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816298_89059
<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
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hirad 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 I
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the I
<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 properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES 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 occupanc�'or final power release. If the project does not involve a certficate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counry WatedSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRt1CTION 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—Homeowners
<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"owne�'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 compiiance 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 fnstallation has
<br /> commenced prior to issuance of a permit and that all work will be pertormed 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 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 inciude but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WateNWastewater Treatrnent.
<br /> - Southwest Ftorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps 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 Authority-Runways. �,
<br /> I understand that the following restrictions apply to the use of fitl:
<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 /> consVuction,I certify that fill wiil 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 pennitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for elecVical work,
<br /> N�umbing, 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 /> 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 /> justifiabie 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 PIOTICE 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 PVOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.1 .03) (1
<br /> LJ � J
<br /> OWNER OR AGENT CONTRACTOR r
<br /> ' Su scribed and swom�)(�or affirm )befory,me Qiis Subscribed and swo�A t�o(or Qffirmed)before me this,'��,Sow���2a17
<br /> a ��7 by IC.2.VLl� �+�-F7.�_ by lC\1G014Q� �g�r:tr
<br /> Who is/are personallYlsnown to me or hasl ave produced Who islare 2ersonally known to me or haslhave produced
<br /> �—as identificadon. as Identiflcation.
<br /> �` l Notary Public �/ • 1Qd/k l.(.WtJ W�.� / ,e�� Notary Public
<br /> Commfss(on No. ���'��'1 s�a� Commission No. �� 0 3� 7�J
<br /> „ ,�•-r Sv�Iai�r:E�WF��
<br /> ,,,,RY P,,, p ,pnn e or s em e Name of No`���d d�
<br /> a • '��g�9Cr��PUF3LlC
<br /> �o�� �e�.,� KRISTEN A.RUDDY r�.,�{����:�a ��,S�'r1TE OF�LQRIDA
<br /> 5 r: :°c Notary Public-State ol Florida �.�.�;����C�,.�,�FF437G'05
<br /> ;^: :o�;My Comm.Explres Dec 26,2017 sf,���.,cy
<br /> ��°%%°���°��,
<br /> Commisslon # FF 079561 �"�t`e�7��'����'�7
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