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<br /> � � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> ' which may be more restric4ive than County reyulations. Tfie undersigned assumes responsibiliry for compliance with any
<br /> , ' applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPOAISIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertal<e work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not ficensed as required by Iaw, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or i�tended 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 /> contrector,that may be an indication that he is not properly licensed and is not entitled to perrnitting privileges in Pasco
<br /> County.
<br /> TRANSRORTATIQN IM�'ACYIUTI�lTI�S IP�i�ACT AIV�RESQURCE REC4N�RV�EES: 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 buiidings, 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 lmpact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupanc�'or final power release. If the project does not invoive a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Fuithermore, 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 /> COtdSTRUCTION LIEM LAW(Chapter 713,Fiorida Sta4utes,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 Construc6on Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Floridz Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> I 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 /> COt�TRACTOR'S101lIINER'S AFFIDA!/IT: I certify that ail the information in this application is accurate and that all worl<
<br /> wili be done in compliance with all appiicable laws regulating construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do vrork and instaflation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all wori<will be pertormed to meet standards of all laws regulating
<br /> construction, Counry and City codes, zoning regulations, and land development regulations i� the j�arisdiction. I �Iso
<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 identlfy what actions I must take to be in compiiance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />' Lands,WaterlVllastewater Treatment.
<br /> - Southwest Florida Water Management District-Welis, 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 Em:ironmenta!Protection Agency:4sbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use offill is not allo�:ed 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 wFich is prepared by a professional engineer
<br /> licensed by the State of Fiorida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a oermitted 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 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 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 fili,an engineered drainage plan is required.
<br /> if I am the AGEN`C FOFt 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 installations not specifically included in the appiicaGon. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel,aiter,or
<br /> set aside any provisions of the technical codes,ner shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shaii 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 sxtension
<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 tl�e extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARPIIRIG TO OWRlER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING"T►IVICE FOR IMPROVEMENTS TO YQUit PRO�ERTY. IF YOU INTEND TO OBTAIPI FINAf�CIPlG,CONSULY
<br /> WITH YOUR LENDER OR AR!ATTORiVEY BEFORE E2ECORDING YOUR NOTICE OF COMMEPJCEMENT.
<br /> FLORIDA JURAT(F.S.117.03) ��^ �� �
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<br /> OWNER O�AGENT CONTRACTOR
<br /> Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirtned before me[his
<br /> by u�-OLS/S by i32+r�r� ��1(/c'/c�'�
<br /> Who islare perconally known to me or has/have produced Who islare personally known to me or has/F�ave produced
<br /> as identification. as identificalion.
<br /> Notary Public � � �Z'/� 7i7il�Ci Notary Pubiic
<br /> Commissio�No. Commission No. � �70 6 ( O
<br /> Name of Notary ryped,printed or stamped Name of Notary typed,printed or stam ed
<br /> ;=o�'"�"'°��;. STEPHAhDIE ARCE
<br /> _+ _ MY COMMISSION#FF170898
<br /> '�-��.,'�,���d°`' EXPIRES October 22,2018
<br /> I (ao�3s8-0iss FloridallotaryService.com
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