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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 more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> - UNLICERISED 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 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. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the conlractor(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 /> contraetor-,that may be an indication-tha�he is noE proPeFly licensed and is not entitled to permitting privifeges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTNTILITIES 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 /> 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 /> CONSTRUCTION LIEN LP�lN(Chapter 713,Florida S4atutes,as amended): If valuation of work is$2,500.00 or.more,I
<br /> certify that l, the applicank, have been provided with a capy 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 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 performed to meet standards of all laws regulating ',
<br /> construcUon, County, and Ciry codes, zoning regulations, and land development regulations in the jurisdiction. l also I
<br /> certify that I understand that the.regulatfons.of other govemment agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take tb be in compliance. Sucfi agencies include liut are not limited to:
<br /> - Department of Environmentat Protection-Gypress Bayheads, Wetland Areas and Environmentalfy Sensitive
<br /> Lands,Water/Wastewater 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 ServiceslEnvironmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> 1 understand that the following restrictions apply to the use of fill:
<br /> - 1Jse of flll.is.nof allowed in Flood 2one"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 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 whfch are elevated by fill,an engineered drainage plan is required.
<br /> If l 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, 1 understand that a separate permit may @e required for e{ectrisak work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> perm(t 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 ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWiVER: YOUR FAILURE TO RECORD A fUOTICE OF COMMENCEMEidT MAY RESULT IM YOUR
<br /> PAYIP�G TWICE ft3R iMPROVEtViE4�iTS i'O YOUCt PROPER�Y. iF YOti tt�iT�i+iD�O OBT6.It�1 FINAIVCtNG,CONSULT
<br /> WITH YOUR LENDER OR AN AITORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
<br /> FLORIDA JURAT(F.S.117.03)
<br /> �
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and swom[o(oi a i e before me Ihfs Subscribed and swom to(or i ed)before me this
<br /> by y
<br /> Who is/are personally known to me or has/have produced Who personaliy known me or haslhave produced
<br /> as identification. as identifica[ion
<br /> �'' L° �..�o,.•_... ,..
<br /> Notary Public
<br /> �`�pHf��(iB!i� � �r, ���'La"'�i
<br /> Commission N ..•'��� � ' - f FIo(id� mission No. 6 .�`; '":''. SU E ALLEN
<br /> _•; ••_ Co ission#FF 912586 .?, �.�^= Notary Public-State of Florida
<br /> Name of Nota t sOSyn m. xp tes C 25,201 e of Notarytyped,printed or sta ped � .�P; mmission�FF 9125g6
<br /> �"'%�9����'��� Bonde thraugh National Notary Assn. ,���f,P,,,,• My Comm.Ex ires Oct 25,
<br /> "'��"' Bondedthrou hNational 2019
<br /> - 9 Notaryqssn.
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