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<br /> NOTICE OF DEED, RESTRICTIONS: The.undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which maybe more'restrictive than County regulations. The undersigned.assumes responsibility fbr compliance;with:any,.. y;.
<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 is misdemeanor violation
<br /> understate law. if4he owner or intended"contractor are uncertain as-•to-what-licensing requirements may-apply for:ithe"- '
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at.727-84T-
<br /> 8009. Furthermore, if the owner has hired`'' ,contractor or. contractors,. he,is advisedto 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 89r 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 rp ior.to
<br /> receiving a "certificate of'occupancy" or final power release. If the project does not involve ':certificate of occupancy"ar
<br /> final power release, the fees must be paid prlor.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$Z500:00;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 faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT!>(,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. 1 certify that no 'work or installation has
<br /> commenced prior to issuance oUa permit and-that all work Will,be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and 'Iand development regulations in'Ithe 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,WaterM/astewater Treatments-
<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 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 W"unless expressly permitted. li
<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. t
<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 undertthe attached permit application, foI.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;--pool s ,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 caries, norshall 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 /> WARNING.TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE'FOR iM'PROVEMENTS70 YOUR PROPRRTY._IF YOU iNTEND,TO OBTAIN FINANCING,-CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY.BEFORERECORDING°YOUR.NOTICE-OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.ST117 03) _
<br /> OWNER OR AGENT / �-t "- _ co TOR — �=
<br /> S b crib and sworn (or ed)befarghe thi u cntsed"and-"�o {-r a mi ' befor a this I
<br /> Who is/are personally known t or has/have duced ,' Mho ish verso-alrt ly`.kngwn me or"fi /Have p duce„
<br /> rt _ras Identification. ( "��[L"� zi CLv1. .as an ca ron.
<br /> Notary Public Notary Public
<br /> ��haa
<br /> mission No. ` � Com tsslo No !
<br /> e�,�� R+,f� OUELINE BO
<br /> zq;N3Y°Ne4 JAC
<br /> Name d 'n ed ar stem ed Name of Notary type �tl cAs Ion#FF 150422
<br /> ;,;. a: xpires December 12;I2018
<br /> DEBRA ELAINE RUFFELL '�%P,'f;dq�d aoMod Thru Troy Fun lneurence
<br /> Commission#GG 045343
<br /> "r ,. Expires November 7,2020
<br /> '',fn °••' BondedThNTroyFainlnauranoe800-385.7019
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