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<br /> NOTICE OF DEED RESTRICTIONS: The underslgned understands that this.petmit may be subject to"deed"restrictions"
<br /> which may be more restrictive than County regulatlons. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions. �
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR 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 c(ted 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 Sect(on 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 appllcation for whfch they wlll be:responsible. If you, as.the owner sign as the
<br /> cont�actor, that may be an indication that he (s not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY 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, wili be identified at the time of
<br /> permitting. It fs 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 $2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that i have.obtained a copy of the above..described document and promise in good faith to
<br /> deliver it to the"owne�"prior to commencement:
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I ce�tify that all the information In this application is accurate and that all work
<br /> will�be done in compliance with all applicable laws regulating constructlon, zoning and land development. Application is
<br /> hereby made to obtain .a permit to do work and installation as indicafed. I certify that no work or Installation has
<br /> commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I ur�der$tand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to idehtify.;what actions I must take to be:in.compliance. Such agencies include but are.not limited to:
<br /> - Department of'Envirvnmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/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-Wells, Wastewater Treatment,
<br /> Septic Tanks. _ '
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Fede�al Aviation Authority-Runways.
<br /> I understand that the following restrlctions apply to the use of flll:� -
<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 /> "compensating volume" wilt be submitted at time of petmitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If ihe fill material is to be used in Flood Zone "A° in�connection with.a permitted building using stem wall
<br /> construction, I ce�tiry that fill wlll:.be used only to fill the area wit�in!he stem wall.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use�of flll is found to adversely.affect adJacent prbperties;the"owner may be clted for viofating
<br /> the conditions of the building.permit fssued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by flll; an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I,promtse in good faith to inform the owner of the permitting conditions set fo�th 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 aslde any provisions of the technical codes; nor shall issuance of a permit.prevent the Buildirig Official from thereafter
<br /> requiring a correction o.f errors in plans, construction or violat(ons 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 ls 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,.th�job is considered abandoned.
<br /> WARNING TO OWNER: YOUR_FAILUFZE TO l3ECS1��? �: �d4r-''TIC�`f5F-COiiliflBEi�l:EiIA�NT MAY RESULT IN YOUR
<br /> w,�aY9Fi�a`TWi�.E�OR INiPROVEMENTS TO YOUR PROPERTY. IF YOU,INTEND'TO OBTAIN FINANCING;'CONSULT
<br /> WITH YOUR LENDER Olt AN ATTOR Y�B FORE RECORDING�YOUR TICE OF COM CEMENT.
<br /> FLOR{DA JURAT(F.S.117.0 ,
<br /> �
<br /> OWNER OR AGENT � � CONTRACTO
<br /> Subsc►Ibed and swam o fflRned) o me this Subscrlbed and'sw or affirme efore me tFits
<br /> by , b
<br /> Who islare personally .novm t .me or haslhave produced Who fs/are pers nally own to me or has/Fiave produced
<br /> as Identlflcatlon. as idendficadon.
<br /> � Notary Public. . Notary Public
<br /> Commi sl No. Comm si No.
<br /> ,�ti�`�•y!'••, • ,•�:�+E$'-, JOEl.E.BACON
<br /> :�' �••. :�• �:
<br /> �: Commission#FF 137073
<br /> Name of Notary ly " �t� � Name of Nolary typ ;,�rl a S$ une 29,2018
<br /> d'" ganded Ttw Tmy Fain Insu�aeae BW385•7019 ,.
<br /> ��P:u�`��, '��rR:��:'�` Bmdad Ttw Troy Fein Inaivance 80(F:195•7018
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