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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 responsibilityr for compliance with any
<br /> applicable deed restrictions. ..
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILI7'IES: If the owner has hired a contracto�or
<br /> contractors to undertake woric,they may be required to be licensed in accordance with state and local regulations. If the
<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 intended contractar are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Divisior�Licensing Section at 727-847-
<br /> 8009. Furthertnore, 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 appiication 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 entiUed to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recove'ry Fees may apply to the const►uction of new buildings,change of
<br /> use in existlng buildings, or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also undersfands,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"cerdfioate of occupancy"or final power release. If the project does not involve a certificate of accupancy or
<br /> final power release,the fees must be paid prior to permit issuance. Furthermore, 'rf Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to pertnit issuance in axordance with applicable Pasco County ordinances.
<br /> , CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,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 Departrnent 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 document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement �
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: 1 certify that ail 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 govemment agencies may apply to the intended work,and that it is
<br /> my responsibility to idenGfy what actions I must take to be in compliance. Such agenaes include but are not limited to:
<br /> - Department of Environmental Protecdon-Cypress Bayheads,WeUand Areas and Environmentaliy Sensitive
<br /> Lands,WaterNVastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater TreaVnent,
<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 fiil: �
<br /> - Use of fitl is not aliowed in Fiood Zone"V"unless expressly permitted.
<br />� - If the fill material is to be used in Fiood Zone "A", it is understood that a drainage plan addressing a
<br />' "compensating volume"will be submitted at tlme 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 pertnitted building using stem wall
<br /> construction,I certify that fill wilf 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 pertnit issued under the attached permit application,for lots less than one(1)
<br /> , acre which are elevated by fiii,an engineered drafnage pian is required.
<br /> If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting condfions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for elecfical work,
<br /> plumbing, signs, welis, pools,air conditioning, gas,or other installations not specifically induded in the application. A
<br /> permit issued shail 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 techriical codes,nor shall issuance of a pertnit prevent the Building Offlcial from thereafter
<br /> requiring a correction of errors in plans,construction or violatlons of any codes. Every permit issued.shall become invalid
<br /> unless the work authorized by such pertnit is commenced within six months of pertnit 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 Officiai for a period not Yo exceed ninety(90)days and wili 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 COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFO RECORDING Y NOTiCE OF COM NCEAAENT.
<br /> FLORIDA JURAT(F.S. . 3) � ^
<br /> OWNER OR AGENT w e;�uTRACTO �
<br /> ��Subscribed� sxiom to �ed)b e is�r /Su�be�and to(or affirtned)b�ore�thi�, _ p�
<br /> � d b -��e ra��z
<br /> Who is/are ona y wn to�f e or has/have produced Who is/are na y mow o me or hasThave produced
<br /> - as identification. as ideMfication.
<br /> ��� `���-�'/ ic Notary Public
<br /> Co issipr�, �•, A A.CAMPBELL Co ion No. -
<br /> '20� ;c;=. Notary Public-State of F ori a SYLVIA 0.CAMPBELL
<br /> Nam �N� �oP;printy o������021 Name of Notary typed, rip , , ped NOtary U � -
<br /> M " " Commission#GG 112939
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