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• NOTICE OF DEED RESTRIC7IONS: 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 far compliance with any
<br /> applicable deed restrictions.
<br /> UNCICENSED CdNTRACTORS AND CON7RACTOR RESPONSIBILITIES: If the owner hes hired a contractor or
<br /> contractars 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 s#ate 1aw. If the awner or intended confractor are unce�tain as to what Iicensing requirements may apply for the
<br /> intended work,they are advised ta contact the Pasco County Building Inspection Division—Licensing Sectian at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the cantractor(s) sign
<br /> portions of#he°contraotor Biock"of this application tor which fhey wil3 be respansible. tf you,as the owner sign as the
<br /> contractor,that may be an indication thet he is nat properly licensed and is not entitled to permik#ing privileges in Pasco
<br /> County.
<br /> TRANSRORTATlON IMPAGTlUTtLiTiE81MPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportatian Impact Fees and Recourse Recovery Fees may appiy to tfie constructian 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-Q7,as amended. The undersigned also understands,thaE such fees,as may be due,wiii be identified af fhe time of
<br /> i permitting. It is further understood that Transportation tmpact Fees and Resource Recovery Fees must be paid prior to
<br />' receiving a"certiflcate of accupancy"or flnal power release. If the projeot does not involve a certificate of occupancy or
<br />, Tinal power release,the fees must be paid prior to permit issuance. Furthermore,if Pasco County Waterl5ewer impaot
<br /> tees are due,they must be paid prior to permit issuance in accordance with appGcahie Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation af work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been provided with a copy of the "Flarida Gonstruction Lien Law—Nameowne�s
<br /> Protection Guide"prepared by the Ftorida Department of Agricufture and Cansumer Affairs. If the applicant is someone
<br /> other than the"awner",I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"awner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFEDAVIT: 1 cestity that all the information in this application is accurate and that atl wark
<br /> will be done in camplianae with all applicable laws regulating construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do woric and installation es indicated. I certify that no work or insta!lation has
<br /> commenced priar to isstaance af a permit and that atl work witl be performed to mee#standards af aCt laws regulating
<br /> canstruction, 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 responsit�ility ta identify what actions 1 must take fo be In compliance. Such agencies inclade but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads,Wettand Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Southwest Ftorida Water Mar�agement District-Wetts, Cypress Bayheads, Wetland Areas, AI#ering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays.
<br /> - Department of Heaith & Rehabltitative ServiceslEnvlronmental Heaith Unit-Wetis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> 1 undarstand 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 /> I'', - !f the f+ll material is fo be used in Flood Zane "A", it is understoad that a drainage pian addressing a
<br /> ( "carnpensafing votume"will be submitted at time of permitting which is prepared by a prafessional engineer
<br /> licensed by the State af Florida.
<br /> - If the fill material is to be used in Flood Zone"A" in connection with a permitted building using stem wall
<br /> construotion,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 af such fill will not adversely affect adJacent
<br /> properties. (f use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> the condi6ans of the building permit issued under the attached permit application,for tofs less than one{1}
<br /> acre which are elevaked by fill,en engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner af the permitting conditions set forth in
<br /> this affidavit prior ta commencing cons#n�ction. 1 understand that a separate permit may be requlred for elecfrical work,
<br /> plumbing, signs, wells, pools, air conditianing, gas, or ather installations not specifically(ncluded in the application. A
<br /> permit issued shall be construed ta be a license to proceed with the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of the technica!codes,nor shall issuance oS a permit prevent the Building Official from thereaRer
<br /> requlring a correction of errors in plans,constructlon or vlalations of any codes. Every permit issued shail 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 perrnit is suspended or abandoned for a periad at six(6}months after the time the work is commenced. M extension .
<br /> may be requested,in writing,ftom the Building O�cial for a periad not to exceed ninety(90}days and wi�l demanstrate
<br /> justifiable cause for the extension. If work ceases for nineky(90)consecutive days,the job is considered abandoned.
<br /> WARNING T4 4WNER: YOUR FAiIURE TO RECORD A NOTiCE OF CdMMENCEMENT MAY RESULT tN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS 70 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITN YOUR LENDER pR AN A'iT�RNEY BEFqRE RECURDING YOUR NQTICE QF COMNiENCEMEN7.
<br /> Fl.ORtDA.lURAT{F.S.117.63}
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and swom ta(or affrmed)before me this Subseribed and swo to{or fti dj be r me this
<br /> by Ja �'G'—
<br /> Who is/are personally known to me or has/have produced Who is/ar ersonatly known t me or has/have produced
<br /> i
<br /> as Identificalion. es(denlification.
<br /> Notary Public Notary Public i
<br /> Commissian No. �N. I /� �� f 3� a
<br /> �10 I✓l r �.. . 4J�A P-SG°'_l� . _ �_
<br /> Name flf Notary typsd,pdnted or stamped Name otary typed,printe pad Cg
<br /> � NOTARY Pt18L{C
<br /> �;� S7ATE OF Fl.ORIGR
<br /> µ`-' '� � Gp�Ff7ti378
<br /> ` � Explres 4117l2019
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