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<br /> � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"resVictions"
<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 RESPOMSIBILITIES: 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 violaGon
<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 /> 8Q09. Furthermore, if the owner has hired a contractor or contractors, h� 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 certificate of occupancy or
<br /> finai 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 /> CdNSTRUCTION�LIEN LAW(Chapter 713,Florida Statutes,as arcrended): If valuation of work is$2,500:00 or more,I
<br /> certfTy 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 /> 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 obtaln 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 City cades,,zoning regulations,.and,land dzvelopment regulations in the.judsdiction. l alsa
<br /> certify that I understand that the regulations of other govemment agencies may appiy 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 Environmentat Protection-Cypress Bayheads, Wetland Areas and Environmentaify`Sensitive
<br /> Lands,WaterM/astewater Treatment.
<br /> - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Heaith Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmentai Protection Agency-Asbestos abatement.
<br /> - Federal Avia#ion Authority-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 /> "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 oniy to fill the area within the stem wall.
<br /> - If fill material is to be used fn 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 efevated by filf,art errgfneerect drairrage ptamis-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 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 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 /> justifiable cause for the extension. If work ceases for ninery(90)consecutive days,the job is considered abandoned.
<br /> WARNiNG TO OWIdER: YOUR FAILURE TO RECORD A NOTICE OF COf1flMENCEMENY MAY RESULT IW YOUR
<br /> PAYIMG TWICE FOR IMPROVEMENlTS TO YOUR PROPERTY. lF�IOU tPiTEfiiD TO OBTA.tI1 FINANC{NG,COt�SULT
<br /> WITH YOUR LEPIDER A ATTORPIEY BEFORE RECORDING YOUR NOTI E OF COMMEfdCEMENT.
<br /> FLORIDA JURAT(F.S.117
<br /> �
<br /> OWNER OR AGENT COtdTRACTOR
<br /> 5ubscribed and swom[o(or ffi d) efore me this Subscribad and sworn t ( r i ed)before me this
<br /> by by
<br /> Who is/are personally known to ma o as/have produced Who fslare personally known me or has/have produced
<br /> as identification. as identification.
<br /> -._ ,„.,,�'
<br /> ,,� ' . SU E ALLEN �NotaryPublic ~� �M
<br /> :2���- �`�"' NQta�y blic-S o ida ' ��������
<br /> _,s ,�j�`;nmiss��o c issi o. �•��:. = Notary Public-State of Florida
<br /> ;,�� .o�; ��9 'Y= Commission�FF 912586
<br /> ��'%;;oF�� e�f0 8���r�i1�'���r� �5�. NameofNotary e ,prin;ed"or"s • ,2019
<br /> s`� � ,''I'�� Bonded through National Notary Assn.
<br /> m.�,._-.�
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