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<br /> NOTICE.OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject-to"deed" �estrictions"
<br /> � wliicli may tie more restrictive than County regulations. The undersigned;assumes responsibifity for compliance witfi any ,
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contcactors to undertake work, they may be required to be licensed in accordance with state and local r.�gulati�.ns. If the I
<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—Licl��nsing 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 Blvck" of this application for which Ehey 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 permiEting p"r.ivileges in Pasco
<br /> ' County.� - , ,�, _ � -�- .
<br />� TRANSPORTATIO.N°IMPA�CTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES:`-Tfie,unde�signed understands
<br /> that'Tr,ansportafion Impact�Fees and Recourse Recov�ery;Fees may-apply to th'e construction of.new buildings�, change of .
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<br />� use in existing liuildings, or'expansion of existing buildings, as specified in Pasco Coianty 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 Recvvery 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 WaterlSewer 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 7�13, 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 />' Frotection 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 haye vbtained a copy of the above described document and promise in good faith to
<br /> , �deliver it to the."owner":prior to commencement. , ` . `' �
<br /> CONTRACTOR'SlOWNER'S AFFIDAVIT:. I certify that all the information in this ap'lication is accurate and thafall work �
<br /> '-�� will be done in .eompliance'with all applicable law.s-.regulating,cqnstruction, zoning and land development. Application is ;
<br /> I hereby made to obtain a permit to do work and installation as indicated: I certify that ei'o 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 Cify codes, zoning regulations, and land development regulations in .the jurisdiction. 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 En,vironmentally Sensitive
<br /> , •
<br /> Lands, Water/Wastewater Treatment. , , �
<br />� - Southwest Florida Water Manageme.nt District-Wells, Cypress Bayheads, Wetland;,'� Areas, Altering
<br /> W
<br /> atercourses. � �� �
<br /> ' -� .Army Corps of Engineers-Seawalls,.Docks, Navigable Vllaterways. , - - '
<br /> ' , - � . � .; �Department of Health & Rehabilitative .Services/Environmental�Health Unit-1Nells, Vllast'ewater T�eatment,� "
<br /> . .. ' . : �.,..Septic Tanks.. � � . � ,'� :,. , �. � . ,. ' - ,
<br /> - 'US Environmentaf Protection Agency-Asbestos abatement.� � , ' , -.- '
<br /> - Federal Aviation Authority-Runways. • � , � ,
<br /> I understand thaY ihe following restrictions ap.ply to the use of fill:� ; , . . "
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permitted.� � , .
<br /> - If the fill 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 permitting which is prepared by a professional engineer
<br /> � licensed by the State of Florida. + � : �
<br /> I - If the fill material is to be used in Flood Zone "A" in connection with a permikt�.�..building using stem walf
<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;,citeci.for violaEing �
<br /> � . - tiie conditions of.,the building.permit issued under the attached permit,application, for-lots:;�less-than one (1) �
<br /> " ' ` acFe�which are el'evated:by fill; an engineered`drainage plan•is'reguired. . , . - - '
<br /> If I am the AGENl' FOR THE OWNER, I promise,in good faith to inform tlie owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. 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 tb be a license to proceed with the work and not as authority tq�violafe, 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 c.odes. Every permit issued sliall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit isstiance, 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. Ah extension
<br /> . ,° may.be requested, in.writing, fcom the Building Official for a period not to exceed niriety (90) days and will demonstrate
<br /> . :: justifi,able�cause for the extension. If work ceases f.or ninety(90)consecutive days, the`job is considereii�:abandoned. ;
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<br /> == �WARNING��TO-OWNER: YOUR`FAII:URE;TO RECORD;A NOTICE OF�COMMENCEMENT"MAY RESUL.T IN YOUR _
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR.NOTICE OF COMMENCENlENT.
<br /> FLORIDA JURAT(F.S. 117.03) . �
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<br /> OWNER OR AGENT CONTRACTOR ' '' ' �
<br /> Subscribed and swom (or a�rm ) fore me this Subscribed and swom to(or affir ed) ore me s :I
<br /> _�_ _ by �f� . r1r s � .., by, _ � � : �r _ - =-
<br /> �Who is/are personally known to me has/� ve produced , Who Is/are.personally kno� " u"me-or has/have produced' ' — --:��
<br /> a ide n JF ication. as identificati . -
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<br /> � � . � � Notary P.ublic �Notary Public ;° �
<br /> ,. ' Commis`sion'No. � , I 1 � , ' Commission No. , , � , ,� ; � ' . • .° _, ' �., _ - _
<br /> Name of Notary typed,p�inted or stamped Name of Notary lyped;printed or stamped , �, �
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