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NOTICE OF DEED RESTRICTIONS: The undersigned undeirstands 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 RE:!SPONSIBILITIES: If the owner has hired a contrador 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 owRer 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 Countyr 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 whiclli 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 /> 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, as specified in Pasco County 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 Impar.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 WaterlSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in acrordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,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 c��py of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agiriculture 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"owner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tYie information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulatine:li construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installatir�n 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 regulations, �nd land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other governrinent agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in campliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management Disirict-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Naviciable Waterways.
<br /> - Department of Health & Rehabilitative Service::slEnvironmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement. �
<br /> - Federal Aviation Authonty-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 fill material is to be used in Flood Zorv� "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 /> - 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 flll the area within the stem wall.
<br /> - If fill material is to be used in any area, I cerlify that use of such fill will not adversely affect adjacent -
<br /> properties. If use of fill is found to adversely aff��ct adjacent properties,the owner may be cited for violating
<br /> the conditions of the building permit issued undr:r the attached permit application, for lots less than one(1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good faifh 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 other�installations not specifically inGuded in the application. A
<br /> permit issued shall be construed to be a license to proceed ti�uith 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 Building Official from thereafter
<br /> requiring a correction of errors in plans,construction or violaRions of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced vwiYhfn six months of permit issuance,or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) inonths after the time the work is commenced. An extension
<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 Q9m)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD a.NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE�tTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECCI�ZDING YOUR NOTICE OF COMMENCEiVIENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> .�
<br /> OWNER OR AGENT `�-1a.G [� C� CONTRACTOR
<br /> S bscri ed nd swom to or ed) efore me this Subs•rihe a d swom to r a e or i ie this
<br /> O l � by �/�L � �311AN�S ��by l M�f�l r��c�A.�nLr{,
<br /> o is/are personally known to me or has/have produced � Who islare personally known to me or has/have produced
<br /> —"'� as identificalion. �� as identi'ficIation.
<br /> s a2.. �`C� , �' / —
<br /> Notary Public ' _ Notary Public
<br /> Commission No. F� 0 33 a7�( Corrmnission No. �F O 3 3����
<br /> <'P�F.2 �/A-sS SP�NCEQ K�sS
<br /> Name of Notary typed,printed or stamped Nan-ie of Notary typed,printed or stamped
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