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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 mare restrictive tnan County regulations. The undersigned assumes responsibiiity for compliance with any
<br /> app(icable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTF2ACTOR RESPONSIBILITIES: If the awner has hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed in accardance with state and locai regulatians. !f the
<br /> cantractor is not licensed as required by taw, both the owner and contractor may be ci#ed for a misdemeanor vio(ation
<br /> under state law If the owner or intended contractor are uncertain as ta what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco County Building lnspection Division—Licensing Section at 727-847-
<br /> 80Q9. Furthermore, if the owner has hired a confractor or canfractors, he is advised to have the contractar(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 /> Caunty
<br /> TRANSPOR7ATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse F2ecovery 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 Gounty Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned aiso 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"certifcate of occupancy"or fina[power release. (f tne project does nof involve a certificate of occapancy or
<br /> final power release, the fees rnust be paid priar to permit issuance. Furthermare, 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,Fiorida Statutes,as amendedj: !f va(uation of work is$2,504.Od or more,!
<br /> certify thaf I, the applicant, heve 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",!certify that i have obiained a copy of the above described document artd promise in good faith to
<br /> de3iver it to the"owner"priar ta 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 construckion,zoning and land development. Appiication is
<br /> hereby made to obtain a permit to da work and installation as indicated. ! certify that no work ae installation has
<br /> commenced prior to issuance of a permit and that all work will be perFormed to meek standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. ! alsa
<br /> certify fhat 1 understand that the regulations of other govemment agencies may appty ta the infended work,and that it is
<br /> my responsibility to identify what actions I must teke to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> �ands,WaferlWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawa!!s,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmenta� Hea�th Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmentai Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Ftunways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> � - Use of fili is not afiowed in Flaod Zone"V"uniess expressly permitted.
<br /> ' - If the fill maferial is #o be used in F(ood Zane "A", it is understood that a drainage p(an 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 /> � - tf the fiil materiat is to be used in Ftaod Zone"A" in connecfion with a permitfed bui(ding using stem wall
<br /> � construction,I certify that flll will be used only to fill the area within the stem wall.
<br /> - !f fill material is to be used in any area, I certify that use of such fill will not adversely affect ad}'acent
<br /> properties. If use of fiI!is found to adversely affect adjacent properties,the owrrer may be cited for violafing
<br /> the conditians of the building permit issued under the attached permit application,for lots less than one (1)
<br /> apre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,(promise ia goad faith to inform the owner of fhe permitting conditions set focfh 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 tt�e work and not as authority to viotate,cancei,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 /> unEess 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 wark 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 /> justifiabfe cause for the extensian. if wark ceases for ninety{90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER' OUR FAILURE TO RECOF2D A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR P OVEMENTS TO YOUR PROPERTY. !F YOU 1 TEND TO Ol3TAIH!FlNANCING,CONSULT
<br /> I+VITN YOUR�EPID AN ATrORR1EY BEFdRE REC4RDING YOtlR F COMMENCEMENT.
<br /> FLORIDA JURAT(F. 117.
<br /> .`"'—
<br /> OWNER OR A�E CON7RACT0
<br /> o is ere ersonell knowr-�p ,as denCifleationraduced ho i are ers II kno f �fo me t's
<br /> c k� and s o,or a�rmed b or me this s nb d and sw �r ffi ed be
<br /> / b i✓
<br /> p y p p y sfiave produced
<br /> � as identification.
<br /> _ ,� !
<br /> � (/�-�" Nofary Public C ' Notary Pubiic
<br /> Commissian N ����, ommission No.
<br /> -'�q1,..v�'�',. �1Y CQMM{S�lQN�FF 238396 :��Y°`�;-„ 'r"'.''� .
<br /> U �551QN�EF 238396
<br /> Name of Notary g 'Dr star�i}��(R� :�lltl9 9 ame of Notary typed,print 3y;s �; ��'piRES:JiiRe 8,2Q19
<br /> �'F',,���� ��`� Bandpd 7hru Na1Ary I�utlll0 Undl3tw�tE�s o-
<br /> "�%�;oF��;,°�'' Bonded ThN Notary Public Undervmters
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