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- � NOTIGE OF DEED FtESTRICTIONS: 7he undersigned understands that this permii may be subject to"deed"restrictions"
<br /> which may be more restrictive than Co�nty regulations. The undersigned assumes respansibility for compiiance with any
<br /> applicable deed restrictions.
<br /> � UNLICENSED CONTRACTORS AND CONTRACTQR RESPONSIBlLITIES• If the owner has hired a cpntractor ar
<br /> contractors to undertake work,they may be required to be Iicensed in accordance with state and Iocal regu(ations. if the
<br /> contractor is not licensed as required by law, both the owner and cantractor may be cited far a misdemeanor violation
<br /> under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact ihe Pasco County Building Inspection Division--Licensing Secfion at 727-&G7-
<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 far which they will be responsible. If you, as the awner sign as the
<br /> cantractor,that may be an indication that he is not properly licenssd and is rtot entitled ta permitting privileges in Pasco
<br /> County.
<br /> TRANSPOR7ATION IMPAC7/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transpartation impact Fees ar�d Recourse Recovery Fees may apply to the consttvction of new bui(dings,change of
<br /> use in existing buildings, or expansian 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. !t i�further understood that Transpartation lmpact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final power re(ease. If fhe project daes not involve a certificate of occupancy or
<br /> final pawer release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,tney must be paid prior to permit issuance in accardance with applicabfe Pasco County ordinances.
<br /> CONSTRUCTlON LiEN LAW(Chapter 713,FIorida Statutes,as amended}: if vaivation of work is$2,5d0.00 or more,(
<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 Agricuiture and Consumer Affairs. !f the appEicant is sameone
<br /> athar than fhe"awner",i certify thaf I have obtained a capy of the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: !certify that a!I the information in this application is accuraie and that a!!work
<br /> will be dane in campliance with aII applicable Iaws ragulating construction,zaning and(and deve(opment. App(icaGan 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 perfiormed to meet standards of all laws regulating
<br /> construcfion, County and Gity cades, zoning regulations, and land development regu(atians in fhe jurisdiction. I aiso
<br /> certify that I understand that the regulations of other gavernment agencies may apply to the intended work,and that it is
<br /> my responsibility to identify what actions I must take to be in campliance. Such agencies include but are not fimited to:
<br /> - Department af Environmental Pratection-Cypress Bayheads, Wetland Areas and Environmentally SensiGve
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - U5 Environmental Protection Agency-Rsbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I undetstand that the follawing restrictians appiy to the use af fill:
<br /> - Use of fil(is not allowed in Fiood Zone"1J"uniess expressiy 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 af permitting which is prepared by a prafessianal engineer
<br /> Iicensed by the Stafe 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 /> cpnstruction,I certity that fill wN!be used oniy to flfl the area within the stem wail.
<br /> - If fiI( materiai is to be used in any area, ( cecfify tfiat use af such fiIi wif( not adversely affect adjacent
<br /> praperties. 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 atteched 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 cpmmencing construction. I understand that a separate permit may be required for electrica!wark,
<br /> plumbing, signs,wells, paols, air conditioning, gas,or other installatians not specifica!(y included in the application. A
<br /> permit issued shall be consVued to be a license to proceed with the work and not as euthority ta violate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Officia!from thereafter
<br /> requiring a correction of errars in pla�s,construction or violations af any cades. Every permit issued shall become invalid
<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 abandoned far a period of six(6)months after the time the work is commenced. An extension
<br /> may be requested, in writing,from the Building Officiai far a period not ta exceed ninety{90)days a�d wEll demonstrate
<br /> justifiable cause for the extensian. �f work ceases for ninety(90)consecutive days,the job is considered abandpned.
<br /> WARNING TO OWNEE2: YOUR FA(�URE TO RECOi2Q A NOTlCE OF COMMENCEMENT MAY RESULT!N Y4UR
<br /> PAYiNG TWICE FOR IMPROVEMENTS TO YOUR PFtOPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR L ER TOR EX-BC-FORE RECORDING Y R NOTICE OF GOMMENCEME .
<br /> FLQRIpA JURAT(F.S .0
<br /> • �OWNER OR AGE C NTRACTOR •
<br /> �S�scri�bevdi�b�v� n to o�a��ffir � before me thi�� S � nd swom (or ffir e r t �
<br /> �o i�sonaliy knawn to me or hasthave producsd Who islare p sona(i to me or has/have produced
<br /> � as identification. as identification.
<br /> e
<br /> Notary Public Notary public
<br /> Commission No. Comm' i N
<br /> „��, �""�"""r""""'��'" ��`avpo'��. SHERRI L.WILKIE
<br /> ae$p� WjF�yy c t ped Name ��r�e��E���ic-Stale ot F ori a �
<br /> -:: .�: Commissfon#FF 2Q�861 * � -
<br /> ;�,J ;o�;N{y Gomm.Expires May 22.26i8
<br /> ::?x Expires Aprii 23,2b19 �`
<br /> ro�: o
<br /> '�p„�� ` 6andediNuThryFtinii.smaM:M8C10.3B5.'7019 ��'�,�FUpC�O:��` Commission#FF 107354
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