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NOTICE! OF DEEiYREESTRICVIONS: Tliel uridersigneci understands that this:perr tit may be subjoct'to "dta(3di' restric;tlons"
<br /> which may be more restrictive than County regulations, 'The undersigned assumes responslbility fu-r compliance with any
<br /> applicable deed restrictions,
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSI91LITiES: ' 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 tho owner and contractor may be cited,for a misdemeanor violation
<br /> under state law. If the owner or intenrd!sd contractor,are uncertalh as to what licensing requirements rriny lapply for• the
<br /> intended work, they are advised to contact the Pasco,County Building Inspection Division—Licensing Sectiol at 727-847-
<br /> 8009. Furthermore, if-the owner hai> hired a contractor or contractors, he Is advised sto; have the contractors) sign
<br /> portions of the "contractor Block`gf.this. capplleation-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 iMPACTIUTILit S IMPACT AND RESOURCE RECOVERY FEES; The undersigned Lin,denitands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,jchange of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 189-07 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 doe's not involve a certificate of occupancy or
<br /> final power release, the fees must be:pald prior to permit Issuance. Furthermore, if Papcca',Cobnty Wateir/SEMier Impact
<br /> fees are due, they must be paid prior•to permit issuanco Ili accordance with applicabli3;Pasco, County ordinan;ces..
<br /> CONSTRUCTION LIEN LAW (Chapteir-7'13, Florida:Statutes, as amended): If valuation'of work is $2,600;00 or more, I
<br /> certify that 1, the applicant, have been provided with a copy of the "Florida,Construction Lien Law•Honleowner's
<br /> Protection Guide".prepared by the Flo,ridta Department of Agriculture and Consumer Affairs; If thwapplicant Is someone
<br /> other than the"owner", I certify that I Have obtained a copy of.the above described do6ument-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 t:fat all work
<br /> will'be done in compliance with all applicable3 laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtetin a permit to do work and installation as Indicated. I certify that no work or Installation has
<br /> commenced prior to Issuaance of a permit and that all work will be peri'ormed to meet standards of all laws'i regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations In the jurlsdictian. I also
<br /> certify that I understand that the regulations of other!gove�nment 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 Environmeintal Protectlon-Cypress Bayheads, Wetland Areas and Envlronmentally Sensitive
<br /> Lands, Waterf 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 & �Rehabllitative Services/Environmental Helalth Unit-Wells, Wastewater ,1-rEratnaent,
<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" uniess.exprpssly permitted.
<br /> If the fill material Is to be Used in Flood Zone "A"; It is understood that a, drainage plan elddressing 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 stern 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 afflclavit prior to commencing construction. I understand that a separate permit:may I?e required for elo91 trical 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 Buildirg Official from thereafter
<br /> requiring a correction of errors In plans, constructlon or violations of any codes. Every permit Issued shall became invalid
<br /> unless the work authorized by such perrnit Is commenced within `six months of permit ISSUance, or if work,authorizzed 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) day`s 'and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the\job is considered abandoned.
<br /> — >1-10 .FA!LURE TO RECORD-A NOVICE OF-COMMENCEMENT.MAY RIia�UhiT'IIV YOUR
<br /> wiw r•.an�i`•+r�-�i R/![[CB V(16117 �[1'll_ i
<br /> PAYING TWICE FOR IMIPROVEMENTS TO YOUR PROPERTY.: IF YOU INTEND TO OEBTAIN FINANCING,;C(7N:iilJL T
<br /> WITI�YOUR LENDER OR AN ATTCJRNEEY BEFORE RECORDING YOUR NOTIGE OF COMME?iV(:EMI
<br /> FLORIDA JURAT(F.S. 1;7.. ) 1
<br /> QWNIER r AGENT, CONTRACTOR. —
<br /> Subsod ed and swore ofirmed ore me lh s subscribed and swot (ot' ) e re thl
<br /> VVho Islare personally known to me has/have produced Who Is/are pe s nally no mt3 o s/hav© tification.
<br /> as Identlfrcatlon, _ _ — _—_ as Iden I
<br /> I
<br /> L2 _.._Notary Public
<br /> —Notary Public --
<br /> Commission No. _ Commiss on No_ _— - -----
<br /> Namct of Notary typed,printed or stamped Name of
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