NOTICE OF DEED RESTRICTIONS: The undersigned understands that this per may be subject to"deed"restrictions"
<br /> which maybe more restrictive than n 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 by law, both the owner and contractor may be cited,for a.misdemeanor violation
<br /> understate 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 /> 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 /> that 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 be paid prior to
<br /> receiving a "certificate 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, 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 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 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: I certify that all 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 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 Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> Southwest .-Florida . Water Management District-Wells, Cypress Bayheadsi 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.
<br /> I understand that the following restrictions apply to the use of fill:-
<br /> 'Use of fill is not allowed in Flood Zone"U"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, l.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 FORTHE OWNER, I promise in good faith to inform-the owner of the permitting conditions set forth in
<br /> this affidavit prior.to commencing construction. .) understand that a separaie'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,thEQPb 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 YOUR NOTICE OF COMMENCEMENT.
<br /> - -=FLORIDAJURAT-(F.S:117.03bbNTRA
<br /> - --- - ---- - -
<br /> _ - �.�:r +':lit�,?:•
<br /> OWNER:ORA_G_ENT" � �-�" �-
<br /> Su``scri ed and swo rt irm et ore mq his _Su cn ed and o ed efore me.t s
<br /> I9 '.l!U by �0' G .WOoa`. I f b by e n�lC A Lv06
<br /> Who islare personally known me or has/have produced
<br /> Who.is/are personally known t�me�r as/have pn�uce� p y
<br /> as identification. as identification.
<br /> Notary Public / r Notary Public
<br /> Commission No. Commission No. L�
<br /> Name_of Notary typed, Name of Notary typed,printed or stamped �%,,,;,,,� gMANDA NOELLE PHILLIPS
<br /> f* L�
<br /> % AMANDA NOELLE PHILLIPS �'aYP ( State of Florida-Notary Public
<br /> ,wu,e':State of Florida-Notary Public � � Commission # GG 166548
<br /> Commission #.GG 166548My Commission Expires
<br /> ..Commission ExpiresDecember 10, 2021
<br /> %.��` "December 10, 2021
<br />
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