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<br /> NOTICE OF DEED RESTRICTIONS. The undersigned understands that this permit may be subject to"deed"restrictions" �i
<br /> _ which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any II
<br /> applicable deed restrictions. ,
<br /> UNLICENSED CONTRACTORS AiVD 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 coniractor 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 /> 8D09. 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 wiil 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 /> iCounty
<br /> TRANSPORTATION IMPACTlUTILITIES 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 /> I90-07,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 /> CONSTRUCTION LIEN LAW(Chapter 7'13,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 /> Iother than the`owner',I oertify 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 /> iconstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I aiso
<br /> certify that I understand that the regulations of other govemment 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,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> � Watercourses.
<br /> I - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> , - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> i - US Environmental Protection Agency-Asbestos abatement.
<br /> i - 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 /> - 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 /> 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 /> j unless the work authorized by su�h permit is commen�2d within six months of permit issuance,or if work authorized by
<br /> � the permit is suspended or abandaned 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 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 /> i
<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 />' WITH YOUR LENDER OR AN TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> ' FLORIDA JURAT(F.S.11� \ �/'�
<br /> ! OWNER OR AGENT`�>► � CONTRACTOR �' V' "'
<br /> Subscribed and sworn to(or affir ed)bef re me this Subscri6ed and sworn to(or irn ed befor me this
<br /> -�j( �_$ by
<br /> Who islar�ers�,i cnown to ;has/have produced Who is/ar ersonally known o or hasR�ave produced
<br /> as identification, as identlficatlon.
<br /> I ���N'�'Y'._Y�, �.XJU U��lel�ry Public ��-c+C1A� . �C.�_)� �UVLA.s7�1 Notary Public
<br /> Commission No.��a3�PS�I 3 Commission No. a a4 5�3
<br /> i '��' . YiY''
<br /> ;3?' a �pf e , �i d o e Name of N tery d;• dnt d or stampe �
<br /> '• : MY COMMISSION#FF236573 z�;. ' " �Y COMMISSION it• 236573
<br /> ��� ''•?ai�;�;•�`� EXPIRE
<br /> �',�';,�;,.• EXPIRES Jurre 02,2019 '• S June 02,2019
<br /> ��tCl�lvfiCt6s FltxiFLiNo�arySc�vKx.tan idCii:iyC-0563 fipitlaNptarySo•r�ur.t:pr
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