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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 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 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 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 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 89-07 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 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 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 responsiliilityto: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'En,vironmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways..
<br /> I understand-1hatrthe following restrictions apply to the use of fill:
<br /> Ue;of'fill is not allowed in Flood Zone W" 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::fll material-;is-to be used'in Flood Zone "A" in connection with a permitted_building using stem wall
<br /> consfruction,:l: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'..Y If.use of�fill'is found to adverse.ly-affect adjacent properties, the owner may be cited for violating
<br /> thee-conditio' i,of'the'building permit issued:under the attached permit application, for lots less than one-(1).
<br /> acre which-are,.elevated:.b`y fill, an;engineered drainage,plan is required.
<br /> If I am the-AGENT'FORTHE-.1OWNER;.I-promise in good.faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit,prior:to commencino',e nstruction. I.understand that a separate permit may be required for electrical work,
<br /> plumbing;:signs,,wells, pools; air,conditioning, gas, orr 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:anyprovisions%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 tf e,work.authorized by such permit iscommenced within six months of permit issuance, or if work authorized by
<br /> the permit1s'-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 CONTRACTOR Y ( A
<br /> Subscribed and sworn or affirmed)before me this S bscribed and to r affirmed befor me this
<br /> 3-31-2o by �,r -31-2a by �a,. a SC„Ve-,g
<br /> V�L�o is are personally'known to me or has/have produc d Who i re personally known to me or has/h ve pr uced
<br /> �L, tprs UC2viS2 as identification. as identification.
<br /> u�. Notary Public Notary Public
<br /> Com ' sion No. Commiss No.
<br /> 11NEa0 S �. � 3t CQUELINE BO
<br /> GES
<br /> ji G 276457
<br /> Name of N :p' (�gglr�t 20� tp19, Name of Not ,P� 1f8NOW@02,202 7et9`
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