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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject'to,"deed".restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for com pliance.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 bylaw, both the owner and contractor may be cited for a.misdemeanor violation
<br /> under state law. If the owner or intended contactor are uncertain as to what licensing requii,ements 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 which they will be responsible. If you,1 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•newbuildings, 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 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,appiicable 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 commence.ment1
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application-isIaccurate and that all work 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 Viand 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 /> understand that the following restrictions apply to the use of fill:- j
<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 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, 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 constructions 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 Ito.violatei 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, constr ction 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 fora period not to.exceed. ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, th 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.'h17.03)
<br /> OWNER OR AGENT'' Q CONTRACTOR° -
<br /> Sub drib d and sw to(oRu
<br /> ed)betore' e this subscr ed and sworn o( r a irme befor me--tfhfis
<br /> WOU I I�! by i Q
<br /> Who is/are personally kn wn to me has/have produced Who Ware personally I n to rpe or h s/have'produced
<br /> identification. as identification.
<br /> A' Commiselon#GG287813 ,P..... LISAKCRU
<br /> Expires February 3,2023 l �,''� Commission#Gc . ;
<br /> �tFOFe Botd�dTlwBudpMNotaTS�nvmt Notary Public `I Expires Februar: +.^;; ? Notary Public
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<br /> Commission IA Commission No.
<br /> N Rib Not ed,^ rin or stamped Name of Not d,pri ed 7ed
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