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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that�t�is permit may be subject to "deed" restrictions"
<br /> which may be more restrictive than County regulations. The�.�ndersign.c�tl assumes res onsibilit for com liance with an
<br /> P Y P Y
<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 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 proper•ly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> � TRANSPORT/1TION IMPACT/UTILITIES IMPACT_AND RESOURCE RECO1/ERY 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
<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 certifieate of occupancy or
<br />�I` 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 issu�nce in accordance with applicable Fasco County oriiinances.
<br /> CONSTRUCTIOfd 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" pr'epared 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 vuork 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 /> 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 iiientify what actions I must take to be in compliance. Such agencies include but are nof limited to: -
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, u1/ater/Wastewater Treatment. _
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> WatercQurses. - -
<br /> - Army Cprps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic T'anks. �
<br />� - US Environmental Protection Agency-Asbestos abatement. .
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<br /> - Federal� viation Authori -Runwa s.
<br /> �A tY Y
<br />' I understand that,the following restrictions apply to the use of fill: .
<br /> - Use of fll 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 /> "compelisating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensecl,-:by the State of Florida. � .
<br /> - If the fillf 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 prio�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 �e construed to be a license to pcoceed 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 Officiaf 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 worl< auttiorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is susperjded or abandoried for a period of six (6) months after the time the work is commenced. An extension
<br /> may be requested, 'ln writing, from the Building Official for a period not to exceed ninety (90) days and will derrionstrate
<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 TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. -
<br /> FLORIDA JURAT(F.S:1'�7 03)__ .�_-- - . -_---- --�—.__- -- -- - - .- _ - �. ,
<br /> OWNER OR AGENT � CONTRACTOR ��/,J '
<br /> Subsc ibed nd,swS�L�to((or affirme8 before me this Subsc ibed and sworn to(or affirmed)before me this
<br />' �� �� ��by J.!�`�n.n-c'�j��u�tic��� � �! by ���r.n��l +���ry.r_�,..<< ,
<br />� Who is/are personally knpwn�to me or has/have produced Wh is�onally known Yo me or has/have produced
<br /> as identification. as identification.
<br /> � � Notar Public � Notary Public
<br /> Y
<br /> Commission No. Commission No.
<br /> Name of Notar pe i t r Name of Nota t d p i e r t
<br /> o4,y,av av� Notary Public State of Florida ao.cp�Y pueG� Notary Public State bf Florida
<br /> ?� ; Gail M Donahue � � Gail M Donahue
<br /> o My Commission FF 170472 t My Commission FF 170472
<br /> �oF�+,o@ Expires 11l18I2018 ��oF�o�'� Expires 11/18/2018
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