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, NOl10E OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to°deed'resUictions°
<br /> which may be more restrictive than County regula6ons. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AIVD CONTRACTOR RESPONSIBIUTIE3: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to 6e licensed in accordance with state and local regulations. lf 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 ovmer 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"corrtrador Block"of this application for which they w01 tre responsible. If you, as the owner sign as the
<br /> contractor,that may be an indication that he is not properfy licensed and is not entiUed to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATIOFI IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construdion of new bu�7dings,change of
<br /> use in existing buildings, or expansion of existing buiidings, 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 permit issuance. Furthertnore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco Counry 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 La�u--Homeowners
<br /> Protection Guide"prepared by the Florida Department of Agricuiture 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'S/OVNNER'S AFFIDAVIT: 1 certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulaling construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to,do work and installaGon as indicated. I certify that no work or instailation 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 1 understand that the regulations of other govemment 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-�rpress Bayheads,WeUand Areas and Environmentally 5ensitive
<br /> Lands,Water/1Nastewater Treatment
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Watervuays.
<br /> - Department of Health & Rehabilitative SennceslEnvironmental 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'�/"unless e�cpressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "wmpensating volume"will be submitted at Gme 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 siem 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 installations not specfically induded 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,atter,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 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. Art extertsion
<br /> may be requested, in writing,from the Bulding 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,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A N0710E OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYIIdG TWICE FOR IMPROVEMEPfTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> Vi11TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEMCEMENT.
<br /> FLORIDA JURAT(F.S.117. ) I
<br /> OW N ER OR AGENT CONTRACTOR
<br /> S�j�crib d�d svrom to( r aifi ed) fo me this Subs be a�swom to(or affi )befvre m thfs ,
<br /> .J.L_�bY by J ~
<br /> Who Is/are personallv knoum to or h /h Who Islare personallv known to m r haslhave
<br /> � icatlon. as Identiflcation.
<br /> SUZANNE ALIEN � ' �
<br /> ����p��,, ot Florida
<br /> �.PnY ua��,, _g1a:e ,,������, Z�� N
<br /> •" c•-. Public �10t� dic `Pa �s'�, 5U P�b�i�
<br /> ;e* ,i:�My Comm•E� EE 131 c mmisston No. �J ' �■c_ Notary Public-State of Florida
<br /> a; —�—�iss� ' � 25,2015
<br /> 'N �. o + �o�; •
<br /> ���irFOFf��`�� ission# EE 131770
<br /> Nam , , ,p t or stamue Name of Nota, o o stAfnoed"
<br /> � —
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