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<br /> iVOTICE OF DEED RESTRICTIONS: 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 for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED COPITRACTORS 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 requlred 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 requlrements 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 appllcation 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 /> TRANSPORTATIOYV IMPACTIU7ILITIES IiIA�ACT AIVD 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 project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permlt 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 LA1M(Chapter 713,.Flortda 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 fo the"ovune�"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAdIT: I certify that all the information in this application is accurate and that all work '
<br /> will be done in compliance with ali 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
<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 responsibllity 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 Environmentally Sensitive
<br /> Lands, WatedWastewater 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 /> - 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 /> "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> Iicensed 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 I
<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 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 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 pe�mi# is suspended or abandoned for a period of six(6).months aftec the time the work is cotimmenced.� An extension
<br /> may be requested', in writing, from the Building Official'for a•.period hpt to.exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(9U)consecutive days,th�job is considered abandoned.
<br />--- --W�►�NING`TO O{N(VER: "1fOiJR-FAILLiR� '�6-RF��OF3D_A�-N�'�OC�-OF-CON6E►fD�MCEl1lIE�lT-M�-Y-R��l1�T-lN Y41JR--- -
<br /> PAYING TWICE FOR IMPROVEIIflENTS TO YQUR.PitOPERI'Y.. IF YOU IPITEND T��OBTAIN FINANCING, CONISULT
<br /> WITH-YOUR LEPIDER OR AN A1'TORNEY-BEFORE F2ECORDIFIG YOUR NO.TICE.OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.11�I:03). .� ' � -. • , ` . , ' -
<br /> OWNER OR AGE� � , .�� � - ` ' CON'FRACTOR '�� ' :; - : f W� �� . . •
<br /> �bs ribed d sw o(pr affi m bgfore me.thl - ,.Sutiscrf ed_and:swo (or affirmed efore me 1hi
<br /> -�73�".tiy: _. 1• -� d r� 7_2'Z . ,�—���5: by R 1�h��,Y'�oC�� �c�P 2 -
<br /> o�s`ar pe.l nally known lo me or has/Fi e produced � '' Who.is/are person�UyJ�nown to me or has/ha"v produced
<br /> �L �� � v i • � as ldentlficaBon: ���c(a �L � as IdentificaGon.
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<br /> / ��-e. '�./� Notary Public - � � Notary Fublic
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<br /> Com o� ,t�„-;, JACQUELINE BOG - ` . rrimis ' ' -
<br /> =� ;'�, Commissio r 12 2018 � - , ,,�.�Y'oyeq;' JACQU - ... .
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