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<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 compiiance writh 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 I(censing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco Caunty Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contracto�or contradors, 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 properiy licensed and is not entiUed to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTNTILITIES IMPACY AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impad 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,thaf 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 WatedSewer Impact
<br /> fees are due,they must be paid prior to pertnit issuance in accordance with applicable Pasco County ordinances. I
<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 applicant, have been provided with a copy of the "Florida ConsVuction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Departrnent 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'S10WtdER'S AFFIDAVIT: I certify that all the infortnation in this application is acxurate and that alt work
<br /> will be done in compliance with all applipble laws regulating consVuction,zoning and land development Application is
<br /> hereby made to obtain a permit to do work and installaGon as indicated. 1 certify that no work or installaGon has
<br /> commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
<br /> consUuction, County and City codes, zoning regulations, and land development regulations in the jurisdicGon. 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 include but are not limited to:
<br /> - Departrnent of Environmental Protection-Cypcess Bayheads, WeUand Areas and Environmentally Sensitive
<br /> Lands,WaterNVastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, (.ypress Bayheads, Wetland Areas, Altering
<br /> Watercourses_
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health 8� Rehabilitative Services/Environmental Heafth Unit-Wells, Wastewater Treatrnent,
<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 Flofld 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 /> "compensa6ng 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 /> 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 af(ect adjacent properties,the owner may be ated far violating
<br /> the conditions of the building permit issued under the attached permit application,for lots less than ane(1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,1 promise in good faith to infortn the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may 6e required for electrical work,
<br /> plumbing,signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> pertnit issued shall be consUued 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 author¢ed 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 PIOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANCING,CONSULT
<br /> WffH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF N EMENT.
<br /> FLORIDA JURAT(F.S.117.03) �
<br /> OWNER OR AGENT CONTRACTOR ;� .
<br /> Subscribed and swom to(or affumed)before me this S cri d sw o "fo me this
<br /> by VV���by •
<br /> Who is/are personally known to me or has/have produced o i are perso IIy kno�wn to me or has/have produced
<br /> as identificafion. (��(!L�/� ��[✓P/J�i.�i as identificafion.
<br /> Notary PubGc �'��i��,1� Notary Pu6Gc
<br /> Commission No. Commissian No. L7�
<br /> Name 6f Nota ���� �� v,_G'�i
<br /> ry typed,printed or stamped fda 'nted or stam d
<br />' •'<�:�P;%'•• DEBRAELAINERUFFELL
<br /> ;;� �,:Commission#GG 045343
<br /> ��r,�o¢=Explres November 7,2020
<br /> �"%��;;;°P'� Bondad Thro Troy Fain Insurance BOD�38�7p1 g
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