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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 applicatiomfor 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$2,5.00.00.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 t
<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 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 bf 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.11NTEND TO OBTAIN FINANCING,:CONSULT
<br /> WITKYOUR LENDER OR AN ATTORNEY BEFORE'RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGE a,JCONTRACTO �y���
<br /> Subscribed and sworn to or affirmed)before me_this'
<br /> --Subscribed-al ;to-(or iffirmed)-before-me this---
<br /> — -- by-- — — -- — by
<br /> Who isT perq��ey known to me or has/have produced Who istare,�persona¢q�c�own to me or has/have produced
<br /> f—( 4 as identification. T G Q/ C— as4dent'fication.
<br /> Notary Public Notary Public
<br /> Commission No. Commission No. -I'
<br /> C��s M k( ,1ob 4� CW tb s M�1
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> ,•;�tri;,•.; CARLOS MALDONADO
<br /> Commission ItGG 346275 NY CARLOS MALDONA00
<br /> ' � =Commission#GG 346275
<br /> Expires June 18,202
<br /> U'r•".�!;ryr°P Bonded Thru Troy Fain insurance 800.385-10 : "' !.,-A- �Expires June 16,2023 �J
<br /> Bonded Thru Troy Fain Insurance E0045-780
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