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<br /> • NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> wFiich may be more restrictive than County regulations. The �ndersigned assumes responsibility for compiiance with any
<br /> applicable deed rest�ictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contracto�s to undertake work, they may be required to be licensed in accordance with state and local regulations. If the.
<br /> contracto'r is not licensed.as requfred by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> • under state lauv. 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 fhis application for which tFiey will be responsibfe. If you, as the owner sign as the
<br /> contr�ctor, that may be an indication that he is riot properly licensed and is not entitled to permitting privileges in Pasco
<br /> County. _
<br /> TRANS�ORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may appiy 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 Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receivingi a "certificate of occupa�ncy° 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 Water/Sewer Impact
<br /> fees are due, they must be paid prior to-permit issuance in accordance with applicabie Pasco County ordinances.
<br /> CONSTF{UCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br /> certify that I, the applicanf, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agricultu�e 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 fo
<br /> deliver it to the"owner" prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information.in this appl(cation is accuraYe and �hat all wo�k
<br /> will be done in compiiance with ali applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and fnstallation as indicated. I certify that no work or installation has
<br /> commeneed prior to issuance of a permit and that all work will be pertormed to meet standards of all iaws �egulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdietion. I also
<br /> certify that I un,derstand that the regulations of otlier government agencies may apply to the intended work, and.that it is
<br /> my respo�nsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - i Department .of Environmental Protection-Cypress Bayheads, Wetland Areas and EnVironmentally Sensitive
<br /> Lands, WaCer/Wastewater 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 Services/Environmental Health Unit-Welis, Wastewater Treatment,
<br /> � Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - ! ` Fede�al Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to.the use of flll:�
<br /> - i Use of fili is riot 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 d�ainage plan addressing a
<br /> � � ``compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> - I' licensed by the State of Flor(da.
<br /> If the fill material is to be used in Flood Zone "A" in connection with a permitted buiiding using stem wall
<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 sucti fill will not adversely affect adjacent
<br /> , I� properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> tlie conditions of�the building permit issued under the attached permit application,,for lots less than one (1)
<br /> acre which are elevated by fill, an engineered dra(nage plan is requfred.
<br /> � If I am tiie 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, wells, pools; air conditioning, gas, or other instaliations not specifically included in the application. A
<br /> permit is§ued 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 Building Official from thereafter
<br /> �equiringla correction of errors in p(ans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless tfie work authorized by such permit is commenced within six monfhs of permit issuance, 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. 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(90).consecutive days, the`job is considered abandoned.
<br /> WARNING TO OWN�R: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> � - -PAYING�'TWICE FQR IMPROVElVIENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIMANCING, CONSUL'T
<br /> WITH.YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR TICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F:S.117.03) _
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<br /> OWNER OR AGENT CONTRACT R �
<br /> Subscribed and swom to(or affirmed)before me this u scribed a s om to(or ore me this
<br /> I by 3 �-
<br /> Who is/are!personally known to me or has/have produced o /are person� nown to me or has/have produced
<br /> ' � as identiflcatlbn. as Identificatlon.
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<br /> i Notary Publlc Notary Public
<br /> Comm(ssion No. Commission No. �. �' ��� �.��
<br /> i . _� �► �
<br /> Name of Notary typed,.pr(nted or stamped Name of Notary typed,printed or sta �2. .,�� E.JEANINE ROWBOTTOM
<br /> °' �'B� MYCOMMISSION#FF174248
<br /> � ��'��� EXPIRES:NOV 05,2018
<br /> j • �; Bonded through 1 st State Insurance
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