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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 res#rictive than County regulatians. The undersigned assumes responsibility for compliance with any
<br /> app(icab(e deed restrictions
<br /> UNLICENSED CONTRACTORS AND CONTRACT�R RESPONStBtLi'TlES if the owner has hired a contractor or
<br /> cantractors to undertake wark, they may be required to be licensed in accardance with state and local regulatians If the
<br /> cantractor is not licensed as required by law, both the owner and cantractor may be cited for a misdemeanar violation
<br /> under state !aw If the owner or intended cantractor are uncertain as to what licensing requirements may apply far 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 ar contractars, he is advised to have the cantractor{s} sign
<br /> portians of the "contractor B1ack" af this appiication for which they wi11 be responsible. If you, as the awner sign as the : �
<br /> cantractar, that may be an indicatian that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County .
<br /> TRANSPORTATION lMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery �ees may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing bui(dings, as specified in Pasco County t�rdinance number 89-07 and
<br /> 90-0%, as amended The undersigned a}so understands, that such fees, as may be due, wil! be identified at the time o# I
<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 fina! power release. lf the project does nat involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior 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, Florida Statutes, as amended). If valuation of wark is $2,50d 00 or more, 1 �
<br /> certify that I, the app(icant, have been pravided with a copy af the "Flarida Canstruction Lien Law—Hameowner's
<br /> Protectian Guide" prepared by the Florida Department of Agricu(ture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", l 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 commencemen#.
<br /> � GONTRACTOR'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 ali applicable laws regu(ating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installatian as indicated 1 eertify that no wark or installatian has
<br /> commenced prior ta issuance of a permit and that all wark vuill be performed�to meet standards of all laws regulating
<br /> consfiructian, County and Gity cades, zoning regulations, and land development regulations in the jurisdiction 1 also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my respnnsibility to identify what actions I must take to be in compliance Such agencies inc(ude but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetiand Areas and Environmentally Sensifive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwesf Flarida Water Management District-Wel1s, Cypress Bayheads, Wetland Areas, Rltering
<br /> Watercaurses.
<br /> - Army Corps of Engineers-Seawalls, Dacks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Healfh Unit-Wells, Wastewater Treatment,
<br /> � � Septic Tanks.
<br /> - US Environmentai Protection Agency-Asbestos abatement.
<br /> - Federai Aviation Authority-Runways.
<br /> 1 understand that the fol{owing restrictions apply to the use af fill:
<br /> - Use of fi!! is not aNawed in Flood Zone"V" unless expressly permitted.
<br /> - !f the fill material is ta be used in Flood Zone "A", it is understoad that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professiona( engineer ,
<br /> licensed by the State of Florida.
<br /> - lf the fi(( materia( is to be used in Fload Zane "A" in connectian with a permitt�d building using stem wa{I
<br /> cans#ruction, I certify that fill wi(! be used anly ta fil!the area within the stem wall.
<br /> - If fill material is to be used in any area, 1 certify that use af such fi!! wil! not adversely affect adjacent
<br /> properties. !f use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the buifding 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, 1 promise in good faith to inform the awner of the permitting conditions set forth in
<br /> this affidavit prior to cammencing canstructian I understand that a separate perrr►it may be required for electrica{ work,
<br /> plumbing, signs, wells, paols, 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 autharity to vialate, cancel, alter, or
<br /> set aside any provisions of the fiechnical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correctian of errors in pians, constructian ar viola#ions af any codes. Every permit issued shall become inva(id
<br /> unless the work authorized by such permit is commenced within six manths af permit issuance, or if wark autharized by
<br /> the permit is suspended or abandoned for a periad af six{6) months after the time the work is commenced. An extension
<br /> may be requested, in writing, from the Building Official for a periad not to exceed ninety (90) days and will demonstrate
<br /> justifi�ble cause for the extensian. If work ceases for ninety (90) consecutive days, the job is considered abandoned
<br /> WARNING TO OWNER: YOUR FAILURE TQ RECORD A NOTICE OF CQMMENCEMENT MAY RESUL,T IN YOUR
<br /> PAYING TWICE FtJR IMPRUVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO t�BTA1N FINANCING, CONSULT
<br /> WITH YOtIR�ENDER OR AN ATTORNEY BEFORE RECClRDING VOUR NOTIC QF C4MMENCEMENT. �
<br /> FL4RlDR JURAT{F S.117.43}
<br /> OWNER OR AGENT COt�iTRACTdR
<br /> Subscribed and sworn to{or affirmed)before me this Sub cribe and s orn to(or affirmed)before me th'
<br /> by Z��by J�. �i--L.0
<br /> Who isJare personaliy known#o me or hasJhave prodnced Wh �slare personally known to me ar hasthave p duced
<br /> as identification. as identification.
<br /> Notary Public Notary Public
<br /> CommiSsion No. Commission No
<br /> � Notary Publtc State oi Florida
<br /> Kace D Surratt
<br /> Name of fVotary typed,printed or stamped Name of Notaty typed,pri � �p�4Y Commiss�ioe FF 086632
<br /> ��, Expkss 41J2612078
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