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<br /> � ' " ,
<br /> 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 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 Division—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 Bloc{�'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 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 8&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 Water/Sewer Impact
<br /> � fees are due,they must be paid priorto permit issuance in accordance with applicable Pasco County ordinances.
<br /> , CONSTRUCTIOM 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. 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 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,WateNWastewaterTreatment.
<br /> �� - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> I; Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Watervuays.
<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 of fill:
<br /> f - 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 permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a pertnitted building using stem wall
<br /> ° construction,I certify that fill will be used only to fill the area within the stem wall.
<br /> i; - 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 /> Ih 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 requested, in writing, from the Building O�cial 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
<br /> PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN O OBTAIN FINANC G,CONSULT
<br /> � 1MTH YOUR LENDER OR AN ATTO EY BEFORE RECORDING YOU OT C F E
<br /> FLORIDA JUR,4T(F.S.117. )
<br /> I^ OWNER OR AGENT CONTRACT �
<br /> , �bsc�be an bsw r to or affi ed f m is �u ori d and by o or affirmed) fore me thi D
<br /> � �s(are personal y Imown to me or ha ave proddce per e or haslhave produced
<br /> (� as ident ca as identifiqtion.
<br /> i
<br /> v Notary Public Notary Public
<br /> Commission No. ��O � / 7� 7 Commission No. ��0��7�7
<br /> Name of Notary typed,printed or stamped Name of Notary typed, rinted r
<br /> N111111 ,1��N1/���,
<br /> =.�ar.r ROBYN D.BURLESO
<br /> ���K�!FY,e'�'lF�.,; ROBYN D.BURLESON � Commission#FF 023747
<br /> � :.; ,,: Commisslon#FF 023747A ,� �: �p����ptember 12,20a7
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