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. NOTICE OF DEED RESTRIGTIONS: The undersigned understands that this permit may be subject to°deed"restrictions°
<br /> I ` v.�hich may be more restrictive than County regulations. The undersigned assumes responsibility fqr 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. !f the
<br /> contractor is not licensed as required by law, both the owner and conVador 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—Licensin�SecGon 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 wi�l 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 IMPACTNTILRIES 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 e�asting buildings, or expansion of existing 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,wifl be identified at the time of
<br /> permitting. �It is further understood that Transporta6on 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 occupancy or
<br /> final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer 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 773,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> ceitify 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 fa'rth to
<br /> deliver it to the"owner'prior to commencement
<br /> I CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all worEc
<br /> will be done in compliance with all applicable laws regulating construction,zoning and land development Application is
<br /> hereby made to obNain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced p'rior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br />, construcNon, 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 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-Cypress Bayheads, Wetland Areas and Environmentally SensiGve
<br />�� � Lands,WaterlVVastewater Treatrnent
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Artny Corps of Engineeis-Seawalls,Docks,Nav�gable Waterways.
<br /> - Departrnent of Health & Rehabil'�tative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental ProteCGon/�qency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fil!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°wifl be submitted at time of permitting which is prepared by a professional engineer
<br /> Iicensed 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 propetties,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 specifically included in the application. A
<br />' perrnit 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 lssuance of a permit prevent the Building Official from thereafter
<br /> requiring a correc6on of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
<br />� unless the work author¢ed 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. M extension
<br /> may be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonsVate
<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 NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTA FINANCING,CONSUL'i
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y NOTI � CO ENCEMENT.
<br /> FLORIDA JURA7(F.S.117.03) � �
<br /> OWNER OR AGENT CONTRACTO - �
<br /> I Subscnbed and swom to(or affirtned)before'me this Subsrn'6ed and sw n o(or aff )before this ��� �.( �e��
<br /> by bY
<br /> Who is/are personally known to me or has/tiave produced Who is/are peison II (cnown to m r has/have pro6uced
<br /> as identification. as identificadon.
<br /> Notary Public � ���„��, /� � Notary Public
<br /> Commission No. Commission No.�K��K`t'�
<br /> 1A) i I��Qm � �iE�jc7
<br /> Name of Notary typed,printed or stamped Name of Notary typed,priMed or stamped
<br /> =y� �MLIJAM 81ACON0
<br /> MV COM�t1,S�1�N A FFD23Y11
<br /> EXP6RES Oclober p4.pp19
<br /> Nan�a+sa mn
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