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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed°i restrictions"'
<br /> which maybe more restrictive.than.County.regulations. The undersigned assumes'responsltiitity far:compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED*CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the 'owner-has hire-d-a--,6ontractor or
<br /> contractors to undertake work, they may,be required to be,licensed in accordance with state and local reguiatlon& .lf:the.,,-`
<br /> contractor-is not licensed as required bylaw, bath the owner and contractor-may"be cited fog a misdemeanor violation
<br /> under state law. if the owner or intended contractor are uncertain as to what licensing require ments_:_may apply 4or-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 ownersign as�tlie
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled 16'permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION iMPACTLUTiLITiES 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 maybe-due, will be,identified atithe time of-.
<br /> permitting. 1t 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;Florlda Statutes,as amended): If valuation of work is$2,500.00.or more,.l:,
<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", 1 certify that 1 have obtained a copy of the above described'document and promise in,good:faith to .
<br /> deliver it to the uOwner'°prior to commencement. j
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: i certify that.all the information in this application is accurate and that ail work
<br /> will be done in compliance with all applicable laws regulating construction, zoning andland-development. Appllcation 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 Bayheads, Wetland Areas Altering
<br /> Watercourses. I
<br /> Army Corps of Engineers-Seawaiis, 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"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)rhonths 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..- -
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<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 /> FLORIDA JURAT(F.S.117.03) ,
<br /> OWNER OR AGENT CONTRACTOR ____
<br /> Subscribed and sworn to(or affirmed)before me this p scri a and swo to r rmed befo me-this
<br /> by
<br /> Who is/are personally known to me or has/have produced Who is/ar personally,known me or has/have produced i
<br /> as identification. as identification.
<br /> Notary Public Notary Public
<br /> Commission'No. Commission No. 'ti' 1�
<br /> Name of Notary typed,printed or stamped me of Nc2NEf RF)*AfWtbd or st mped
<br /> O
<br /> = Notary Public-State of Florida
<br /> Commission#FF 970369
<br /> 4 �;o My Comm.Expires Mar 16,2020.
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