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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 /> applicabl�e deed restrictions.
<br /> UNLICE�ISED 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 st�ate law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended,lwork, 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 /> portionslof 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 /> Cou nty.II
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that TranIIsportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in e�Cisting 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 /> permittir�g. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receivmg a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> final povlrer release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Vllater/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 t�at 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 th�an the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver i�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 �one in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby I�nade to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> comme�ced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> constru�tion, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify t I at 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 /> i Lands,Water/Wastewater 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 /> - i 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 /> - i 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 /> I 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 /> I acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am he 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 �ssued 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 /> unless'�the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the pe�fnit 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 Oificial for a period not to exceed ninety (90) days and will demonstrate
<br /> justifia�le cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
<br /> II
<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 /> FLORID'AJURAT(F.S.117.03
<br /> OWNER�OR AGENT C%1�� �/ CONTRACTOR � �
<br /> Subscn6ed nd sworn to,�or affirmed)before me this Subscr' ed a d sworn t�o/1(or affirmed)bg�re me this
<br /> /t1 / bY 1/-r r�, �<. /�,�,��-J��G:,..,� 0 6 � by L��n n r p'S�r .��h�t�t�C
<br /> Wh is�sonall ky nown to me or has/have produced Who is/are ers y�nnwn to me or has/have produced
<br /> I as identification. as identification.
<br /> ci�����,���� ' � Notary Public �� Q�� � Notary Public
<br /> "�'��/ C-��l`i!�"�(/
<br /> Commisi ion No. � � !i Commission No.
<br /> i
<br /> t t i e r t Name of Notary typed,printed or stamped
<br /> d
<br /> =o�r�'+e� Notary Public State of Florida �aYPtr Nota PubHc State of Florida
<br /> . Gail M Donahue =� ti� ry
<br /> '� � My Commission FF 170472 . Gail M Donahue
<br /> �?�fp,� Expires 11/18/2018 "�� �o� My Commisai0n FF 170472
<br /> � oFF��e Explres 11/18/2018
<br /> �
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