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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 mora restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicabie deed rastrictions.
<br /> UNLICENSED CONTRACTORS AN� CONTRACTOR RESPQNSIBtLlTIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed i�accordance with state and local regulations. i(the
<br /> contractor is not licensad as required by law, both the owner and coniractor may be cited for a misdemea�or violaQon
<br /> under state law, If the owner or intended contractor are uncertain as to what Ncensing requiroments may apply for the
<br /> intended work,they are advised to contact the Pasco Counly Building Inspection Division—Ltcensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or cantractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Biock"of this application for whlch they wiii be responsi6le. It you,as the owner sign as ihe
<br /> contractor,that may be an indication thaf he is not properiy licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION�MPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned undarstands
<br /> that Transportation Impact Fees and Recourse Recovery Faes may appiy to the construction oT new buildings,change of
<br /> use in existing buildings,or expansion oi existing buiidings, as specified in Pasco County O�dinance 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 Resaurce Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final pow�r release. If the proJect does not invoive a certificate of occupancy or
<br /> finai power rolease,the fees must be paid prior to pormit issuance. Furthermore, ii Pasco County WaterJSewer Impact
<br /> fees are due,they must be paid prior to permft issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statufes,as amended): If valuation of work is 52,500.00 or more,I
<br /> certify that i, the applicant, have been provided wllh a copy of the "Florida Consiruction Lien Law—Homeowners
<br /> Protection Guide"prepared by the Florida Deparlment of Agrlculture anci Consumer Aftairs. if the applicant is someone
<br /> other than the"owner",1 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 /> COPITRACTOR'S/OWNER'S AFFIDAVIT: I cert'rfy that aii the information in this appiication is accurate and that ali work
<br /> wili be done in compliance with ail appticabie laws regulating construciion,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as Indicated. ! cerQfy that no work or installation has
<br /> commenced prior to issuance of a permit.and that all work wili 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 undorstand that the regulatfons oi other government agencies may appiy to iho intended work,and that it is
<br /> my responsibility to identify what actions I must take fo 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,WateriWastewater Troatmeni.
<br /> - Southwest Fiorida Water Management Dislrict-Wells, Cypress Bayheads, Wetland Areas, Ailering
<br /> Watvrcourses.
<br /> - Army Corps of Engineers-Seawalis,Docks,Navigable Waterways.
<br /> - Department oi Heaith & Rehabilitative Services/Environmental Health Unit-Weils, Wastewater Treatment,
<br /> Soptic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federa!Aviation Authority-Runways.
<br /> I understand that the foilowing restrictibns apply to the uso o(fill:
<br /> - Use of fill is not ailowed in Flood Zone"V"uniess expressly permitted.
<br /> - If the Till material is to bo used in Flood Zone "A", it is understood that a drainage pian addressing a
<br /> "compensating volume"wil!be submitted at time of permitting which is prepared by a protessional engineer
<br /> licensed by the Staie oi Florida.
<br /> - If the fili material is to be used in Flood Zone "A"in connection with a permitted building using stem wail
<br /> construction,I certify that fili wiii be used oniy to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, I certify that use oi such fiii will not adversely aifect adjacent
<br /> properties. If usa of fill fs tound to adversely affect adjacent properiies,the owner may be cited tor vioiating
<br /> the conditfons of the building permit issued under the attached permit application,for lots less ihan one(1)
<br /> acre which are elevated by fill,an engineered drainage pian 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 a�iiavit prior to commencing construction. I understand that a separate petmit may bo tequfred for Qlectricai work,
<br /> piumbing, signs, weils, pools,air conditioning, gas,or other instailatio�s not specificaily included in the appiication. 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 sfiail issuance of a pe�mit prevent the Buiiding Official from thereafter
<br /> requiring a correcGon of errors in pians,construction or violations of any codes. Every permit issued shali become Invafld
<br /> unless ihe 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 ihe work is commenced. An extension
<br /> may be requested, i�writing,irom the Buiiding Official for a period not to exceed ninety(90)days and vritl demonstrate
<br /> justifiable cause for tho extension. If work ceases for ninery(90)consecutiva days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEiVCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YO INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOROING Y NOTICE O COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.t 17.03) /
<br /> OWNER OR AGENT CONTRACTO {J t��
<br /> Subsuibed an b�vrom to(or alfirme�betore ma thts Subscribed b wy_sq(oj affirm�ty�jpr�mo is�e
<br /> -rcc�,der t�
<br /> Who is/are personally knovm to me or ha�Jhavo produced Who is(ar orso own me or fias/havo ptoduced
<br /> as idenUficatian. as idoMificaGon.
<br /> Notary Puhiic �� • Notary Public
<br /> Cnmmission No. Commission No. 3� H�_
<br /> ,.•o+*""°�e;,,, LISA ZAFFlNO
<br /> Name ot Notary typed,ptinted or stampeci Nnme o(Nolary typed,printed or stamped ��� . rRo�ary Pubiic-State oi fiarida
<br /> ;�, �t: My Comm.Expires Jun 5,2018.
<br /> ':;Fo������� Commfssion�Y fF t30052
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