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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 restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restriclions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPON5161LITIES: If the owner has hired a contractor or
<br /> coniractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as requi�ed by law, both the owner and contractor may be ciled 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 Bullding 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 applica6on for which they will be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indicalion that he is not properly licensed and is not entitled to permitting priviteges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES 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 speafied 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 permii 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 ConsVuction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Department of P�qriculture 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 ihe"owner'prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the(nformation 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 cerfify 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 ail 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(s
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies inctude but are not Iimited to:
<br /> - Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensftive
<br /> Lands,WaterlWastewater 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 Heaith & 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 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 /> "compensaiing volume"will be submitted at time of permitting which is prepared by a professional engineer
<br /> Iicensed by the State of Florida.
<br /> - If the fili material is to be used in Flood Zone "A°in connection with a permitted building using stem wall
<br /> constructfon,I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, i certlfy that use of such flll will not adverseiy affect adJacent
<br /> properties. If use of fiil 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 torih 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 appiication. A
<br /> permit issued shall be construed to be a Iicense to proceed.with the work and not as authority to vfolate,canrzl,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 author'�zed by such permit is commenced within six months of permit issuance,or if work autharized by
<br /> the pertnit 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 wriGng,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�R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S�9
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subs bed and���o(or a�e�d�b.,efore ' Subscribed end swom ro(or affirmed)hefore me this
<br /> '��bY.l�C1[���'Q'!2-r bY
<br /> o islare ersonaliy known to me ar haslhave produced Who is/are personally known to me or hasThave produced
<br /> as ident�cation. as identification.
<br /> n otary Puhlic Notary Pu61ic
<br /> Ission No. Commission No.
<br /> r
<br /> CYNTFN ���ed or s ped Name of Nolery typed,printed or stamped '
<br /> Notary Pubilc-Artcansas
<br /> Benton County
<br /> Commission#12401de1
<br /> Exp(raUon Date:October 20,2024
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