT FOR TF6E OWMER,I promise in good faith to inform the owner of the permifting conditions set forth in
<br /> this affidavit prior to commencing canstruction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, 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 author'ity to violate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Buildirig Offiicial 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 such permit is commenced within six months of permlt issuance,or'rf 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 far 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,th�job is considered abandoned.
<br /> �fARMING TO OWNER: YOUR FAILURE TO RECORD A idOTICE OF CORflMENCEMENT INAY RESULT IN YOUR
<br /> PAYING TINICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU ItJTEND TO OBTAIN FINANCING,CONSULT
<br /> 1AlITM YOUR LENDER OR�4N ATfORIdEY BEFORE RECORDIIdG YDUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F:S.117.03)
<br /> OHYNER OR AGENT CONTRACTOR
<br /> Subsaibed and swom to(or afflrmed)before me thls SubscTibed end swom to(or afflrmed)before me thls
<br /> by y
<br /> Who Is/are personally known to me or has/have produced Who Is/ere personally Imown to me or has/have produced
<br /> asldentlficatlon. asldentlflcaUon.
<br /> Notary Public Notary Pu61ic
<br /> Commisslon No. Commission No.
<br /> Neme of Notary typed,printed ar stsmped �Name oi Notary lyped,printed or stamped
<br />
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