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NOTICE OF DE�D 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 witli any
<br /> applicable deed resfrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILMTIES: If the owner has hired a contractor or
<br /> confracfors to undertake work, fhey may be requireci to be licensed in accordance with sta�e and lacal regulations. If fhe
<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 fhe owner ar intended contractor are ttncertain 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 af 727-847-
<br /> 8009. Furthermore, if the owner has hired a cvntractor or cantractors, he is advised to have the contractor(s) sign
<br /> portions of the "contracfor Black" of this applicatian for which they wili be responsible. If you, as the orrvner sEgn 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 /> Caun#y,
<br /> TRANSPORTATION IMPAGTIUTI4.ITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transpo�#ation lmpact Fees and Racourse Recovery �ees may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of exisfing bui(dings, as specified in Pasco Counfy Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, wiil be idenkified at the time af
<br /> permitting. It is furfher understood tFtat Transporfation Impact Fees and Resource Recovery Fees must be pa'sd prior to
<br /> receiving a "certificate of occupancy" or final power release. If the praject does nok involve a certificate of occupancy or
<br /> ! final power release, fhe fess must be paRd prior ta permit issuance. Ftarthermore, if Pasco County Water/sewer Impact
<br /> ' fees are due, they must be paid priar to permit issuance in accordance wifh applicable Pasco County ardinances.
<br /> ; CONSTRUCTION LIEN LAW(Chapter 7'13, Florida Statutes, as amended): !f valuation of work is $�,5Q0.04 or more, !
<br /> � certify thaf i, the appiicant, have been provided wifh a copy of the "Fiorida Ganstruction L.ien �aw—Horneawner's
<br /> I Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If khe applicant is someone
<br /> ofher fhan the"awner", 1 csrtify#hat 1 have obtained a capy of the above described ciocument and prornise in good faith to
<br /> deliver it to the"awner" prior to commencemen�.
<br /> CC}NTRACTOR'S/OWNER'S AFFIDAVIT: 1 certify that all the information in this applicatian is accurate and that all work
<br /> � wilf be dane in compliance with all applicable laws regulafing construction, zoning and tand devetopment. Application is
<br /> '; hereby made to obtain a permit ko do work and installation as indicated. I certify that na work or installatian has
<br /> commenced prior to issuance af a permit and that aH work wil! be performed to meet sfandards of ali laws regulaf4ng
<br /> j construction, C�unty and City codes, zaning regulations, and land development regulations in the jurisdiction. f also
<br /> ' certify fhat 1 urlder�tand;that the reguEations of other government agencies may apply to the intended work, and fhat it is
<br /> ', my responsibility to identify what ac#ions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Departmetif of EnvironmentaE Pratection-Gypress Bayhsads, Wetland Areas and Environmentalfy Sensitive
<br /> Lands, Water/Wastewafer Treatment.
<br /> i - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> � Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> , - Departmen# af Health & Rehabilitative ServiceslEnvironmental Nealth Un'tt-tNe11s, Wastewater Treatment,
<br /> Septic Tanks.
<br /> i - US Enviranmenfal Protection Agency-Asbestos abatement. ' �
<br /> - Federal Aviation Autharity-Runways.
<br /> ! understand that the following restrictions apply to the use of fill: �"
<br /> - Use of fili is not allowed in Flaod Zone"V"unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understoad that a drainage plan addressing a
<br /> "COCTI�@T1S�tiSl� VOIl1(Tl�" wi41 be submitted at time of permitf9ng which is prepared by a professiana4 engineer
<br /> licensed by the State af Florida.
<br /> - If fhe fill material is to be used in Flood Zone "A" in connection w9th a permitted biailding using stem wall
<br /> I consfruction, 1 certify that frll will be used only to fill fhe area wRthin tF►e sfem 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 /> i properties. If use af fi(i is found to adversety affect adjacent properfies, the owner may be cited for violafing
<br /> the conditions of the building permit issued under the attached permit application, for lats less than ane (1)
<br /> acre uvhich are elevatec3 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 fhe permifting conditians set forfh in
<br /> this affidavit prior to commencing consteuction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, welis, poals, air canditioning, gas, or other instaliations not specifically included in fhe application. A
<br /> permit issued shal! be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, ar
<br /> set aside any pravisians of the technical codes, nor sha11 issuance of a permit prevent the Building �fficial from ther�after
<br /> requiring a correction of errors in plans, construction or vialations of any codes. Every permit issued shall become invalid
<br /> unless fhe work aufharized by such permit is carr�menced within six months of permit 4ssuance, ar if work authorized by
<br /> � the.permit is suspended or abandaned for a period of six(6) months affer the time the work is commenced. An extensian
<br /> may be requested, in writing;fror►m-the Building Officia!-for-a-period not-to exceed-ninety__(90_)._days_and will demonstrate __ __
<br /> justifiable cause for the extension. if wark ceases for ninefy{90)consecuf9ve days, the jab is considered abandaned.i �
<br /> WARNING TQ OVYNER: YOUR FAiI.URE TO RECQRD A NOTICE QF CQNIMENCEM�NT MAY RE3ULT !N YQUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO QBTAIN FINANC�NG, CONSULT
<br /> W1TH YQUR�.ENDER QR AN ATTORNEY BEFORE RECORQING YQUR NOTlCE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F:S.117.03)
<br /> OWR2ER OE2 A��NT CONTftACTOR L" � ..—
<br /> Subscribed and swom to(ar affirmed)before me this Subsc i6e and swom to{o ff'itmed}bef r��r e me fhis
<br /> bY fa °( ts by �r �J cc� �� l�a��"�
<br /> Who islare personally known to me or haslttave produced Who Is/are,�aersonally known ta me or haslhave produced
<br /> as identffication. as identification.
<br /> Notary Public Nofary Public
<br /> Cammisslon No. Commission Nv. � ��
<br /> otary u ic tete on a
<br /> � Anne Hillhouse
<br /> Name of Notary typed,printed or skamped Name of Notary typed,prinfed a f F� Expires 11/04l2017
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