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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 responsibility for compliance with any
<br /> applicable deed restr4ctions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertal<e 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 fbr 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 contr�ctor(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 proper•ly licensed and is not entitled to permitting privileges in Pasco
<br /> County. `
<br /> TRANSPORTATION'IMPACT/UTILITIES 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 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 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 "owne�", 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 thaf 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 vi►ork 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 that the regulations of other 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 /> - Departrr�ent of Environmerital Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, VI/ater/Wastewater Treatment. -
<br /> - Southw�st Florida Water Management District-Wells, Cypress Bayheads,- Wetland Areas, Altering
<br /> WatercQurses. �
<br /> - Army Cprps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic l'anks.
<br /> - US Envlronmental 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 fll 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 /> "compen:sating.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 fi��'�material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construqtion, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill�m�terial is to be used in ar�y 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 conditians of the building permit issued under the attached permit application, for lots less than one (1)
<br /> . acre whlch 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 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 �e construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br /> set aside any prqvislons of the technical codes, nor shall issuance of a permit prevent the Building Official frqm thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the worl< au�horized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is susperjded or abandoned for a period of six (6) months after the time the work�is commenced. An extension
<br /> may be request�d, In writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for�he extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
<br /> * '
<br /> WARNING TO OWNER; YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICCiFOR 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. 1t17 0
<br /> OWNER OR AGENT ����u�-'��— �
<br /> CONTRACTOR
<br /> Subs Ibed nd sw to�(or affirmed)before me this Subsc ibed and sworn to or affirmed)6efore me this
<br /> '%by �C`�nn�'���utJ�c�.�..�c G by �fc tin� �il ��.ur 1-.r �..,��
<br /> Who is/ar personally I<nbwn�to me or has/have produced Wh is�onally known to me or has/have produced �
<br /> as identification. as identification.
<br /> . ��
<br /> Notary Public � ' Notary Public
<br /> Commission No. i Commissfon No.
<br /> �
<br /> �+ �
<br /> i
<br /> Name of Notary rype�i,pr�nted or stamped Name of Notary typed,printed or stamped
<br /> =o.�pFY��� Notary Publlc Stote of Florida ao.�s+Y r+�� Notary Public State of Florida
<br /> . Gail IVI Donahue � Gail M Donahue
<br /> � My Commiaslon rF 170472
<br /> �'FOFa� EXPirea 11/18/2016 � �� My Commission FF 170472
<br /> oFp� Cxpires 11/18/2018
<br /> .�
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