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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 for compliance'wuith: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=regulatlons: -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 Divislon—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired"a contractor or contractors,. he is advised to have the contractors) 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 maybe 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$2,500DO 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 I certify that all 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,WaterMastewater 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 Agency-Asbestos abatement,
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions applyto the use of fill:
<br /> Use of fill is not allowed in Flood Zone 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 /> "cornpensating'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;.ahengineered 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, altar, 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 land will demonstrate
<br /> justifiable cause forthe 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"IMPROVEIVMENTS;, B TO.YOUR PROPERTY. iF YOU INTEND'TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY EFORE RECORDING`YOUR.NOTICE OF OOMMENCEMENT.
<br /> FLORIDA JURAT(F.S.11=7.03) ('1
<br /> OWNER OR AGENT CONTRACTOfY
<br /> Sy�bscribed and sw o )before me this bscdbed and t (6r d)before me this
<br /> `1—(0-k S_.by 7--(0—f B is
<br /> Who is/are persona y wn to me or has/have produced WhS?IsLare personally kP o me or has/have produced
<br /> �i Ag-, 5 Ll) NSP_ as identification. �+aril~e<S Ca�e�s� as identification.
<br /> Notary Public Notary Public
<br /> Co sslon o. Commissi o.
<br /> +++111Y Illl,Ir
<br /> Name of No Name of Nola 0 ntlW
<br /> rRVA116WOF 150422
<br /> JACpUELINE I OGES = Expires December 12,2018
<br /> •• :.= Commission#FF 150422 '�p'F °:' Handed Th u iro Fain Inaurence, Y 800.305.7019
<br /> % P Expires December 12,2018
<br /> Thnl Toy FaSs tnsuranae 800385T019
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