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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permK may be subject to"deed'restrictions"
<br /> which may he more restrictive than County regulations. The i ndersigned assumes responsibility for compliance with any
<br /> appiicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: I(the owner has hired a contractor or
<br /> conlractors to undertake work,they may tie required to be licensed in accordance with state and local regulations. If the
<br /> contrac[or is not licensed as required by law,both the owne�and contraclor may be cited for a misdemeanor violation
<br /> under state Iaw. 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�uilding Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or conVactas, he is advised to have the conlractor(s)sign
<br /> � portions of the"contractor Block"of this application for whict�they will be responsible. It you,as the owner sign as the
<br /> conlractor,that may be an indication that he is not properiy I�nsed and is not entiUed to permiriing privileges in Pasco
<br /> County
<br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RES URCE RECOVERY FEES. The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fee�may apply to the consVUCtion of new buitdings,change of
<br /> use in existing buildings,or expansion of exisling buildings,as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also understands,thaE such tees,as may be due,will be identified at the time of
<br /> permitting. It is further understood lhat Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a°certificate of occupancy°or final power release. Ilf the project does not invoive a certificate of oxupancy 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 accardance with applicable Pasco Counry ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida SWtutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify tha! I, the applipnt, have been provided with a copy of the"Florida ConstrucUon Lien Law—Homeowner's
<br /> Protection Guide°prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other lhan the°owneP,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'SIOWNER'S AFFIDAVIT. I certify that all the infortnation in this application is accurete and that all work
<br /> witl be done in compiiance with all applicable laws regulatin�construclion,zoning and land devetopment Appliption is
<br /> hereby made to obtain a permit to do work and installati�n as indicated. 1 certify that no work or installalion has
<br />� wmmenced prior to issuance of a permit and that all work Iwill be performed io meet standards of all laws regulating
<br /> construction,County and City codes,zoning regulaGons,and land development regulaUons in the jurisdiction. I also
<br /> ceAify that I understand ihat the regulations of other government agendes may apply to the intended work,and that it is
<br /> my responsibility to identify what actions I must take to be in�mpliance. Such agenaes inGude but are not limited lo:
<br /> - Department of Environmental Protection-Cypresl Bayheads,Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewaterTreatmenl.
<br /> - Southwest Florida Water Managemenl Distrct-Wells, Cypress Bayheads, WeUand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawails,Docks,Navi able Waterways.
<br /> - Department of Health & Rehabilitative ServiceSlEnvironmental Health Unil-Wells, Wastewater Treatmenl,
<br /> Septic Tanks.
<br /> - US Environmental ProteGion Agency-As6estos a atement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that lhe(ollowing restrictions appiy to the use of ill:
<br /> - Use of fill is not allowed in Flood Zone'V"unless expressly permitted. �
<br /> - I(the fiil 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 6m�of permitting which is prepared by a professional engineer
<br /> licensed by the State of Rorida.
<br /> - If the fill material is to be used in Flood Zone A'in connection with a permitted building using stem wall
<br /> construcfion,I certify thal fiil wiil be used only to II the area within the stem wall.
<br /> - If fill material is to be used in any area, I cer�tify that use of such fill will not adversely affect adjacenl
<br /> properties. If use af fill is found to adversely aifect 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 lhan one(1)
<br /> acre which are elevated by fili,an engineered dr�inage 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 /> lhis affidavit prior to commencing consWCtlon. I understand that a separate permit may be required for elecVical work,
<br /> plumbing,signs,wells,pools,afr conditioning,gas,or othef installations nat spec'rficalty induded in the application. A
<br /> permit issued shall be consVued 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 iss�lance of a permit prevent the Building Official from lhereafter
<br /> requiring a correction of ertors in plans,consWction or violafions of any codes. Every permit issued shall become invalid .
<br />, unless the work authorized by such permit is commenced v,�thin six months of permit issuance,or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6)monlhs after the time the work is commenced. An extension
<br /> may be requested,in writing,from the Building Official tor a�period not to exceed ninety(90)days and will demonsVale
<br /> justifiable cause for the extension. Ii work ceases for ninery(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE RECORD A NOTICE OF COMMENCEMENT MRYJkESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEM NT PR . IF YOU INT�qQ1'O�F�N FINANCING,CONSULT
<br /> WITH YOUR LENDE RECORDING YOUR•I�fOTICE.O COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.1'17.03) I
<br /> OWNERORAGE � O CTOR
<br /> S sai and s lo or atfi ed)befw me th s 5 ' b orr�} i �,b f mgj is �///�
<br /> lo Y f ��
<br /> o isler personally know o me or has/have produced oli are personally own o me
<br />� as Identficallon. a�entifiptlon.
<br /> I �
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<br /> p Notary Public ry Pu6iic
<br /> �m isslon No. �F o�.3 3 7O 6 Co I ission No. V
<br /> O�NNe T, �OQt�(S � '
<br /> Name of Notary typed,printed or stamped Na 'e of Notary ,printetl or stamped
<br /> F;�:`�t JOMMET.COBUB
<br /> ���NYCOl.W651CNIFF?� _ _ �
<br /> „� s�n.oE�r�� .,,,""„ tINDA WILLIAMS
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<br /> . ;i°; .`�; Notary Public-State ot Florida
<br /> � :•_My Comm.Expires Nov 16,2016
<br /> =:� ` `' Commission�EE 828779•
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<br /> ���FO;���o-�` Bonded Through National Notary Assn.
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