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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 moce restrictive than County regulations. The undersigned assumes responsibility for compliance.with any
<br /> applicable deed restrictions. �
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contracto� 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 contraator may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended confractor 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 fu�ther 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 WateNSewer 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 1, the appiicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Departmer�t 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 /> CONTRACTOR'S10WNER'S 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. 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 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 understand that the•regulations of ottier 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 Environmentally Sensitive
<br /> Lands,V1later/Wastewater Treatment.
<br /> - $outhwest Florida Wate� 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, W�stewater Treatment,
<br /> � Septic Tanks. �
<br /> - US Enyironmental_Protection Agency-Asbestos abatement. _
<br /> - Federal Aviation Authority-Runways. �
<br /> I undersfand 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 /> licensecJ by the State of Florida. �
<br /> - If the fill material is. ta be used in Flood �one "A" in connection with a permitfed 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 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 installation5 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 Building 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 withirr six_months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandaned for a period of six(6) months after the time the work is commenced. An extension
<br /> may be �equested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for.the extensibn. If�work ceases for ninety(90)consecutive days,the`job is considered abandoned.
<br /> WAFZNiNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMERlCEMENT M�1Y RESULT LN YOUR
<br /> PAYING�TWICE FOR IMPROVEMENTS�TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. •
<br /> FLORIDA JURAT(F:S.11:7. - -- _- _– -__--- -- — - - -- �. _- - - - = -
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<br /> OWNER�Q,R�AGENT��:�. ��. �� " .. . ._`�CONTRACTOR�'°'-"•=� - .. .
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<br /> S ti'sbritied�and sworn�n� rm d)betore me this Subscrlbed and swom�n�or a rme before me this
<br /> �-13--ls by �I _m, �.�-��..� 4-1�-(S by 1 �-�-�--
<br /> � Who is/a nall known t e or has/have produced Who is/ re ersonally known to e or has ave produced
<br /> as identification. as identification.
<br /> ' G�G ��` � ubllc G' �- �i( � / Notary Public
<br /> i. �'`�� Notary P ,
<br /> � Commission No. Commission No.
<br /> �� ,�������., NNA MARIE LYNCH TERRY
<br /> � Name of Notary typ � ,� � �ta��Public-Statc ot Florida Name of Notary pe,�; d,or s
<br /> , j2� ,`�s Notary Public-State of Flarids
<br /> ° _.; ; •_ My Comm.Expires Apr 4,2016 _.* ; .= My Comm.Expires Apr 4,2016
<br /> ': ;N.• "o;= Commission /�EE 166865 =N� 'o�� Commission#EE 166865
<br /> , . ��i/�FOF F��P�� ,'�9rf OF FI�P`�`�
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