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<br /> +� NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" �
<br /> whlch may be more restrictive than Counry regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND COIdTRACTOR 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. Furthertnore, if the owner has hired a contractor or contractors, he is advised to have the confractor(s) sigrr
<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 consVuction 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 issuance in accordance with applicable Pasco County ordinances.
<br /> CO�ISTf2UCT10N LIEfd LAW(Chap4er 713,Florida S2atu4es,as amended): If valuation of work is$2,500.00 or more, I
<br /> cerciTy that 1, ths applica�t, have been provided with a copy ot 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(n good faith to
<br /> deliver it to the"owner"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 compliance 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 installation 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 Ciry codes, zoning regulations, and land development regulatfons in the jurisdiction, l also
<br /> certify that I understand that the regulations of other government agencies may appiy to the intended work, and that it is
<br /> my responsibility to identify whaf actions I must take to be in compGance. Sucli agencies iriclude but are nof Iimited fo:
<br /> - Department of Envtronmentaf Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterNVastewater Treatment.
<br /> - Southwest Florida Water Management District-Welis, Cypress Bayheads, WeUand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative ServiceslEnvironmental Heaith Unit-Wells, Wastewater Treatment,
<br />' Septic Tanks.
<br /> - US Environmentai Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I uncJerstand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not allowed 1n.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 pian 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 /> 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 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,att engineered drainage pfarr 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 affidavit prior to commencing construction. I understand that a separate permit may he required for eiectrical work,
<br /> plumbing, 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,aiter,or
<br /> set aside any provisions of the technica!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 O�cfal 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 /> WARMING TO OWNER: YO1JR FAILURE TO F2ECOR,D A-MOTICE-OF COMMEfVCEMENT iUTAY�ESULT IN YOUR
<br /> PAYING TNfICE EOR IMPROVEMEt1TS TO j'OUR PROPERTY. IF YOl1 ttVTEt�D TO OBTAIt+I FINANCING,CONSULT
<br /> WITH YOUR LENDER OR N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEMCEMENT.
<br /> FLORIDA JURAT(F.S.117
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and swom[o(oi a ir e ) ore me this Subscribed and sworn o( rmed)before me this
<br /> by by
<br /> Who is/are personally known to i e as/have produced Who fslare personally kno ave produced
<br /> s idenY G� , as identification.
<br />� ��""'���, SUZANNE A LEN
<br /> ,
<br /> ?:;r.a�Poe�, ����min. B�hiUME-qLLEN
<br /> i°• •'�•. . otary Public ar n�•., ry
<br /> ;,�` ; �°miss�o�,�lssion#FF 912586 =r� .`�: Notary Publfc-St�te o(Florida
<br /> � , Cammission No. - • • �
<br /> ;-,, ^p; My Comm. xp res c ;} � ommiss on#FF 912586
<br /> , ;"•";�� p u k� atis a e =,9 , °�`
<br /> •R.� :s-� Name of Notary ryped,printed or st mpetl�,,;,;;,,,�` OCI 25,2019
<br /> Bonded through Nationai Notary qssn
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