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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit-may-be subject tc"d'eed",restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibilityfor 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 fora 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 Iawsregulating 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,WateeMlastewater 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"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 I& 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 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 preventthe'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 /> —PAYiNGTWICE-FOR-IMPROVEMENTS-TO-YOUR-PROPERTY.—IF"YOU-INTEND-TO- BTAIN-FINANCING,-CONSULT"- `
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE O CO MENCEMENT. 110
<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 Wily is/are person Ily known�to me or has/have produced
<br /> as identification. n /'w as identification.
<br /> Notary Public Notary Public
<br /> Commission No. Commission No.
<br /> Name of Notary typed,printed or stamped Name of Notary typ ,printed or stamped
<br /> ;: ►( .. CARLOS MALDONADO
<br /> ¢; Commission#GG 346276
<br /> , Pa= Expires June 18,2023
<br /> Bonded Tfuu Troy Faln Ineurnnce 800.3*7010
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