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<br /> � NOTICE OF DEED RESTRICTIONS• The undersigned understands that this permit may be subject to"deed"restrictions" �
<br /> i which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> �I applicable deed restrictions. �
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or
<br /> �i 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 appiy 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 /> ,I portions of the "contractor Block"of this application for which they wili be responsibie. if you, as the owner sign as the
<br /> contractor,that may be an indication that he is not properiy Iicensed and is not entitled to permitting privileges in Pasco
<br /> I 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 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 i
<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 Ii the project does not involve a certificate of occupancy or i
<br /> final power release, the fees must be paid prior to permit issuance. FuRhermore, if Pasco County Water/Sewer 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. I certify that no work or installation has
<br /> il commenced prior to issuance of a permit and that all work will be performed 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 /> ILands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> I Watercourses.
<br /> Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & 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 /> - 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 permitted 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 ceRify 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 permil 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 instaliations not specifically included in the application. A i
<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 preveni 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 i
<br /> may be requested, in writing, 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 I
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN TTORNEY BEFORE RECORQING YOUR NOTICE OF COMMENCEMENT. '
<br /> FLORIDA JURAT(F.S 117 03
<br /> OWNER OR AGENT CONTRACTOR� �
<br /> Subscribed and sworn to(or af(i med)befor me this Subscribed and sworn to(or affirmed)b fore me this �
<br /> by►�qU�.��LI.�J�Y✓� by`1�ctVF- 1�OLL�RJm
<br /> Who islare personally known to me or has/have produced Who islare personally known to me or has(have produced
<br /> ncf$a�Cl(�r.�5O�t,�n as idenlification I�¢fS0%^e.LIY }(y�G�,�Y� as identification.
<br /> I
<br /> II G,y��27giw N/ _
<br /> ! Notary Pubhc �...i Notary Pubhc
<br /> � Commission No Commission No
<br /> Nam f Not 4y�t ped, rinted s m Name of Nolary typ ,prin r sla e
<br /> ' �►� Z �lotary`�ub��c��ate oi Fbrida o.� ���ry�uYlic SUte�f Fl�riila
<br /> ;� t`: Joseph Marc Stapleton ; �/'^, Jox�h Muc Sta'let�n
<br /> �i � y�c��� My Commission FF 243033 0�, � My Commissi�n FF 243D33
<br /> '�or w� Expires 06122I2019 � �or��� Ex'ires OGf22/2019
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