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<br /> NOTICE OF D�ED RESTRICTIONS: The undersigned understands that this permit may be subject ta"deed"gestrictions"
<br /> which may be more�restrictive than County regula#ions. 7he undersigned,assumes responsbility for compliance with:any
<br /> applicable deed rest.r:ictions. , _ � ; ,. _ _ � -
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI�S: If the owner has hired a contractor or.
<br /> contractors to undertake work, they may tie�required to be licensed-in accordance with state and IocaJ�.r.egulatiiins. tf the
<br /> contractar is not licensed as.required by law, both #he owner and contractar may be cited for a misdemeanor_v,iolatian.
<br /> under state law: if tha awner or infendet! contractor are uncertain as to what licensing�requirements may appljr far #he
<br /> intended work, they are advised fa contact fhe Pasco County Buiiding Inspection Division--Licensing Sectian at 727-847-
<br /> 8p09. Furthermore, if the owner has fiired a contractor or contractars, he is•advised to have th`e contract�r(s)'sign
<br /> partiaRs of the "can#ractor Blockp of this applica#ion�far which they wiN be responsible. If you, as the awner sign as the
<br /> cantractar, that may be an indication that he is not properly licensed and is not entitled to permitting'privileges in Pasco�
<br /> County. �
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEE3: The undersigned understands
<br /> #hat Transpartation lmpact Fees-and Recourse Recovery Fees may apply to #he construction of�new buildings, change of
<br /> use in existing buiidings, or expansion af existing builc3ings, as specifted in Pasco County Ordinance number�89-07 and.
<br /> 90-07, as amended. The��undersigned.also unders#ands, that such fees, as may be due, wilf�be identified at the time af
<br /> permitting. If is further understaod #hat Transpartation Impact Fees and Resource Recovery�Fees must be paid pr:4or-,to.
<br /> receiving a "certificate of occupancy" or final pawe� release. If the.praject daes not involve a�certificate of occ�rpancy or
<br /> finat pawer release, the fees must be paid prior to permit issuance. Furth�rrnare, if Pasco County Water/Sewer. Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance wi#h applicable Pasco Caunty ardinances.,
<br /> CQNSTRUCTION LlEN LAW tChapter.743� Florida Statutes, as amended): If valuation of work is$2,500:00 or more, I
<br /> certify that 1, the appficant, have-been pravided with a copy af the "Florida Gonstruc#ion Lien �aw—Homeawner's.
<br /> Protectian Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"ownet�, 1 cettify that 1"have obtained a copy of the above described document�and prom�se in good faith to
<br /> deliver it to the"owner" priar to cammencement. ��
<br /> CONTRACTOR'SIOWNER'S AFFIQAVIT: =I certify that all the information in this application is accurate arid tha�all�work
<br /> will be dane in compliance with afi applicab,le laws reguiating construction, zoning and land development. App(ication is
<br /> hereby made ta 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 (�e pecformed to rr�eef standards of alt laws r�gulating
<br /> construc#ion, County and City codes, zaning regulations, and land development regulations in the jurisdiction. I alsa
<br /> ce�tify that 1 understand that the regulations of other goverr�ment agencies may apply ta the intended war,k, 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 /> - Deparkment of Environmental Protection-Cypress Bayheads, Wetland Areas and �nvironmentaUy �ensitive
<br /> L'ands,Water/1Nastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Alfering
<br /> 1Natercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Deparkment af Health & Rehabilitative Services/Environmenta! Heafth Unit-Wells, Wastewater Treatrnent,
<br /> Septic Tanks. ;
<br /> ' - US Environmenta!'Protection Agency-Asbestos abatement. ;
<br /> - FederaE Aviation Autharity-Runways. ;
<br /> I understand that the following restrictions apply to the use of filL• �_
<br /> - Use of fill is nat atlawed in Fload 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 volusne° will be submitted at tirne af permitting which is prepared by a professional engineer
<br /> licensed by the S#ate of Fiorida. �
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> constructian, t certif}r that fli will be used only to�Il the area within the stem wall.
<br /> - If fill material is to be used in any area, I certify that use of such �II will not adversely affect adjacen#
<br /> properties. If use a#fill is faund to adversety affect adjacent properties,the awner may be cited for wiofating
<br /> the conditions of the building permit issued under the atfached permit apptication, for lots tess than one (1)
<br /> . acre wh9ch are elevated by fill,an engineered drainage plan is required. ,
<br /> If 1 am the AG�NT FOR THE OWNER, ( promise in good faith ta inform fhe owrter of the permitting canditions set forth in
<br /> this affidavit priar to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, welis, pools, air conditianing, gas, ar ather instalEatians not spec�cally inclucied 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 pcavisians of the technical codes, nor shalt issuance af a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in pians, construction or violations of any codes. Every permit issued shalt becom�irivalid
<br /> unless the work autharized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandaned far a period of six(6}months after the time the vuork isa�comrr�enced. An extei�sion
<br /> may be requested, in writing, from,the Building Official for a period nat to exceed ninety (90) days and will demonstrate
<br /> just�able cause far the extension. If wark ceases for ninety{90}consecutive days,the job is cons9dered abandoned;
<br /> ;
<br /> WARNlNG TO OIAfNER: YOUR FAlLURE TO RECORD A NOTlCE OF COMMENCEMENT MAY RESULT II� YOUR
<br /> PAYtNG TINtCE FOR tMPROVEMENTS TO YOUR PROPERTY. IF YC�U iNTEND TO U TAtN PINANCING,Gt�NSULT
<br /> Vill"PEi Yt'3UR-L-ENDER�OR-Q►R1-A"d''TORN�V BEFORI�RECOR�lRlG-Y-Oi�lR-!d E O– O BAENC�MENT. � -- -- , _
<br /> FLqRIDA JURAT{F,S.11T.03)
<br /> OWNER OR AGENT CQNTRACTOR� „_
<br /> Subscribed and swom to(or a�irmed}before me this Su�scdb d and swo a rtn d}befare me this
<br /> by Pj^��b '
<br /> Who is/are personally known to me or has/liave produced Wh s/a�,e p rsonal�Y k awn to me or has/have produced -
<br /> as identification. �c�}2C�V�.�`�l.t,�.t�.s�-- as IdentificatEan.
<br /> � '
<br /> Notary Public � Notary Publia
<br /> Comm[ss'son Na. G m ssion ,� ���;-•,,` �ACQU INE BOGE 422
<br /> w� :r= Expires December.12,2018
<br /> ;:+�.. a� ein Inwrenoo 60Q3�`-7q19
<br /> Name of Notary fyped,printed or stamped . Name of iJotary
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