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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 2strictive than County regutations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS 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 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 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 prope�ly licensed and is not entitled to pertnitting 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 euisting 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 occupanc�'or final power release. If the project does not involve a certificate of oaxipancy or
<br /> final power release,the fees must be paid prior to permit issuance. Furthertnore,if Pasco County WatedSewer Impact
<br /> fees are due,they must be paid prior to pertnit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuafion of work is$2,500.00 or more,I
<br /> certify that I, the appliqnt, 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°owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owne�'prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the infortnation in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construcBon,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. 1 certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be perfortned to meet standards of all laws regutating
<br /> construction, County and Cily oodes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I 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 agenaes include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Welland Areas and Environmentally Sensitive
<br /> Lands,Water/WastewaterTreatrnent.
<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 Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> I - Use of fill is not allowed in Flood Zone°V"unless expressly pertnitted.
<br /> - If the fill material is to be used in Flood Zone `A", it is understood that a drainage plan addressing a
<br /> °compensafing volume"will be submitted at time of pertnitting 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 pertnitted building using stem wall
<br /> construction,I certify that fill will be used only to fill the area within the stem wafl.
<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 ated for violating
<br /> the conditions of the buildi�g 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 infortn the owner of the pertnitting conditions set forth in
<br /> this affidavit prior to commencing construc6on. 1 understand that a separate pertnit may be required for electrical work,
<br /> plumbing, signs,wells,pools, air conditioning,gas, or other installations not specifically 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 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 pertnit issued shall become invalid
<br /> unless the work authorized by such permit is commenced Hrithin six months of permit issuance,or if work author¢ed 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 6e requested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable puse for the extension. If worlc ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT AAAY RESULT IN YOUR
<br /> PAYING T{MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LE DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and swom to(or affirmed)before me thls S cribed a om to(o ffumed)before me this
<br /> by ►
<br /> Who is/are personally known to me or haslhave produced o is/ar rsonally wn ro me or haslhave produced
<br /> asidentificaHon. asidenOf�ation.
<br /> No[ary Public LK Notary Public
<br /> Commisslon No. Co 'sio
<br /> , ",:y�;,; JACQUELIN
<br /> Narne of Notary typed,printed or stamped Name of Notary.4�d��ftin 2O�S
<br /> .:�� Expires cember 12,
<br /> ?ondnd Thm Troy Fnln Insurance 800�385-7019
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