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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 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 maybe required to be licensed-in accordance with state-and locaC.regulations.'`if the
<br /> contractor is not licensed as required.by law, both the owner and contractor may be cited fora 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 /> 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.rhore, 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 l"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 /> CONTRACTOWSIOWNER'S AFFIDAVIT:,d-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 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 1 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.
<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-Agericy-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 Zane W"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`volurne" 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 maybe cited for violating
<br /> the conditions of the building permit issued under.the attached permit application, for lots less than one (1)
<br /> acre Whhich:are'elevated biy fill,arrengineered drainage,planis 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 thetechnical 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 bysuch 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,rfrom 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 /> WARNING TO-OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT iN YOUR
<br /> PAYING TWICE FOR'iMPROVE- ENTS:T®.YOU.R PROPERTY. IF YOU INTEND'TO OBTAIN FINANCING; CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR.NOTICE OF COMMENCEMENT.
<br /> -- FLORIDA JLlRAT(F.S.911:03)
<br /> OWNER OR AGENT "�-- cONTRACTOR_�
<br /> Subscribed and swom tb(ar rmed)before me this Subscribed answorn to(or affirmed)be this
<br /> If_by
<br /> Who Islare personally known to me or hasthave produced Who Ware personalty known to me or hasthave produced
<br /> as identification. as identification.
<br /> Z"01ary Public /�aw�;1,9 2 ? Notary Public
<br /> Cc mission No. mmission No. `�C."� O J
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> DEBR.A ELAiNE RUFFELL
<br /> Commission#uG 045343 y EBRA ELAINNE RUFF
<br /> ommission#
<br /> rp Expires November 7,2020 '"' GG 045343
<br /> ••.;dfr�?• 8cndedTtuuTroyFainlnsurance 00-385.7019 •",;.oddkoaF,• n�ad7pires November 7,2020
<br /> ,• luuTioyFaiolnsurance800385.7019
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