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<br /> 'NOTICE OF DEED RESTRICTIOIVS: 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 /> applic'able 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 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 not properly licensed and is not entitled to permitting privileges in Pasco
<br /> CounGy
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVEFtY FEES: The undersigned understands
<br /> that T�ransportation 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 Water/Sewer Impact
<br /> fees a�re due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> COIMSTRUCTION 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 /> CON'�R�4CTOR'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 performed to meet standards of all laws regulating
<br /> const�uction, 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 Profiection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WaterMlastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> 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 Fnvironmental 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. i �
<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 /> consiruction, 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 arn 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 /> sefi aside �ny provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> ��equiring 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 /> justifi i ble cause for the extension. If work ceases for ninety(901 c�nsecutive 4a1��, tha �^h �s c:,r��;�+ered aba!��one�. �
<br /> ,�., ,
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL7' IN YOUR
<br /> PAYING TWICE FOR IMPROVEfVIENTS TQ YOUR PROPERTY. IF YOU INTEND TO OBTAIIV FINANCING, CONSULT
<br /> � r./� �"u[ o.I\ �.II►.f.� •e/1 T �1c� •
<br /> WI'Tl�Y(�l.�R l.�R!n�!� �Q p,'�!�rrn;v�9�y Q��^E?� ??�:..::�::.}oE'vu �vv�.�..,�'i��vr i.i3�c+iivi�iVVEiv7t�tii`.
<br /> FLORIf_�A JUf2A'f(F.S. '117.03) C�"v
<br /> OWNER OR AGENT � � CONTRACTOR ���`� �
<br /> Subscribed and sw,o.�n to(o--�—�) efore me this Subscribed and sworn to(or affirmed)before me this '
<br /> ,J1`�1;_9J 1�b r 1�-LC1(�� �k1 IQ _�by � � �
<br /> �o is`lar ersonall�own t e or has/have produced Who is are personally know me has/have produced �
<br /> ;� as identification. as identification.
<br /> � Notary Public ' Notary Public
<br /> p�ma , ove
<br /> Comm�ssion No. OIIVIB A.�OVAtt Commission No. j
<br /> Notary Public,State of Florida ° ' '�s August 19r2016 �
<br /> Name of Nota , , Name of Notary typed,print r s�am� � EEa2$12
<br /> Com.No. E828129
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