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<br /> � ; � r 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 responsibflity 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 cantractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or fntended contractor are uncertain as to what licensing requirements may apply for the �
<br /> intended wark,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 fs 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 IMPACTNTILITIES 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 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,wlll be identified at the�me of
<br /> permftting. It is further understood that Transportation Impact Fees a�d 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 pertnit issuance. Furthertnore,if Pasco County WatedSewer 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 ar more,I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners
<br /> Protection Guide°prepared by the Florida Department of Agricuiture and Consumer Affairs. If the applicant is someone
<br /> other than the"owrier',I certify that I liave 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 pertormed 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 govemment agencies may apply to the intended work,and that it is
<br /> my responsibility to identify what actians I must take to be in compliance. Such agencfes inciude but are not limited to:
<br />, - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WateNWastewater Treatment.
<br /> - Southwest Florida Water Management Dfstrict-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis,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 af 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 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 Flaod Zone "A" in connection with a permitted building using stem wall
<br /> construction,I certity that fiil 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 fiil 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 whtch 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 conditians 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 spec�cally included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority ta violate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Oificial irom 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 pertnit issuance,ar'rf 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 wriUng,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,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR o'0''S°Ho�
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANCING,CONSULT .�
<br /> TH YOUR LENDER OR AN ATTORNEY BEFORE REC RDING Y R NOTI OF CO ENCEMENT ao mc'
<br /> FLORIDA JURAT(F.S.117.03) 4�4.��
<br /> OWNER OR AGENT CONTRACTOR ���o
<br /> Subscribed and swom to(or eifirtned)before me this Su d ayd m to(or affirtned)be me th(s �n,2 fi'i
<br /> bY VM��bY �'�'1Ae�.� �T/G.o� N 3 <�
<br /> Who is/are personaity known to me or has/have produced o i re persanally known to me or haslFiave produced o �
<br /> asidentlflceUon. asldentiftcatlon. �y��Q
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<br /> Notary Public Notary Publlc �N o
<br /> Commissian No. Commfssion Na L �� I l0�O c3I� W o
<br /> m.���, u s���fl�-- � �
<br /> Name of Notary typed,printed or stemped Name of No lyped,prfnted or stamped
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