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fdOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subjeot to"deed"restrictions" ' �
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibflity 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 /> 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 conVactor 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 /> TRANSPORTATIOtd IMPACTlUTILITIES IMPACTAND 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 /> 90-07,as amended. The undersigned also understands, that such fees,2s may be due,wifl 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 pafd prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuanc,�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 that I, the app�icant, 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"owne�',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'SlOWNER'S AFFIDAVIT 1 certify that all the information in this application is accurate and that all work
<br /> wili be done in compliance with all applicable laws regulating constructi�n,zoning and land deveiopment. 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 al[ laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdicifon. 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 io 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,WateNWastewater Treatment.
<br /> - Southwest Florida Water Mana�ement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative Ser�ices/Environmental Health Unit-Welis, 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.
<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 6e 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 certity that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent prope�ties, the owner may be cited for.violating
<br /> ihe 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 irt
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for elecVical work,
<br /> plumbing,signs,welis, pools, air conditioning, gas, or other installatfons not speafically 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 Buflding Ofticiaf from thereafter
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit fssued shall become invaiid
<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 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 /> WARNIMG TO OWPIER: YOUR FAILUi�E TO RECORD A PIOTICE OF COMMENCEMENT MAY RESULT IPI YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEPID TO OBTAtN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATI' NEY BEFORE RECORDING N ICE OF COiVi NCEMENT.
<br /> FLORIDAJURAT(F.S . )
<br /> OWNERORAGEN'f ��C- ONTRACTO��� i'��"��c�
<br /> Sub c�' �pd�wom�q or rmed befo�Se�n ,J�is Subs 'b swo 0 or affirmed befy�t e i�
<br /> / b </� /Y1 f1/�/�"/'l�K b ��U/ , /4/ � /��
<br /> i/ar e onally c o to r hasmave produced T WJ�o��re g�r�onally kno�vn t .e r hasRiave produced
<br /> s idenlificaUon. /� UCJJ as idenlification.
<br /> � �� �Public �C1'l� /��Notary Public
<br /> Commission No. � �� Commission No. �� � �
<br /> ���P% �%CA'lR/� ,��� �1�� C�ir1�° � � /
<br /> Name of Notary typed,printed or t Name of Notary typed,printed or stam ed
<br /> ' DEBRAELAINE RUFFELL, � F^UFFFLI
<br /> •.a�:tw�,; �y 6���., DEF3Rr?E.I.HIN,..
<br /> '_° ° Commission#GG 045343 �`�' ��'�=Comm �
<br /> s*: °* 2020 :�q- ission t�i�G 0 •=
<br /> 'Er,pires Nuvember 7, '�• "=EXp res Novemb�r 7 lr�'
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