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<br /> NOTICE OF DEED RESTRICTIONS: The undersi ned understands that this ermit ma be sub'ect to"deed"re ' $
<br /> 9 P y ) sfichons" �
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any `' ' ,
<br /> applicable deed restrictions. ,
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required tiy law, both the owner and contractor may be cited for 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 the Pasco 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 will be responsible. If you,as the owner sign as the
<br /> cantractor,that may be an indication that he is not properfy licensed and is not entitled to permitting privileges in Pasco
<br /> County. -
<br /> TRANSPORTATION IMPACT/UTiLIT1ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Rewurse Recovery Fees may apply to the canstruction of new buildings,change of
<br /> use in existing buildings,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 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"cetfificate of occupancy"or 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, ff Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to pertnit issuance in.accordance with applicable Pasco County ordinances. �
<br /> COPISTRUCTION 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 Agricuiture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner",I certify that 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'SlOWNER'S AFFIDAVIT: I ceitify that all the infortnation in this application is accurate and that all work
<br /> will be done in compliance with all applicabie 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 installatian has
<br /> commenced prior to issuance of a permit and that all work will be perFormed to meet s�ndards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 aiso
<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 identify what actions I must take to be in compliance. Such agenaes include but are not limited to:
<br /> - Departrnent of Environmental Protection-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
<br /> Lands,WateNWastewater 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 Senrices/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 fallowing restrictions apply to the use of fiil:
<br /> - Use of fill is not allowed in Fiood 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 Ume of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill materiai is to be used in Flaod Zone°A" in connection with a pertnitted building using stem wall
<br /> construction,I certify that fiii will be used only to fill the area within the stem wail.
<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 buiiding pertnit 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 cammencing construction. I understand that a separate permit may be required for elechicaf work,
<br />� plumbing, signs,wells, poois, air conditioning,gas, or other installations not specfically induded in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to vialate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a permft prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every permR 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 Officiai for a period not to exceed ninety(90)days and wiii 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 BEFORE RECORDING YO NOTiCE OF COMMENCEMENT.
<br /> FLORIDEI JURAT(F. 03) � c „ ` -
<br /> l,
<br /> OWNER OR AGEN CONTRACTO _
<br /> ;Sut��ri�nd swo t (or affirme�befo rp this �` Subs�' ed a d b 6 0 � befo me
<br /> vi17 � r �– ��`���F
<br /> -----Who is/a etsonally known to me or haslhave produced Who is/ara pers n` all� ro me or hasR�ave produced
<br /> asi'aeno`ncafion. aSide�rtifiC3Uon.
<br /> ` Notary Public �e� Notary Public
<br /> Co ission No.
<br /> ...,,�.,�... SYL
<br /> ?01�v PU�''•: a e of Florida SYLVIA A.CAMPBELL
<br /> Na oT print��y��pp�,G 112939 Name of Nota '•,•,,•,••••„ ar�yt8u ic- �e u
<br /> �' ` .� �h� ; •`- Cnmmission k GG 11293'J ,
<br /> �N g: MyComm,ExpiresJu119,2021
<br /> ��''��OK F�,��.• ';,,�� �Ci!��'�;: My Comm,Expire3 Jul 19,2021
<br /> donded th�ough National Notary Assn.
<br /> •••,t;;��;;;�'�' BondedthroughNatianalNotaryAssn,
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