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NOTICE OF DEF-D4ESTRICTIONS: TheF 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 bomplianoe with any
<br /> applicable`deed'restriibtians:' :.;. .
<br /> UNLICENSED.CONTRACTORS AND.CONTRACTOR.RESPONSIBILIiiE S:- If the owner has hired a:.contractor or
<br /> contractors-to undertake'wcrk,they may be required to be li&nsed;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 law. if the owner or=frrtended 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-w iLicensing Section at 727-847-
<br /> 8009.• Furthermore, if the,owner has,hired a contractor or_contractors, he Is advised to have_the contractor(d) 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 property licensed and is riot entitled to permitting privileges in Paste
<br /> County.
<br /> TRANSP.ORTATIOWIMPACTiUTiLITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands . .
<br /> that Transportation Impact-Fees and F;li curse Recovery Fees may apply to the'oonstruction of new buildings,change of
<br /> use in existing buildings;_or expansion of,existing buildings,ss.specified in Pasco County Ordinance number 89-07;and
<br /> uniiers
<br /> 90-07,as amended. The undersigned also tands,.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. ff tile_project does not involve a certificate of odWpancy or
<br /> final:power release,the fees•must be pald-prior to;permlt issuance. Furthermore,if Pasco County WateNSewer Impact...,
<br /> fees:are due,they nit be paid prior to permit issuance in.accordanbe with applicable.Pasco County ordinances.:—,
<br /> CONSTRUCTION LIEN-LAW(Chapter,713,Florida Statutes,asamended): If valuation of work is$2,500.00 or more,I '
<br /> certify.that 1, the appAeartt, have been provided with a copy of the "Florida Construction Lien Law Homeowner's
<br /> Protection Gufde'-prepared by the.Floridb:Department of Agdoulture.and-Consumer Affairs. If the applicant_is someone
<br /> other than the'Owner",I certify that I have obtained a copy of the above.descdbed document and promise in good faith to
<br /> deliver it to;tite"rnmer prior.to commencement _
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: 4 ceFtify'that all'the°information in this application•inaccurate 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 end installation es Indicated. 1 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.- 1 also.
<br /> certify that I understand that the regulations of other government agencies may app[yto,the intended work,and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agendas include but are not limited to:
<br /> Department of Envuonmentat Protection-Cypress Bayheads,.Weiland Areas and.Environmentally Sensitive
<br /> Lands,'Water/Wastswatei Treat4wht
<br /> - Southwest Florida Water Management District-Wells, Cypress'Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls,Dodos,Navigable Waterways.
<br /> Department of Health & Rehabilitative Servibes/EnAronmental Health Unit Wi is, Wastewater Treatment,.
<br /> Septic Tanks.,...:. _...
<br /> US F�vironmental_Probection',gertcy Asbestos'abatemerrt
<br /> Federal Aviation Authority-Runways. -
<br /> I undersiand that the fbilowing restrictions apply to:the use offal
<br /> Use-of fill is not allowed'in Flood Zone"V"unless.expresslypemiltted.
<br /> If the-fill- is to.be.used In Flood Zone "A", itis 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 If the.fifl rtrateriai;is•do tie used in Flood Zone.A"'iri.connedion with a permitted building using stem viral[=
<br /> eonstruction,i'certify that fill will be used only to fill the area within the stem wall.
<br /> - If-fill material.'is_D,be used in any-area, I certify that use of such fill will not.adversely,atiect 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 bf the permitting conditions set-forth in
<br /> this atfidavtt prior to cormendrig'consUuction. I understand that a separate permit may be required for electrical work,
<br /> plumbing,signs,wells, pools,eir conditioning;gas,or other installations not specifically included hi.the application. A
<br /> permit issued shall be conifted to be a license.to proceed wfth'the work and not as authority to violate,cancel,alter,or
<br /> set-aside any provisions of the technical c:odaii 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 odes. Every per rssued'shall-become invalid
<br /> unless-the work4urthoriied-bysuch 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 /> maybe requested,in writing;from the Building Official fior'a-period not to.exceed ninety(90)days and will Aemonstrate .
<br /> justifiable cause for the extension. If work'ceases for ninety(90)bonseartive 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_IN I END TO OBTAIN FINANCING,:-CONSULT
<br /> WITR-YOUR LENDER OR SEF k RkCORDINd YOUR'NOTICE OF=MMENCEMENT.
<br /> ROMA JURAT(FA 17 3)
<br /> OWNER DR AGENT d
<br /> .cONTRACTO
<br /> cectand.sNro �r ���,,, r� l��Yt -'s `rtie ed swo (or rm . me this- .
<br /> who ware y to me 6r haafturn produced Who ,perscnauy tame br h0hwe produced--:
<br /> as Idwdificafton.' os identifieatlon. -
<br /> Notary Public (/l_ - Notsry Public '
<br /> missio Yo mission No.
<br /> "'tiff"'•. SYLVIA A;CAMPBELL
<br /> Noma of No rk d o►t/�leg9blic-State of Florida'-- Name of Notary. Not
<br /> Public.LAMPBELL
<br /> State of Florida
<br /> e••i • Commission tt GG 112939 _ •• .<r= -
<br /> m'�` \�r My Comm.Expires Jul 19,2021 ;�•1 :• Commission N GG t 12939 .
<br /> M Comm.Expires Jul 14,2021
<br /> aondedlhroughNationai Notary Assn. .� l Y P
<br /> lianded through National Nolity Assn.
<br />
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