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<br /> NOTICE OF DEED RESTRICTIOFVS: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility fo�compliance with any
<br /> applicable deed �estrictions. `
<br /> UNLICENSED COIVTRACTORS AND CONT�4CTOR RESPONSIBILITIES: If the owner has hired a contractor 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 owner and contractor may be cited for a misdemeanor violation
<br /> under state law. 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 this application for which 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 /> 1'RANSPOR7ATION IMPACTIUYILITIES IMPACT AND RE�OURCE RECOVEFtY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees 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 Impact 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 issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance 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 copy of the °Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture 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 to
<br /> deliver it to the"owner"prior to commencement.
<br />' COfVTR�►CTOR'S/01fVNER'S AFFID�►VIT: I certify that all the information in this application is accurate and that all work
<br />� will�be done in compliance with all applicable laws 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 I
<br /> commenced p.r:ior.to issuance of a permit and that all work will be performed to meet standards of all laws regulating �,
<br /> construction, Counfy.-ahd City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />, certify that I understand�that the regulations of other government agencies may appty to the intended work, and that it is ,
<br /> m res onsibilit to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> , Y P Y I
<br /> _ - r ss Ba heads Wetland Areas and Environmentall Sensitive
<br />, , Department of Environmental Protection Cyp e y , Y i
<br /> Lands, Water/Wastewater Treatment. I
<br /> �d�- 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 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-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 Zone "A", it is understood that a drainage plan addressing a '
<br /> ° volume" will be submitted at time of ermitting which is prepared by a professional engineer
<br /> compensatmg , P ,
<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 fill the area within the stem wall.
<br /> _ sed in an area I certi that use of such fill will not adversely affect adjacent
<br /> If fill material is to be u y , fY
<br /> properties. If use of fill 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 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 OWIVER, 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 installations not specifically included in the application. A
<br />� permit issued 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 Buildirig Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months 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 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />' - -�AY!!dG rT!!1!!GE-FOR!�1l�P-FtO��ll��!�!TS TO Y�UI� P-ROPERTY_IF Y_OU I�ITEND_LO OBTAIN.FINANCING COPISULT !_
<br />� WITH YOUR LENDER OR AN AITORNEY�EFORE I�ECORDINC YOUIZ N07'ICE OF CO MENCEIIAENT.
<br /> FLORIDA JURAT(F.S. 117.0 A �/�„ ,�_ �
<br /> OWNER OR AGENT �/ � CONTR�►CTOR
<br /> Subscrtbed and swo to(or a�rmed)bef re me this Subscribed and,swom to(or affirmed)bef re me this
<br /> bY l- - _.h ..._.
<br /> Who islare personally known to me or haslhave produced Who Is! r personall � nown to me or has/have produced
<br /> as Identlfication. as identiBcation.
<br /> Notary Public G - r �. !"�- Notary Public
<br /> Commisslon No. Com�ion o. � ���.����`
<br /> ;:R :: Commission#FF 150422
<br /> Name of Notary typed,printed or stamped Name of Notary �c}, F F�, ,n ,ay �Inswance8WJ85-7019
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