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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that-this permit maybe 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 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 a misdemeanor violation .
<br /> .under state taw. 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'contracioi(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 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 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-pad.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 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 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 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 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.
<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 wall
<br /> construction, I certify that fill will be used only to fill the area within the stem wail.
<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 undertahe attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required..
<br /> If Lam 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 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 /> -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 _ CONTRAC4QB �r �-�-�
<br /> Su scri a an rn t affirm b' o re Hie this Su crib d and swotr d} e a e e i
<br /> LD y 0 . ti1 {
<br /> Who is tar
<br /> b Hall kn n me or as/have produced 1\hb W re ersonally know me or as/ ve produced J.
<br /> as identification. as identification.
<br /> L(,7)1 V& n(, Notary Public �` Notary Public
<br /> Cam is • n No. Commission No.� t '�J ! U
<br /> Name f NNamlb of N ary typed, rined�
<br /> Official Seal MIRiAN LYNN AKERS
<br /> Nicole Raye Morrison s?.' ��_ Notary Public-state of Florida
<br /> Notary Public State of Illinois p o` Commission N GG 265348
<br /> my Commission Expires 05/25/2022 :'( �
<br /> oFF�... My Comm.Expires Jan 28,2023
<br /> Bonded through National Notary Assn. ;
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