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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 responsibilityto-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 /> I understand�that'ttie.following restrictions apply to the use of fill:
<br /> Useioffill 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 ulil idhiiare..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 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 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 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-TTOTICE-OF-COMMENCEMENT-MAY-RESUL-T- IN YOUR-
<br /> PAYING.TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR-LgNDER OR ARA17TORNEY BEFORE:RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F. 11
<br /> OWNER jan -
<br /> CONTRACTOR
<br /> Subscribeo 0 oraffi befor a this Subscribed a sworn orbefor me
<br /> �� byWho is/ara y now has/have produced Who is/are personally known to me or hasthave proatked
<br /> as identification. cation.
<br /> Notary Public Notary Public
<br /> m ' sion No. �� .3 Commissi o. `l g/
<br /> Z5;Av. z Usa z
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> 17Y PUe ''1�,PU9"� LISA Y.CRUZ
<br /> lISAY.CRUZ Commission#GG 297813
<br /> Commission#GG 297813 Expires February 3 2023
<br /> �� Expires February 3,2023 =� • ,y'P�o P ty
<br /> OFA-0 Bonded ThrutludgetNo*ySmices �orf�O BondedThruBudgelNoterySorvlsas-
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