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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 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,Eire 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 maybe an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES 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$2,6..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] 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 taws 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 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,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 the following restrictions apply to_the use of fill:
<br /> Use 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 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 wliich,are.:elevated by fill,an engineered drainage plan is required.
<br /> If I am:the AGENT`F6R:T:'O',NNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidav1(,pnor tb commencing construction. I understand that a separate permit may be.required for electrical work,_
<br /> plumbing�signs,-W611sr:pools, air--conditioning, gas, or other installations not specifically included in the,application. 'A
<br /> permitissiled shall-be-construed to be a license to proceed with the-''' ork and not as authority to violate,.cancel, alter, or
<br /> set aside:'any.provisions ithe-,technical.codes, not shall issuance of.,a permit prevent the.Building Official from thereafter
<br /> requiring a"carrectfoi%of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the.work,authorized: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 afterrthe-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'extensidh:"'if work ceases for ninety(90)consecutive days,the job is.considered abandoned.
<br /> WARNING.TO OWNER- YOURI.FAIL`URE TO RECORD A NOTICE OF.COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE-FOR`1MPROVEMENTS"TO YOUWPROPERTY. IF YOU=INTEND'TO'OBTAIN FINANCING,CONSULT
<br /> WiTH YOUR LENDER OR AN ATTORNEY BEFORP11ECORDiNG YOUR'NOTICE'OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.1 I 03)
<br /> `OWNER OR.AGENT CONTRACTOR.
<br /> S`ubscrib'ed and sworn to affirmed before a this Subscribed and sworn `or affirmed before me this
<br /> b AM S MA NS b IVIES BONE CLARK
<br /> o Isfare personally known r has/have roduced o isfare ersonall known to r has/have produced
<br /> A as identification. N/A as identification.
<br /> Notary Public Notary Public
<br /> Commission No.GG 308696 Commission No. GG 308696
<br /> Daphne Clark Daphne Clark
<br /> Name of Notary typed,printed or st a CL" Name of Notary typed,printed or stamped ,��pr Pp DAPHNE A.CLARK
<br /> PUg` D ^��� 20,....,Bi,�,
<br /> a°•• c Cornmission#GG 3080 * * Commission#GG 308696
<br /> * Expires dune V.20 ° Expires dune 27,2023
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