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<br /> NOTICE OF DEED RESTRICTI�NS: The undersigned understands fhat this permit may be subject ta"deed"restrictionsn
<br /> which may be more �estrictive 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 /> contrac#ors to undeetake urork, they may be required ta be licensed En accordance virith s#ate and lacal regulations. If the
<br /> cantractor is not licensed as required by law, both the owner and cantractor may be cited far a misdemeanor violation
<br /> under state law. (f the owner or intended contrac#or are unceetain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Buiiding Inspection Division—Licensing Secfion at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractar or contractors, he is advised to have the contractor(s) sign
<br /> portians af the"cantractor Bbck" of this applicatian far which they will be responsible. 1f you, as the owner sign as tha
<br /> cantractor, that may be an indication that he is not properly licensed and is not entitled ta permitting privileges in Pasco
<br /> Gounty.
<br /> TRANSPORTAT(ON IMPACTNTILITIES 1MPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation lmpact Fees and Recourse Recavery Fees may apply to the construction of new buildings, change af
<br /> use in existing buildings, or expansion af existing buildings, as specified in Pasco Caunty 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. if is further understaod that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of accupancy" or final power release. If the project does not invalve a certificate of occupancy or
<br /> final pawer refease, 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 wark is$2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with a capy af the "Flarida Construction �ien �.aw—HameavMmer's
<br /> Pratection Guide" prepared by the Florida Department of Agricul#ure and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", l ce�tify#hat 1 have abtained a copy af the above described dacument and promise in good faith ta
<br /> deliver it to the"owner" prior to commencement.
<br /> CQNTRACTOR'S/OWNER'S AFFIDAVlT: I certify that al) the information in this application is accurate and that all work
<br /> will be done in compliance with al( app(icable iaws regulating construction, zoning and Iand develapment. Application is
<br /> hereby made to obtain a permit to da work and installation as indicated. I certify that no work or installation has
<br /> commenced priar to issuance of a permit and that all work wiS1 be performed tQ meet standards af all laws regulating
<br /> construction, Caunty and City cades, zoning regulations, and land development regulations in th� jurisdiction. I alsa
<br /> ce�ti#y that 1 understand tha#the regulatians of other govemment agencies may apply to the intended work, and that it 9s
<br /> my responsi6ility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Enviranmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> L`ands,WaterlWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Wateccourses.
<br /> - Army Carps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department af Health 8� Rehabilitative ServiceslEnvironmental Health Unit-We!!s, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authorit}r-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is nat alloweti in Fload Zone"V" unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understoad that a drainage plan addressing a
<br /> "compensating valume" wifl be submitted at time of permitting which is prepared by a professianal engineer
<br /> (icensed by the State of Florida.
<br /> - If the fill material is to be used in Fload Zone "A" in connection with a permitted building using stem wall
<br /> cons#ruction, 1 certify that fill will be used only to fill the area vuithin 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 /> properties. If use of fiN is found ta adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the,building permif issued under the attached permit appiicafion, for (a#s (ess #han one (1)
<br /> . acre which are elevated by fill, an engineered drainage plan is required.
<br /> tf i am the AGENT F�R THE OWNER, I promise in goad faith ta infarm the owner of the permitting conditians set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> p{umbing, signs, wells, paals, air conditianing, gas, or ather installations not specificalfiy 9ncluded in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to viotate, cancel, alter, or
<br /> set aside any pravisions of the technical codes, nor shall issuance of a permit prevent#he Building Official from thereafter
<br /> requiring a correcfion of errors in pians, construction or violations of any codes. Every permit issued shaii became 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 ar abandaned far a period af six{6)months after the time#he wark 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 far the extensian. If work ceases for ninety{90}cansecutive days,the job is cansidered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTlCE OF COMMENCEMENT MAY RESU�T IN YOUR
<br /> PAYiNG TWiCE FOR IMPROVEMENTS TO YOUR PRQPERTY. 1F YC}U tNTEND TO CIBTAIN FtNANC1NG, CCtNSULT _______
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N ICE OF COMMENCEMENT. '
<br /> — --- _ _ . - __-- _ - �__ .._ -
<br /> -FLORIDAJURAT"(F:S:917.Q3} " - ---------- -- -
<br /> OWNER OR AGENT CONTRAC70R �
<br /> � "� �
<br /> Subscr'sbed and swam to(or affirmad}bsfore me this S bsc' d and swom o affirmed}before rr�e this �
<br /> bY ����Y
<br /> Who is/are personally known to me or haslhave produced ho i /a��personally known to me or has/have produced
<br /> as identifrcatian, as identification.
<br /> Notary Public ��'�(.0_��,,,.�L1 /�r���='.-�� Notary Public
<br /> Gommissian No. Com iss�an No. ��/(�f/�'-5��
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<br /> Natrte of Notary typed,printed or stamped Name of Notary t�,..��, ��8�3RRl�(�C*��"'fi"'�"
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