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<br /> NOTICE OF DEED RESTRICTIONS: The und rsigned understands that this permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than County reg lations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONT CTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be re uired 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 co actor 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 contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this appli tion for which they will be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indication that he i not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES IMP CT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recours Recovery Fees may apply to the construction of new buildings,change of
<br /> use in existing buildings, or expansion of exis ing buildings, as specified in Pasw County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also u derstands,that such fees,as may be due,will be identified at the time of
<br /> permitting. It is further understood that Trans ortation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final wer release. If the project does not involve a certificate of occupancy or
<br /> final power release,the fees must be paid pri r to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit ssuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,F orida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been prov ded with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida De artment of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner",I certify that I have obt ined a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner'prior to commencemen.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT I c rtify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable aws 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 an that all 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 o other government agencies may apply to the intended work,and that it is
<br /> my responsibility to identify what actions I mus take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Pro ection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatm nt.
<br /> - Southwest Florida Water Man gement District-Welis, Cypress Bayheads, WeUand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawall ,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabili ative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Age cy-Asbestos abatement.
<br /> - Federal Aviation Authority-Runwa .
<br /> I understand that the following restrictions appl to the use of fill:
<br /> - Use of fill is not allowed in Flood Z ne"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 su mitted 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 i Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction,I certify that fill will b used only to fill the area within the stem wall.
<br /> - If fill material is to be used in a y area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found t adversely affect adjacent properties,the owner may be cited for violating
<br /> the conditions of the building per it issued under the attached permit application,for lots less than one(1)
<br /> acre which are elevated by fill,an ngineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,I prom se in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing constructio 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 licen e to proceed with the work and not as authority to violate, cancel,alter,or
<br /> set aside any provisions of the technical code ,nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,constr ction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is ommenced within six months of permit issuance,or if work authorized by
<br /> the permit is suspended or abandoned for a p riod of six(6)months after the time the work is commenced. An extension
<br /> may be requested, in writing,from the Buildin Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work cea es for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE T RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO OUR PROPERTY. IF YOU INT�fVD TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDE OR AN ATTORNEY B FORE RECORDING YOURr1�0 ICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.1'17 3)
<br /> OWNERORAGEN'f+� CONTRACTO - �
<br /> Subscribed and swom to(or affirmed)before me�is Subscribed a d swom to(or affirmed)before me t i
<br /> b�' by
<br /> Who is/are pe�nally known to me or has/have oduce Who islare ersonally known to me or has/have roduced
<br /> as identification. /� as ident tion.
<br /> L/ Notary P blic � '• �` - Notary Public
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