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i ' tNOTICE OF DEED RESTRICTIONS: The undersigned understands that this permft may be subject to"deed"restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibitity 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 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 c(ted for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for�e __r__� _. ,_ ,
<br /> intended work,they are advised to contact the Pasco County Building Inspection Divisfon—Licensing Section at 727-84�
<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 appliqtion for which they will be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indication fhat he is not propedy Iicensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES lMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings,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 furtF�er 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 Ute project does not involve a certificate of occupancy or� �"r"-� " ' " '
<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 pafd prlor to pertnit fssuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): ff valuation of work is$2,5�0.00 or more,I
<br /> certity 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 Departrnent of Agricuiture and Consumer Affairs. If the appiicant is someone
<br /> other than the"owner',I certify that I have obtalned a copy of the above described document and promise In good faith to
<br /> deliver(t to the"owner"prior to commencement. I
<br /> CONTRACTOR'SIOWNER'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 applicabie 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 installation has
<br /> commenced prior to issuance of a permit and that ali work will be pertormed to meet standards of ali laws regulating
<br /> construction, County and City codes, zoning regulations, and iand 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 responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protectfon-Cypress Bayheads, WeUand Areas and Environmentatly Sensltive
<br /> Lands,WatedWastewater Treatment.
<br />� - Southwest Florida Water Management District-Weils, Cypress Bayheads, Wetiand Areas, Altering
<br /> • Watercourses.
<br />' - Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays.
<br /> - Department of Heaith & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatments --r--, -� •-
<br /> Septic Tanks,
<br /> - US Environmental Protection/�qency-Asbestos abatement.
<br /> - Federal AviaUon Authority-Runways.
<br /> I understand that the fo�lowing restrictians apply to the use of fill:
<br /> - Use of fill is not ailowed in Fiood Zone"V"unless expressly permitted.
<br /> - If the ftll material is to be used In Flood Zone "A°, it is understood that a drainage plan address(ng a
<br /> "compensating 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 fill materiai fs to be used in Flood Zone "A"in connectivn with a permitted building using stem wall
<br /> construc�ion,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 certify that use of such fill will not adversely affect adjacent
<br /> propertles. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> the conditlons of the building pertn(t issued under the attached permit application,for lots less than one(1)
<br /> acre which are elevffied by fill,an engineered drafnage 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 affldavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, welis, pools, air condition(ng, gas, or other installations not specifical{y inGuded in the application. A
<br /> permit issued shall be consVued to be a license to proceed with the work and not as authority to violate,cancel,after,or
<br /> set aside any provisions of the technical codes,nor shail issuance of a permit preverrt the Building Official from thereafter
<br /> requiring a correcUon'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 Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. lf work ceases for ninety(90)consecutive days,the job is cansidered abandoned.
<br />� WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YO11R PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> TH YOUR LENDER OR-A A ORNEY BEFORE RECORDING YOUR NOTICE OF COMM� CEMENT.
<br /> FLORIDA J T(F.S.117.03)
<br />, OWNER OR AGENT CONTRACTO — •-r --r-•7 -' •-
<br /> Subscxibed and svro oraffi ed)before this ubscribed a wo �raffirtned)�efore me this
<br /> C by
<br />' J Who islare nally kno o e o�haslhave produ ed Who is/are er nally know to me o has/have produced�
<br /> i as identifiqtion. as idenfification.
<br /> Notary Public � Notary Publie
<br /> CommissionNo.'���^l�� �o`15�.�. CommisslonNo. �i1(n^7�-��
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<br />� ;��s; P!y,: MY�OMN►ISS 1�23.?�20 ';zc tiXPiRES Fobruary 23,2020
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