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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 resporisibility for compliance with any
<br /> applicable deed resfrictioris.
<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 regulafions. 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 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 IMPACTlUTILITIES 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 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 /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statufes,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 Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Department of Agricuiture and Consumer Affairs. if the applicant is someone
<br /> other fhan 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"awner'prior to commencement.
<br />, CONTRACTOR'S10WNER'S AFFIDAVIT: I certify that all the informafion 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 />� construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand thaf the regulations of ofher government 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 /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensi6ve
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restricfions 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 perinitting 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 /> constniction,I certify that fill wiil 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,an engineered drainage plan 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�davit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs,welis, pools,air conditioning, gas, or other installations not specifically included in fhe 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 ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />, PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />� FLORIDA JURAT(F.S.117.0
<br /> '� � ,�� ii a��
<br /> OWNER OR AGENT CONTRACTOR
<br /> �bs ribed and swor o or �rme before me this Sub rib d a d s�n t r umed) ore me this
<br /> �.� � bY f� ., tm�w, S ��a��t�' eu____`� u �v��;,h s , '
<br /> Who islare pgcsenatty`know��me r haslhave produced Who is! personally kno vn to me r has/have produced ,
<br /> as idenGfication. as identification. '
<br /> Noiary Publfc ____� �'YiI"1/� Notary Public s
<br /> Commisslon No. ��b�10��7 Commiss�ioIn�No. ���(P� %
<br /> � OD�S �W�t.��I �. .�i�'o��S
<br /> Na Name of Notary typed, rinted or stamped
<br /> p"pP° fdAfdCY J BROOKS
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<br /> °_ /'1 C= ���pprvuei���. NANCY J BROOKS
<br /> _' '= MY COMMISSION#FF093699 `_° �
<br /> :sq�.oQ: _• MY COMMISSION#FF093699
<br /> '--.,�FOF�,o?. EXPIRES February 18.2018 ;N._ . �: 1s 2�ig
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<br /> (a0�)3s8-o153 FlorfdallotaryService.com -'�'oFF`;,,.
<br /> (407)398-0153 FloridallotaryService.com
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