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<br /> / NOTICE OF DEED RESTRICTIONS: The undersigned unde tands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive than County regulations. The ndersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RE PONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be lic nsed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the own r and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are un ertain 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 o contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for whic they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that 11? i's��. properly icensed and is not entitled to permitting privileges in Pasco
<br /> County. ��
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RE OURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fe s may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, s_specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, th t such fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportation Impa t 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 is uance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due, they must be paid prior to permif is'suance'in ac ordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statute , as amended): If valuation of work is$2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with a c py of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Ag iculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that I have obtained a copy o the above described document and promise in good faith to
<br /> deliver it to the"owne�' prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all t e information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulatin construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installati n as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all wor will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, a d land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other govern ent agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in ompliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypre Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management Dist ict-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navi able Waterways.
<br /> - Department of Health 8 Rehabilitative Service /Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos batement.
<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" unles expressty permitted.
<br /> - If the fill material is to be used in Flood Zon "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at tim 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 connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used only to dl the area within the stem wall.
<br /> - If fill material is to be used in any area, I ce ify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely a ect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permit issued un er the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered dr inage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good fai h to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understan that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or othe installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed 'th the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall iss ance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction or viola ions of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced ithin 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 period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety 90) consecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE TY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE REC RDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT ry �''� CO TRACTOR � �
<br /> Subscribed and sworn to(or affirmed)before me this Sub cribed and sworn to(or affirmed)before me this
<br /> by�3a ��R(��� by '1�Rr+a7 'r►I�p�r�
<br /> Who is/are personally known to me or has/have produced Wh is/are personally known to me or has/have produced
<br /> i as identification. as identification.
<br /> i
<br /> Notary Public Notary Public
<br /> Commission No. Co mission No.
<br /> Name of Notary typed,printed or stamped Na e of Notary typed,printed or stamped
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