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<br /> NOTICE OF DEED RESTRICTIONS:, The.undersignedl,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 ii ay'be' r'equiredtolbe licensed.in-accordance with-state-and local regulations•''If-the .
<br /> contractor is not licensed as required.by law, both thei 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 llwhich 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;I;privileges,:in:Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse.Recove y 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$2,500:00 or more, 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 /> CONTRACTOR'S/OWNER'S AFFIDAVIT:-:-I certify that all4he.information in this applicationis 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 j
<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: . i
<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,aliowed1n'`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 till material:.is°lo°be used in;.-Flood Zone ',N'.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, 1;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 j
<br /> the conditions of the building permit issued undertthe 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,�1,or-
<br /> set aside any provisions of the technical codes,-nor-.shall issuance of a permit prevent theBuilding Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid 1
<br /> unless the.work authorized by:such permit is commenced within six months.of permit issuance, or if work authorizedby
<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(goy consecutive days, the job is considered abandoned:
<br /> i
<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 INTEND70 OBTAIN FINANCING;'CONSULT
<br /> WITH YOUR LENDER OR.AN ATTORNEY.BEFORE RECORDING YOUR NOTICE'OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> �
<br /> OWNER OR AGENT. _ _a'�/ CONTRACTOR
<br /> scj ��33nd sw to r affirmed beforg mg t�1s S' sc' a sw to or affirmed before me th''s
<br /> 2Y �5 byA-rl� I�fllll�2_ byAri/� Vi4ld�Z—
<br /> Wh Astare IRersonally known to me or hasthave produced Who reonally k own to me or has/have produced
<br /> as identification. i 'w S U as identification. _
<br /> I -
<br /> UQX4,c- qJ Notary Public l Notary Public
<br /> Com is on o Commis 'o o.
<br /> JACQUELINE BOGES ,,•o�d:Y:pj•.,,
<br /> J
<br /> Name of Notary _; tef� fl1�fc Name of Notary typed,p ii s _ (iethmission#FF 150422
<br /> :a• -a: Expires December 12,2018 ` Expires December
<br /> Bonded ThruT10y Fain Insurance 800.385-7019 p,'d f qP. Banded Thru Troy Fain lnsuran ca B 2018
<br /> B00385.7019
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