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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed",rest�ictions"
<br /> ;' which may be mote restrictive than County regulations. 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 Divisipn—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 nof 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 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, 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 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 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. 1 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;'�ounty and City-codes, zoning regulations, and land development regulations in the jurisdiction. ( also
<br /> . certify that I understand that the•regulations of otlier 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, VI/ater/Wastewater Treatment.
<br /> I - Southwest Florida Water Management District-Wells, Cypress Bayheads; Wetland Areas, Altering
<br /> VUatercourses�. �
<br />� - Arm Cor s of En ineers-Seawalls Docks Navi able Waterwa s.
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<br /> ' � Department of Health .8� Rehabilitative Services/Environmental Health Unit-Wells, W�stewater. 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 /> � n
<br /> 'com ensating volume will be submitted at time of permitting which is prepared by a professional engineer
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<br /> licensed by the State of Florida.
<br />�� - If the fill material is. ta 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 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 /> 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 �equested,•.in writing, from the Building Official for a period not to exceed ninety (9p) days and will demonstrate
<br /> justifiable cause f,o�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 OBTAIN FINANCING, CONSULT
<br /> � WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. �
<br /> FLORIDA JURAT(F:S 11.7.03) • . r /I{ _
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<br /> OWNER QR;AGEN,'f;;- G�l 1'� -� ��� '�t,.,_:'�"-;'`GONTRACTOR'�•^-' `,`- ��--t�
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<br /> Suti'sari6ed�and swom to(or ' rmed)betor me this �f Subscribed and swom to r a rmed be ore me this
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<br /> a DO� i.� �. 1� by 1 0
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<br /> jWho is�/a p rsonally kno to me or h /have produced Who is/are personally kno to me or ha lhave produced
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<br /> • a`s identification. ' as identification.
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<br /> i: Nota Public Notary Public
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<br /> '� Commission No.
<br /> � Commission No.
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<br /> Name 6f Notary p;a� d o�s . Name of Notary typed,printed or �� ��,�,, KELLI B. RYMAN
<br /> f� n :+° `^% COR1miS51on tl FF 905017 ' ;•+o�� o<i''y
<br /> � � My Commission Expires g, ^ ,_ Commission q FF 905017
<br /> �; ;•,� A.; My Commission Expires
<br /> ° '%;;fo,���:`�� July 30, 2019 :•.'°����°'; July 30, 2019
<br /> f` huuH��� hum���
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