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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit maybe subject to"deed"restriction's"
<br /> which maybe 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 tte
<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 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 tte
<br /> contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County. ,j
<br /> TRANSPORTATION IMPACTIUTILITIES 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;bf
<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,o
<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 pen-nit 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 1, 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 faithto
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOWSiOWNER'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 i4ps
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: !i
<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.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. i
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatme t,
<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. a
<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 all
<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 onat(1)
<br /> acre which are elevated by fill,an engineered drainage plan is required. l
<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 applicabon.j�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,the job is considered abandoned.
<br /> �s
<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 1' CONTRACTOR
<br /> Sups be and sworn jp( r affirmed) fore me this Subscribed and sworn to(or affifinep)before rye
<br /> del d t V by I��vJO ILr.a�5s L w/a�r byZ y r fr r ctV G.2 c� l ni S S P
<br /> Who is/are personalty knowoso me or has/have produced Who is/are o onatiy Imown to me or has/have produced
<br /> as identification. as identification. 3
<br /> i
<br /> Notary Public L�!/' Notary Public r
<br /> Commission No. Commission No.
<br /> N e o Name of Nota nted or stamped
<br /> 00 4'pe •�`T M E A R C E ry
<br /> State of Florida-Notary Public """o, STEPHANIE ARCE
<br /> IPPY PL
<br /> a Commission # GG 233648State of Florida-Notary Public .$
<br /> op, My Commission Expires
<br /> Commission # GG 233648
<br /> ° October 22, 2022 0; (.
<br /> My Commission Expires
<br /> October 22, 2022
<br />
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