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� NOTfCE 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 /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake worlc,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 lhe
<br /> inte�ded 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 conlractor or contradors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this application for which they will he 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 IMPACTIUTlLITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Re�ourse Recovery Fees may apply to the constructlon of new buildings,change of
<br /> use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance num6er 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 invofve a certificate of occupancy or
<br /> final power release,the fees must be paid prior to permit issuance. Furthermore,if Pasco County WatedSewer 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 Statutes,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 ConsWction Lien Law—Homeowners
<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'SlOWNER'S AFFIDAVIT. 1 certify that alt 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 instailation has
<br /> comme�ced 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 codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is
<br /> my responsibitity 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 Sensitive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Arrny Corps of Engineers-Seawalls,Docks,Navigable Watervvays.
<br /> - Department of Health & Rehabilitative ServiceslEnvironmental Health Unif-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation 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 pertnitted.
<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"witl 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 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 fiii will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties,the awner 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 affidavit prior to commencing construction. I understand that a separate pertnit may be required for electrical work,
<br /> plumbing, signs,wells, pools, air conditioning, gas, or other installations not specifically inciuded 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 provisiorts 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 O�cial for a period not to exceed ninety(90)days and wili 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 RESl1LT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDE OR AN ATTORNHY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEIVT.
<br /> FLORIDAJURAT(F S,11 3)
<br />� OWNER OR AGEN.T.�-- L �1 CONTRACTOR
<br /> S bsa� d and�wosnJ�w altir �) � a h Subscribad and�wyom lo(or a�rmed)hefore me this
<br /> �
<br /> Who islare nown o e or has/have produced Who islare personally known to me or has/have produced
<br /> ns identificatian, es identificatlon
<br /> � �
<br /> Notary Public Notary Public
<br /> �Comm�sian No. � " �� Commission Na,
<br /> 2%� ���
<br /> Name o(Notary lyped,prinled or stamped " Name of Notary[yped,printed or stamped
<br /> �����iiu�.�� . _ . .. �,
<br /> ��,.o�P"'''�'o;:: '. VEROfdIC/iTUTEN
<br /> '�: :`��: Nofary Public-State of Florida
<br /> ,;,� •:Q;;•My Comm.Expifes May 21,2017
<br /> ��%; P'� C6mmission #FF 02Q015
<br /> � %°;���:,�,
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