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<br /> �- NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restri�tions"
<br /> � which may be more restrictive than County regulations: The undersigned;assumes responsibility for complianee witfi any
<br /> applicable deed �estrictions: - �
<br /> , UNLICENSED C�NTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake.work, they may be �equired 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 /> TRANSPORTATION IMPACT/UTILITIES 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, 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 projec,t 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 $2,500.00 or more, I
<br /> certify that I, the applicant, have been pr,ovided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and�Consumer AfFairs. If the applicant is someone
<br /> other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to tHe"own,er":prior to commencement. .
<br /> . CONTRACTOR'$/OWNER'� AFFIDAVIT: 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.; APpli.cation is _
<br /> hereby made to obtain a permit to do work and installation as indicated. , I ,certify that no work o� installation has
<br /> commenced prior, to issuance of a permit and that all work will be performed 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 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 to:
<br /> - Department of Environmental Protection-Cypress Bayheads;!Wetland,Areas and Env,ironmentally Sensitive �
<br /> Lands; Water/Wastewater Treatment. '
<br /> - Southwest Florida Water Management District-VUells, C,ypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,.Docks, Navigable V1laterways. .
<br /> ` � � � '- �Departrrient of Health & Rehabilitative Services/Environmental Health _Unit-Weiis, Wastewate� Treatment,
<br /> , . • ; : Septic Tanks. , , , . . , ; ,
<br /> � � , - ' ,. - - US Environmental Protection Agency-Asbestos abatement.. � , � , ,, �
<br /> - Federal Aviation Authority-Runways. . ,
<br /> I,understaod 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 /> "compensating volume" will be submitted at time of permitting which is prepared by,a professional engineer
<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 /> - 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 fill is found to adversely,affect.adjacent 'properties, the owner may be cited for violafing
<br /> -. ' � _the.,conditions of the-building permit issued under the attached permit application,.for lofs�less than one (1)
<br /> � - - ' ; acre�which are'elevated by fill, an engineered.drainage plan.is�.required., : . �_ �� ` � •
<br /> ' If I am.tfie AGEN�' FOR THE OWNER, I promise in good faith to inforin 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 conditioriing, gas, or other installations not specifically included in the�application. A
<br /> permit issued shall be construed to be a license tv 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 Bt:i':r',9ng �fficial from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall becom,e 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) consecufive days, the job is considered abandoned.
<br /> , ` � ' W,ARNING.;TO;".OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY_RESULT IN_YOUR
<br /> � PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,.CONSUCT '
<br /> , WITH YOUR LENDER OR'AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> _`--_�.-,FLORIDA JtJRl�r(F'.-S:-11?:03) —�- : _= - - - - --—' ------- ,- - - -=- - - - - ----— -- -— ._-� .- --
<br /> OWNER OR � � CONTRACTOR
<br /> �b �cri�� bsworn to(o�ff{r eci�before me this Subscribed and swom to(or affirmed)before me this
<br /> /�i y 1 r�G/I��)�� bY
<br /> ho.i /are personally known fo me or has/I} ve produced Who Is/are personally known to me or has/have produced
<br /> � '—'"—" as iden�i�cation. as identification.
<br /> , r � _ G��., i('2i.�%l�'�� Notary.'Public � - Notary,Public
<br /> �- Commission No.. � ' , � ,Commission No. ` -,--.-_-- . � ' ' ' � , '� .
<br /> "- � � - , • � � , : _ ,. .. _ .
<br /> �. ASHLEE CALLAHAN + .-
<br /> � , Name NQ� 9u�rri�_ e° -, Name of Notary typed,printed or stamped
<br /> �,1'PFI�
<br /> 5=: �.:�yly Comm.�xPires Nov 30,2018 '
<br /> ;,� �c Commission�k fE��9732
<br /> ,,����f��p� Bonded tlirough Natid�al Notary Assn. �
<br /> ,�����t , ,
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