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<br /> • ' NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" �I
<br /> which may be more restrictive than Gounty regulations. The undersigned assumes responsibility for compliance with any I
<br /> applicable deed restrickions.
<br /> = UNLICEN�ED CONTRACTORS AMD CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be license�in accordance with state and local regulations. If the
<br /> contractor is not Iicensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are un�ertairl as to what licensing requirements may appiy for the
<br /> intended work,they are advised to contact th�;Paseo County Building 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 application for which they wiil be responsible. If you, as the owner sign as the
<br /> contractor,that may be an�ndication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATIOIV IMPACT/UTILITIES IMPACT AND RESOi1RCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the constfuction of new buildings,change of
<br /> use in existing buildin�s, or expansion of existing buildings, as specifled in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands,that such fees, as m�y be due,will be identified at the time of
<br /> permitting. It is further understood that Transportation Impaat Fees a�d Resource Recovery Fees must be paid prior to
<br /> recefving a"certificate of occupancy"or�nal power relee�se. If�the proje'ct does not involve a certificate of occupancy or
<br /> final power release,the fees must be paid prior to peririt lsauance. Furthermore, if Pasco County W�ter/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuenGe in aacardance with applicable Pasco County ofdinances.
<br /> CONSTRUCTION LIEM LA1N(Chapter 713,Florlda Ststutes,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 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�btained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to cammencement.
<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 law��egulating construction,zoning and land development. Application is
<br /> hereby made to obtain a �ermit to do Work and inst�llation as fndicated. 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 /> constructiQn, County and �ity codes, �oning regulatipns, and land development regulations in the jurisdiction. I als�
<br /> certify that I understand that the re�ulations 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 /> - Dopartment of Envirormental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive,
<br /> Lands,Water/Vlfastewater't'reatment.
<br /> - Southwest Florida Water Management District-Wells, Cypregs Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Gprps of Engineers,Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehak�ilitative 8ervices/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 tYie 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 submitt�d at time qf permitting which is prepared by a professlonal engineer
<br /> Ilcensed by the State of Florida.
<br /> - If the fiil material is to be used in Flood Zone "F." 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 a�ea, I certify that use of such fill will not adve�sely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> the conditions of ihe building permit issued under the att�ched 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 AGEPVT FOR THE 01NNER, I promise in good falth to inform the owner of the permitting conditlons 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 proeeed with the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of the technfcal codes,nor sh�ll issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,construction or viplations of any codes. �very permit issued shall 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 or aban�oned for a period Qi six{8)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 exeeed 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 /> Wl�RNING TO O�INER: YOUR FAILURE TO RECORD A NOTICE OF CORflMENCENIENT MAY RESULT IN YOUR
<br /> PAYIPIG TY�ICE FOR IMPROVEM�PITS TO YOUR PRC)PERTY. IF YOU IM'iEfVD TO O�TAIN FINAIVCING,COPISULT
<br /> WITM YOUR LENCIER OR AN ATTORN�Y BEFORE RECORDING YOUR P10TICE OF COMMENC�MENT.
<br /> FLOF2IDAJURAT(F.S. 7:03) � � �
<br /> OWNER OR AGEMT l/�I"�' CONTRACTOR �
<br /> Su s b d and swo to(or (firmed)before me this Sy�ps�(6e�and sworn (or affiimed) re me this
<br /> ����by �.1A.�'�iS f`(1G��' lC�l/�l/!7 b�C/G�/'/(Gi
<br /> ( ona y ow�me or hasRiave produced NIh i:Ja sonally mo to me or hes�v tocluced
<br /> — as ideniin'caiion. as identification.
<br /> �Sd�' Notary Public Notary Public
<br /> Commission Np.�1� Commission No. �7T���..t��
<br /> Namesf�l��ry typod��qp(�Ip,qs��LE SHAD� Neme o(Notary ryped,pdnted or startiped '��.;:�I AMANDA AMChiELE SFIADIE
<br /> T'=
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