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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may be morerestrictive than County regulations. The undersigned assumes responsibility for co riplignce'votl any .:
<br /> applicable deed;rest[ictions, :.
<br /> UNLICENSED.CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: jif 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:regulatioris" 1f,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 law. If the owner or intended`coritractorare.uncertain as-.to-what_licensing.requirements-may-apply"#or the
<br /> intended work, they are advised to contact the Pasco County Building inspection jDivision--Licensing Section at:727-847-
<br /> 8009. Furthermore, if the owner has"hired,"a contractor or.contractors,. he is!advised..to..have the`con#roc#or(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,,.privilegps..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 89-0.7.:and,._..
<br /> 90-073 as amended. The undersigned.also:understands, that such fees, as-may,be-due, wilt-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_7.13, Florida Statutes,as amended): :If valuation of work.is$2,500.00 or more, I
<br /> certify that ], '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", 1 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:, 11certify 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 land 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,WateNWastewater 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 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-,builci in'g`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;itse, of.rsuch.:fill.,will not'adversely affec 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;an engineered drainage,plan is required.
<br /> if I am the AGENT FOR THE OWNER, 1 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 authoriz6di 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 TWICEFOR'iMPROVEMENTS TO'YO.tjR`PROPERTY.-IF YOU INTEND:TO'OBTAIN"FINANCING;CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING`YOUR.NOTICE OF.COMMENCEMENT.
<br /> EMENT.
<br /> FLORIDA JURAT_(F.S. 117.03) _
<br /> OWNER OR AGiENT��?.�., " ` — CONTRACTO
<br /> Sugscd ad and sw m to{or afflrtgad)before m�e t i S scribed sworn to{or a ed before a this
<br /> '�'t`"t 11t tJl1`1 S( by_�aiz�'1 of Lkt.�a(RJ ` by Gc 7
<br /> Who is/are personalty know to me or h ave produced Who Were personal y knowAffto me or:has/hbve produced
<br /> as identification. as Identification.
<br /> i
<br /> �u Q.�td�6•- A�� � -Notary Public �� •,�� tio - Notary Public
<br /> Commission No. Commission No.
<br /> _7-� oresa. mn^ers meSa - 04"o�rrn�r�`n_r S
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> rill
<br /> TNERESA M.SOMMERS
<br /> Notary Public-State of Florida
<br /> Commission#Ge 010078 /
<br /> '?'•;�oF" P;� My Comm.Expires Jut,10,2020
<br /> � Bonded through National Notary Assn. _.
<br />
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