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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 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.understandivthOt-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 applicabl'e.Pasco County.ordinances.
<br /> CONSTRUCTION.LIEN LAW(Chapter 71.3,-Florida Statutes; as amended): If valuation of work is$2,5.00.00 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•1 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'AFFID'AVIT: 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;'zonin'g and 1an'd 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 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,WaterMastewater 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 1ProtectiomAgency-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 W"uriless-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 /> licensedby 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] 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 NOTICE-OF COMMENCEMENT-MAY RESULT'IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO'YOUR.,PROPERTY.. IF-YOU•.INT.END'M BTAIN'FINANCING, CONSULT
<br /> WITH--YOURLENDER'OR AN ATTORNEY'BEFORE RECO.RDIN:G.YOUR*.NOT]CE.OF-COMMENCEM.ENT.
<br /> -FLORIDA JURAT(F.S. 117.03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
<br /> by by
<br /> Who is/are personally known to me or has/have produced Who is/are personally.known tome or has/have produced '
<br /> as ide tification. as identification.
<br /> Notary Public, °Notary Public
<br /> Commission No. Commission No.
<br /> Name of'Notary typed,printed or stamped
<br /> "YP /i JACQUELINE MARIE JOLLY
<br /> "Ps- Ve in
<br /> ;_ ,;State of Florida-Notary Public
<br /> Commission # GG 237955
<br /> 'IFUF I�OK My Commission Expires
<br /> "�'` July 12, 2022
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