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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 responsibility for compliance with any
<br /> applicable deed restrictions. .
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPOMSIBILITIES. If the owner has hired a contractor or
<br /> contracfors 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 requirement`s may apply for the
<br /> intended work, they are advised to contact the Pasco Cour�ty 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 III�P.4CT 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 6uildings„ as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, fhat 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. Furthermore, if Pasco County Water/Sewer 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 I, the applicant, 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"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/OWNER'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 performed 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 other 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, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses
<br /> - Army Corps of Engineers-Seawalls, Docks, fVavigable Waterways.
<br /> - Department of Health & 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 /> - 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 /> 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 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 AGEfdT 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 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 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. An extension
<br /> may be requested, in writing, from the Building O�cial for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause fQr tfie extension. If yvork.ceases,for ninety(90) consecutive days, the job is considered abandoned.
<br /> WARNING TO 01iVNER: YOUR FAILURE 7'O RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWIGE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO O�TAIN FINA�dCIfVG, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORIdEY BEFORE RECOF3DIIdG YOUR NOTICE OF COMMENCEMEIVT
<br /> FLORIDA!URAT(F.S. 17.03)
<br /> OWNERORAGENT � � ���� COPITRACTOR G� � NG' ��
<br /> Subscribed and sworn to(or a irmed before thi Subscribed and sworr�to(o•affirmed)befo me this
<br /> 30 /CO by l4YJG{P/Ct �1�u�d� '� b l by_ �}Y1LiQ�C� �AV��700.'.�
<br /> Who is/are personally kn n to me or has/have produced Who is/are personally kno n to me or ha /have produced
<br /> ` _as iden.t�fic�tion. " as identification.
<br /> Nota Public �
<br /> ry � Notary Public
<br /> ission No. Commission No.
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed r stam ed
<br /> �„uua�,, ..u�u.,,.
<br /> ,,�;.►•�•�o;�,: KELLI B. RYMAN ,�o.•�••�e,'•;,, KELLI B. RYMAN
<br /> _,�.= Commission q FF 905017 _J ": Commission k FF 905017
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<br /> :; ,�; My Commission Expires My Commission Ex ires
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<br /> ''.�'�orao��� JUIy 30, 2019 �'';�orno��.` July 30. 2019
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