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<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 /> intend'ed 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 /> County. �
<br /> TRAMSPORTATION 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 i �
<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 prior to permit issuance in accordance with applicable Pasco County ordinances. �
<br /> CON3TRUCTION 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 /> hereb�y 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 Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive i
<br /> Lands,WateNWastewater 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 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. i
<br /> -' If the fill material is to be used in Flood Zone "A°, it is understood that a drainage plan addressing a i
<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 /> -� 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 Iots 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 /> 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 O�cial 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.
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<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITN YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
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<br /> OWNER OR AGENT l �'eQ �J CONTRACTOR '
<br /> Subscribed and swo to or affirmed)before me is- Subscribed and sworn (or�ffir d)before e his
<br /> bY S�'W�n��!- by_ ,�.0 . �
<br /> Who is/are personal v known to me or has/ha produced Who is/are pers�nal;knn,�,f�Q or has/have p oduced -
<br /> i' as identification. as identification. �(�—`�-2
<br />, �� �-21�—I�e �
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<br /> 1�1. Notary Public Notary Public
<br /> Commission No. �� `,�1 l�O— Commission No. ����"l rI � �
<br /> Name of Notary.typed,,printed or stam ed r __Name of Notary typed,printed or stamped
<br /> I�.�������„ � ASHLEE CALLAHAN �- �^ '
<br /> � :;�S�RvrL��c'g NOtery PubIIC-St2t9 01 Flofiu�. ` �ot�a�"�e�s,
<br /> ; �� � � ASHLEE CALLAHAN
<br /> : ; ;•_My Comm.Explres Nov 30,2018 ' =_+ +�: Notary Public-State of Flori�a
<br /> r '� : ;•=My Comm.Expires Nov 30,2018
<br /> �"r' o;= Commission�fF 179732 � -
<br /> � �'%%°����P��, Bonded through National Notary Assn. '•.�'F oa�;.' C o m m i s s i o n#FF 179732
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<br /> Bonded through National Notary Assn.
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