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<br /> � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permi#may be subject to°deed"restrictions"
<br /> i which may be more restrictive than County reguiations, The undersignsd assumes responsibility far compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTCIRS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors ta undertake wark, #hey may be required to be licensed in accordance with sta#e anc! lacal regulafions. !f fhe
<br /> contractor is nok licensed as required by law, both the owner and con#ractor may be cited for a misdemeanor violation
<br /> under state law. Ef the owner or intended con#ractor are unce�tain as to what licensing requiretnents may appty far the
<br /> �intended work, they are advised ta contact the Pasco County Building Inspeation Division--Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractars, he is advised to have the contractor{s) sign
<br /> portions of the "contractor �Iock" of this application far whicFt they will be responsibte. If you, as the owner sign as the
<br /> contractor, that may be an indicatian that he is not properly licensed and is not entitled ta permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPAC7/U7ILITIES IMPACT AND RESOURCE RECOVERY FEES; The undersigned understands
<br /> that Transportatian impack Fees and Recourse Recovery Fees may appiy ta the construction of new buiidings, change of
<br /> use in existing buitdings, or expansion af 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, wil! be identified at the time of
<br /> permitting. It is furfher undersfood that Transportation Impact Fees and Re�ource Recovery Fees must be paid prior tn
<br /> receiving a "certi�cate af occupancy" or final power release. If#he project does not involve a certifica#e of occupancy ar
<br /> frnal power retease, the fees must be paid prior to permit issuance. Furthermore, if Pasco Caunty WaterlSewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ardinances.
<br /> CONSTRUCTtON LIEN LAW{Chapter?13, Florida Statutes, as amended): !f valuation of work is$2,500A0 or more, 1
<br /> certifji.that,l;� the applicant, have been provided with a copy of fhe "Fiorida Construction Lien Law—Homeawner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", 1 certify that t have obtained a copy of fhe above described document and promise itt good faifh#o
<br /> deliver it to the uawner" prior to commencement.
<br /> CONTRACTOR'SIQWNER'S A��IDAVIT: t certify that a11 the information in this application is accurate and that all work
<br /> will'be done in compliance with aIi applicable laws regulafing construction, zaning and land development. Appiication is
<br /> hereby made ta obtain a permit to do work and installation as indicated. I certify that na work ar installatian has
<br /> commeneed prior to issuance af a permit and that aM work wiil be performed to meet sfandards of att (aws reguiating
<br /> construction, County and City codes, zaning regulakions, and land development regulations in the jurisdiction. I al'so
<br /> certify that 1 understand that f�ie regulatians of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to'•identify what ac#ions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Departmerit of Envsronmenta! Pratectian-Cypress Bayheads, Wetland Areas and Envir;anmentalEy Sensitive
<br /> Lands, WaterlWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watenrvays: -•� ..
<br /> - Department of Health 8 Rehabilitative SerrriceslEnvironmental Health Unit-Wells, Wastewater Treatrnent,
<br /> Septic Tanks.
<br /> - US Environrnental Protection Agency-Asbestos abatement.
<br /> - ` � Federai Aviation Authority-Runways. � �
<br /> 1 understand that the following restrictions apply to the use of fill:�
<br /> - Use af�tt is not allowed in Flaad Zone°V"unless expressly permitted.
<br /> - 'If the fill material is #o be used in Flood Zone "A"', it is �nderstood tha# a drainage plan addressing .a
<br /> � "compensating votume° will be submitted aE time of permitting which 9s prepared by a p�afessianai engineer
<br /> licensed by the State of Florida.
<br /> - !f the fil} maEerial is to be used in Flood Zane "'A" in connection with a permitted building using s#em wal!
<br /> cons#ruction, i certify that fil(wiil be used anly to fi(i the area within tha,stem wail.
<br /> - If fill material is to be used in any area, I certify #hat use of such fill will not adversely affect adjacent
<br /> properties. tf use of fi11 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 permit application, for Iots less than one (1)
<br /> acre which are elevated by fill,an engirteered drainage ptan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith to inform the 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, welis, pools, air conditianing, gas, or other instal(ations nat specifically inciuded in #he applica#ion. A
<br /> permit issued shall be construed to be a license to proceed with the wark 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 Buiiding Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> uniess the.work authorized by such permit is commenced within six months af perm9k issuance, or if work authorized by
<br /> the permit is,,suspended or abandoned for a period of six(6) months after the time the wark is cammenced. An extension
<br /> _ __._may_be_r_equested,_in writing, from..the Building.�Official_for a perfad not to exceed nin��(90) days and will demanstrate ______
<br /> justifiable cause for the extension. if work ceases for ninety{90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR �AIlURE TQ RECORD A NQTICE C!F COMMENCEMENT MAY RESU�T IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCiNG, CONSULT
<br /> WITN YOUR I.ENDER QR AN AT7'ORNEY BEFQRE RECClRDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S. 117.Q3j �
<br /> OWNER QR A�ENT CONTRAC70R
<br /> Subscrlbed and swam to(or aHirmed)before me this Subscribed and swom to{or affirmed}before ma this
<br /> by bY
<br /> Who fslare per natly known to me or haslhave produced Who Is/are persanally lcnown to me or haslhave ptoduced
<br /> as identificabon. ____ s identificat3on.
<br /> No ry Public � Publi�
<br /> ommtssi Commission
<br /> Name of No ry ri Name of Natary ty � �.�
<br /> � � ���,.
<br /> _.; ,.: arnmission 137073 ;;�ti��'r:�.,` JO L F'.QA;,^;,;
<br /> �: q Expires June 29,2018 s►: r� Gommissia��r�1?'
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