de that t is e '
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned un rstands h p rmit may be subject to"deed"restrictions"
<br />, which may be mare restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions. °' . �
<br /> UNLICENSED CONTFtACTORS AND CONTRACTOR RESPONSIBILITIES: If fhe 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 requfred 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 Inspect(on 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 s(gn as the
<br /> contractor, that may be an indication that he fs not properiy 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 buildings, or expansion of existing buiidings, as specified in Pasco County Ordinance num6er 89-07 and
<br /> 90-07,as amended. The unders(gned also understands,that such fees, as may be due,will be identified at the time of
<br /> permitting. It is further understood that Transportatian 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, 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,Florlda 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 dacument and promfse 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 /> wiil be done in compifance 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 certffy that no work or installation has
<br /> commenced prior to issuance of a permit and that ail 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 otNer government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions 1 must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmentaf Protection-Cypress Bayheads, VUetland Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewater 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 ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protectlon Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:•
<br /> - Use of fill is not allowed in Flood Zone"V°unless expressly permitted.
<br /> - If the flll 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 permifling which is prepared by a professional engineer
<br /> licensed by the State of Fiorida.
<br /> - If ihe 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 wlll 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 violating
<br /> the canditions of the building permit issued under the attached permit application,for lots less than one(1)
<br /> acre which are elevated by flll,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 construcUon. 1 understand that a separate permit may be required for electrical work,
<br /> piumbing, signs,wells, pools, alr condiGoning, 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 violate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall issuance af a permit prevent the Buildirig Official from thereafter
<br /> requiring a correction of errors in plans,constructian or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced wfthin six months of permit 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 Officiai for a period not to exceed ninety(90)days and will demonstrate
<br /> just�able cause for the extension. If work ceases for ninety(90)consecutive days,th�Job is considered abandoned.
<br /> PAYING TWICE FORE MPRO EMEN'TS TO YOUR PROP RTY.TIF YOU INT NDETO OBTAIN FINANC NG CION ULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEPJCEMENT.
<br /> FLORIDA JURAT(F:S.117.03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subsalbed and swom to(or aRirmed)before me fhis Subscrlbed end swom to(or aHirmed)befare me thls
<br /> by by
<br /> Who isfare personally known to me or haslhave produced Who Islare personally Imown to me or hasas IdenBficati na
<br /> as identlfipdon.
<br /> Notary Publlc Notary Pubiic
<br /> Commisslon No. Commission No.
<br /> Name oi Notary lyped,printad or stemped � Name of Notary typed,printad or stamped
<br />
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