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9 � . _�.
<br /> NOTICE OF DEED RESTRIC7'IONS: 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.resttictions. , . - . -- , r _ . . � -
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor.or..
<br /> contraetors to undertake work; they may b'e required to be licensed-in accordance with state and local-regulatioris. Ifthe
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdem,eanor violation;
<br /> under state law. If the owner or intended'cont'ractorare uncertain as�to what�licensing requirements may�apply fo�the�
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing..Section at.727-8'47-
<br /> 8009. Furthermore, if the owner has'liired a'contractor-or contractors, he is-�advised to have tFie�cont�actor(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 properly licensed and is not entitled to permitting:peivileges in Rasco�
<br /> County. �
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AMD RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Trarisportation Impact Fees�and Recourse Recovery Fees may appl,y 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" o�final power release. If tfie.-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 LAVI/(Chaptec 713, Florida Statutes, as amended): If valuation of work is$2,500:00 or m`ore, 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"owner", I certify that I have obtained a copy of�the above described documenf and promise in good faith to
<br /> deliver it to the"owner" prior to commencement. '
<br /> CONTRACTOR'SlOWNER'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 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 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 /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> L"ands, WaterNl/astewafer 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 Wealth & 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 permitted. '
<br /> - If the fill material is to be, used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating 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 fill material is to.be used in F,lood Zone "A" in connection with a permitted building using stem wall
<br /> construction, 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 aff.ect .adjacent
<br /> properties. If use of fill is found to adversely affect adjacent propeities,-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 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 be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br /> set.aside any ptovisions 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 authorized by such permit is commenced vuithin 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)kdays 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 COMMENCEMEfdT lMAY RESULT IN.YOUR
<br /> PAYING TWICE FOR'IMPROVEMENTS 7`O YOUR PROPERTY. IF�fOU IfdT.END TO OBTAIN FINANCING, CONSULT
<br /> .�lWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF�COMMENCEMENT. �
<br /> FLORIDA JURAT(F.S.117. ) -- -
<br /> OWNER OR AGENT ���I �.�� CONTRACTOR � 2� �
<br /> Subscribed and sworyi o(or�ffirmedJ�be'fo��re, me this Su�b,s;c�r�ib�e�d�a,nd swo to(or affirm�d)before e this '
<br /> Id--Sy/� by G�/a c�/t° 61�/`��— _��by �-1 �6,�����12Q� . ;
<br /> Who is/are personally known to me or has/have produced Who is/ re�p erson I known'fo me or has/have produced `
<br /> _��P/��� L/C/ as identification. ��GG(� � �-(� + as identification.
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<br /> .dr����� � Notary Public � Notary Public
<br /> Commission No. ��c.T Dy-�� Commission No._ ,�j�G(.L.��C�L�
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<br /> Name of Notary typed,printed or stamped Name of Nota
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