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NOTICE OF DEED RESTRICTIONS: The undersigned urtderstands that this permit may be subjec#ta"deed"restrictions"
<br /> which may be more restrictive than County regulatians. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLiCENSED CONTRACTORS AND CONTF;ACTOR RESPO�iS1B1�ITiES: If the owner has hired a confractar ar
<br /> contractors to undertake work, they may be required to be licensed in accordance with s#ate and local regulations. If the
<br /> contractor is not licensed as reguired by law, bo#h the owner and cantractor may be cited for a t�nisdemeanar violatian
<br /> under state law. If the owner or intended contractar are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building lnspection Division—Licensing Section at 727-847-
<br /> 8009. Fu�thermore, if the owner has hired a contracfor or contractors, he is advised to have the contractar{s} sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as the awner sign as the
<br /> cantractor, that may be an indication that he is nat properly licensed and is not entitled to permitting priviieges in Pasco
<br /> County.
<br /> TRANSPORTATION lMPACT/UTILITI�S,l[�JIP_ACT.AND RESOUF2CE R�COVERY FEES: The undersigned understands _ _
<br /> that Transportation lmpact Fees and Recaurse Recovery Fees may apply to the construction of new buildings, change af�
<br /> use in existing buildings, ar expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. Tne undersigned also tanderstands, that sueh fees, as may be due, will be identified at the time af
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. !f the praject does nat involve a certificate of occupancy or
<br /> ftnal power release, the fees must be paici prior to permit issuance. Furthermore, if Pasco Caunty WaterlSewer impact
<br /> fees are due, they must be paid prior ta permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONS7RUCTION L.IEN �AW{Chapter 7'i3, Florida Statutes, as amended}: if valuation of work is$2,500.OQ or more, ]
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's .
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is someone
<br /> other than the"owner", 1 certify that 1 have obtained a copy af the above described document and promise in goad faith to
<br /> deliver it to#he"owner"prior to commencement.
<br /> CONTRACTOR'S10WNER'S AFFiDAVtT: l certify that aI) the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction, zaning and land development. Application is
<br /> hereby made to obtain a permit to do work and insta!lation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance af a permit and that aIl work will be perFormed to meet standards of all iaws regu(ating
<br /> construction, County and Ciry codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify#hat l 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 ta:
<br /> - Department of Environmenta! Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Alkering
<br /> Wafercaurses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways,
<br /> ' - Department of Health & Rehabilitative ServiceslEnvironmental Nealth Unit-Wells, Wastewater Trea#ment,
<br /> Septic Tanks. �
<br /> I - US Environmental Protection Agency-Asbesfos abatement,
<br /> k - Federal Aviatian Authority-Runways.
<br /> I understand that the following restrictians 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 Zone "A", it is understood that a drainage plan addressing a
<br /> "campensating volume" will be submitted at time of permitting which is prepared by a prafessional engineer
<br /> licensed by the Stats of FEarida.
<br /> - If the fill material is to be used in Fload Zone "A" in connection with a permitted building using stem wall
<br /> � canstruction, I certify that fill wil!be used only to fif!the area within tne stem wal1.
<br /> - (f fili material is to be used in any area, i certify that use of such �ll will not adversely affect adjacent
<br /> properties. If use of fill is found #o adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions af the building permit issued under the attached permit application, for lats Eess than one �1�
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> �� if I am the AGENT FOR TNE OWNER, l promise in good faith to inform the awner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. 1 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 applicatian. A
<br /> permit issued shall be canstrued to be a license ta praceed with the wark and nat as au#hority to violate, cancel, alter, ar
<br /> � set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> ' requiring a correctian af errors in plans, construction or violations of any codes. Every perrnit issued shall become invalid
<br /> uniess the wark authorized by sucfi permit is commenced within six monfhs of permit issuance, or if work authorized 6y
<br /> the permit is suspended or abandoned for a period af six(6) months after the time the work is commenced. An extension
<br /> may be requested, in writing, from the 8uiiding Official far a period nat to exceed ninety (90} days and will demanstrate
<br /> justifiable cause for the extension. If work ceases far ninety(90)consecutive days, the job is considered abandoned.
<br /> WARNtNG T(3 OWNER: YOUR FAILURE TO RECORD A NOTICE OF CCiMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOIJR PROPERTY. IF YOU IN7END"f0 OBTAIN FINANCING, CONSULT
<br /> WITH YOUR�ENDER OR AN ATTORNEY BEFURE RECQRDING Yt3UR NC?'F10E OF CC?iVIMENCEMENT.
<br /> FLORIDA JURAT(F.S.11 . 3) .�--r �,�-
<br /> QW�IER OR AGEN7 I CQNTRACTOR
<br /> Subscribe and sw [n t or affir ed)before me this Subscribed and sworn to(ar affirmed)before me this
<br /> �4-IQl"�� by C� '1 � by
<br /> Who islare persanally known ta me ar hasthave produced Who islare persanally known to me or haslhave praduced
<br /> as identification. as identification.
<br /> 1 I ' )�/, /,,
<br /> ( �,(��Q �lfU'J��l��'�V 1 Notary Public Notary Public
<br /> Commission No.�� 6V���� Cammission No.
<br /> 1
<br /> s��'�Vl I'l�t t..l.�Q_S -Q(L�_�� _��
<br /> e t # s Name of Notary typed,printed or stamped
<br /> oa}AY w✓� Nofety Publio State of Florida
<br /> _ , Sabrina Westenbarger
<br /> � ' � My Gommission EE�57073
<br /> �aFp,o'� Expires 01/30l2017
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