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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 resxrictions.
<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 licerising requirements may apply fbr 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 advisecl-to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, �s 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 /> TRANSPORTATION 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
<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 issu�nce in accordance with applicable Pasco County ordinances.
<br /> CONST�tUCTION 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 /> CONTRe4CTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all wo�k
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a perrnit 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 /> 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 identify what actions I must take to be in compliance, Such agencies�include but are not limited to:
<br />� - Department of Environmental P.rotection-Cypress Baylieads, Wetland Areas and Environmentally Sensitive
<br /> � Lands, �lUater/Wastewater Treatment. -
<br />� - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Carps 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 Authoriry-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 /> "compeiisating.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 fi�l 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 /> ,:,
<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 AG�NT 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 k�e construed to be a license to.proceed with the work and not as authority to violate, can,cel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit.prevent the Building Official frQm 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< 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 /> 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 LENDEFi OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FL`ORIDA JURAT(F.S. 7�17.03) '\ ' : ,_ '
<br /> OWNER OR AGENT � /�� CONTRACTOR '� ����—
<br /> Subscr'bed nd swS�to�(or affirm d)before me this Subscribed a d swom to(or affirmed)before me this
<br /> ff .30 /Gby .V���rn-c"����st!-,c7�.� ,� by �ec r.r�e_�L ���r 1-.r �,..� ,
<br /> Who is/are personally knpwn�to me or has(have produced Who i /ar personally known to me or has/have produced
<br /> as identification. ' � as identification.
<br /> ` Notary Public � Notary Public
<br /> Commission No. Commission No.
<br /> Name of Nota y ty e , r' t o ,ta Name of Notary typed,printed or stamped
<br /> ;o�Y°LeGA Notary Public State of Ftorida so�Y�eG� Notary Public State of Florida
<br /> � o Gail M Donahue . . Gail M Donahue
<br /> y�� My Commisaion FF 170472 �� e My Cbmmission FF 170472
<br /> �?oF�oQ Expires 11/18/1018 9�'oF�o@� Expires 11/18/2018
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