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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 restrictive than County regulations. The undersigned assumes responsib[lity for compliance with any
<br /> applicable deed restrict(ons.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIlIT1ES: If the owner has hired a conhactor or '
<br /> contractors to undertake work,they may be required,to be licensed in accordance with state and locai regulations. If the
<br /> contractor is not Iicensed as required 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 requirements may apply for the
<br /> intended work,they are advised to contact the Pasco'County Building Inspectlon Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, ff 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 slgn as the
<br /> contractor,that may be an indicalion that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> Counry. �
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply ta the construction of new buildings,change of
<br /> use in existing buildings, or expansion af existing buildings, as specified in Pasco County Ordinance.nutnber 89-07.and
<br /> 90-07, as amended. The undersigned also understands,that such fees,as may be due,will be fdentified 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'certfficate 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,ff Pasco Counry WatedSewer Impact
<br /> fees are due,they must be paid prlor to permit Issuance in accordance with applicable Pasco County ordinances. �
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florlda 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—HomeowneYs = '
<br /> Protection Guide°prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the'owner",I certity that I have abtained a copy of the above described document and promise in good faith to
<br />' deliver it ta the`owner"prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certffy that all the infomtation in this applfcation 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 InstallaUon as indicated. I ceriify that no work or installation has
<br /> commenaed prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construction, County and Cily codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I tinderstand that the regulations of atfier government agencies may apply to the intended work, and that it is
<br /> my responsibility to identffy what actions I must take to'be(n compliance. Such agencies include but are not Ifmited to:
<br /> - Department of Environmental Protec6on-Cypress Bayheads, 1Netland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand 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 Environmental Protectlon Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the following resUictfons apply to the use of fill:•
<br /> - Use of fill is not allowed in�Flood Zone'V°unless expressly permitted.
<br /> - If the flll material is to be used fn Flood Zone 'A", ft is understood that a drainage plan addressing a '
<br /> °compensating volume"will be submilted at time of permifling which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be,used fn Flood Zone'A° in connection with a permifled building using stem wall
<br /> construction,I certify that f II vvill be used only to fill the area withtn the stem wall. .
<br /> - If fill material is to be used in any area, I certlfy that use of such fill will not adversely affect adjacent
<br /> propertfes. If use of flll 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 perinft appllcation,for lots less than one(1)
<br /> �acre which are elevated by flll,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 canditions set forth in
<br /> this affldavtt prior to commencing conshuclion. I understand that a separate permit may be required for electricai work,
<br /> plumbing, signs,wells, pools, afr conditioning, gas, or other installations not specffically included in the appiication. 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 technicai codes,nor shall issuance of a permit prevent the Buildirig Officlal from thereafter
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shali become invalid
<br /> unless the work authorized by such permit is cammenced within six months of permit Issuance,or ff 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 extension
<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 the extension. if work ceases for ninety(90)consecutive days,th�)ob is considered abandoned.
<br /> I
<br /> WARNIMG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN 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 YOU NOTICE OF COMMENCE NT
<br /> FLORIDA JURAT(F:S.117.U3) � /
<br /> OWNER OR AGENT � CONTRACTOR� S
<br /> Subsalbed and swom to(or aftirmed)6efore me thfs S bsaibed gn to r,�ffirtnedibg re^e this
<br /> by .2Z-I,�by �NrN�f-S E. �M��
<br /> Who Islare personalty known to me or hasfiave produced ; oJ� re pa�5pna�l�Y�movm to me or haslhave produced
<br /> as identlfiptlon. � !��• d-J-0�e�S ���`�as identification.
<br /> Nohary Public � i �• � Notary Pubiic
<br /> i
<br /> Commisslon No. � Co Iss� . _
<br /> ,••'�' �°y�o�; JACQUELINE
<br /> Name of Notary typed,printed or stemped ��Na e� ry• � A�F1°�50422
<br /> : Q= �zpires December 1 , 018
<br /> ��Ri���`��,, Bonded ihru i 2 2
<br /> � �°Y Ftln Ineuronce 800,385.7019
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