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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 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 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 /> Counry.
<br /> TRANSPORTAT101J IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY PEES: 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 undersfgned 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°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 /> 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 pravided 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 /> COPITRACTOR'S/OWNER'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 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 regulaGons, and land development regulations in the jurisdiction. I also
<br /> certify that I tinderstand that the regulations of otFier govemment agencies may apply to the intended work, and that it is
<br /> my responslbiliry 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, VUetland Areas and Environmentally Sensitive
<br /> Lands,WatedWastewater 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 ServiceslEnvironmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection 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°uniess expressly permitted.
<br /> - If the flll mater(al 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 pertniHing which is prepared by a professional engineer
<br /> licensed by ihe State of Florida.
<br /> - If the fill materiai 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 fill the area within the stem wall.
<br /> - If flll 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 conditions of the building permit issued under the attached pertnit application,for lots less than one(1)
<br /> acre which are elevated by ftll,an engineered drainage plan is requfred.
<br /> if I am the AGEPIT FOR THE OWNER,I promise in good faith to inform the owner of the permiKing conditions set forth in
<br /> this affidavit prior to commencing construclion. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not spec�cally included in the appiication. 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 of a permit prevent the Buildirig Official from thereafter
<br /> requiring a correction af 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 permit issuance, or ff work authorized by
<br /> e mit is sus ended or abandoned far a period of six(6)manths after the time the work is commenced. An extension
<br /> the p r P
<br /> may be requested, in writing,from the Building Official for 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�)ob is considered abandoned.
<br /> WARNING TO OWIdER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IM YOUR
<br /> WITH YOUR'LEND R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE O COMMENCEMENT.�CONSULT
<br /> FLORIDA JURAT(F:S.117.03)
<br /> OVYNER OR AGENT COMTRACTOR
<br /> Subscribed and swom to(or afflrtned)before me this Subscribed and swom to(or aflirmed)before me thls
<br />� bY bY
<br /> Who Is/are personaily known to me ar hasRiave produced Who Islare personally fmown to me or has s identifiptl na
<br /> as identlfipBon.
<br /> Notary Public Notary Public
<br /> Commisslon No. Commissfon No.
<br /> Name ot Notary typed,printed or stamped Name oi Notary typed,prinled or stamped
<br />
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