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<br /> NOTICE OF DEED RESTRICTIONS: 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 restcictions. � _ .� , , . - _
<br /> UNLICENSED�CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contraetors to undertake wqrk; they may be requir.ed to be licensed in accordance with state:_and local:cegulations. -If tFie
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation.
<br /> under state law. If the owner or intend'ed confractor are_uncertain as to what�licensing requirements may apply for the
<br /> intended work, they are advised to contact#he Pasco County Bailding Inspection Division—Licensing Section at.Z27-847-
<br /> 8009. Furthermore, if the owner�has'fiired a' contractor or contractors, he-is�advised-to have�the conf'racto�(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+privileges in°Pasco
<br /> County. � -
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> thaf Transportation Impact Fees.�and Recourse Recovery Fees may apply 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 b,e paid,prior.,to
<br /> receiving a "certificate of occupancy" o�final power release. If the�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 LAW(Chapter 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 tliat I have obtained a copy of the above described documenfand promise in good faith to
<br /> deliver it to the"owner"prior to commencement. -
<br />, CONTRACTOR'S/011VIVER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all;wo�k
<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 Serisitive
<br /> L'ands,WaterM/astewater 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 Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways. , f
<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 Flood 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 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 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 provisions 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 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. If work ceases for ninety(90)consecutive days, the job is considered abandoned�
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEfdCEMEfVT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR'IMPROVEMENTS TO YOUR PROPERTY. IF YOU;,INTEND T_O OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER�OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. �
<br /> FLORIDA JURAT_(F.S. 117.03) _ _ _ _____ _ — _ _ - _—__ _ -- -
<br /> OWNER OR AGENT 4 CONTRACTOR �� ' lC Cc.IS�'c�
<br /> Subscribed and swom to(or affirtned)before me this Subscribed and swom r ed)before me this
<br /> by �D-�r/7 by
<br /> Who Is/are personally known to me or has/have produced Wh)�s/are pe nally.k o to me or has/have produ d
<br /> as identification. Q/f 1 2 as identification.
<br />� �
<br /> Notary Public Notary Public
<br /> Commission No. Co mis ' n No
<br /> •;:�:r'y;•. JACQUELINE BOGES •
<br /> =��� �c`= Commission#FF 150422
<br /> Name of Notary typed,printed or stamped Name of Notary typ c�,' ror 8t�ir�ecember 12, 1 �
<br /> ,;�.....•Q.. ;
<br /> o���0.�' iondod TMu Tray Fein Insuranca 800.385-7019 '+
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