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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 violat on
<br /> under state law. If the owner or intended contractorI are uncertain as to what licensing requirements may apply for he
<br /> intended work, they are advised to contact the Pasco co County Building Inspe6tion Division—Licensing-Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have thb contractor(s) sign
<br /> portions of the "contractor Block" of this appli catio I I n 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 IMIJAU`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 I buildings, as specified in iPasco 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 powel r 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 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Departm" ent of Agriculture and.Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that I have obtain4 i d 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 cert!fy that all the Information in this application is accurate and that all work
<br /> will be done in compliance with all applicable law 1 s 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 t 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 ' ay apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. S2 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 Manage ent 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. I I
<br /> - US Environmental Protection Agency-Asbestos
<br /> Asbestos abatement.
<br /> - Federal Aviation Authority-Runways. I
<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 perlinitted.
<br /> If the fill material is to be used in JFlood 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. 1� i
<br /> If the fill material is to be used in Flood Zone "K 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 11 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 l'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 promisd,in good faith.to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I 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 ion 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 /> I
<br /> the permit is suspended or abandoned for a period of six(6) months after the
<br /> 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 /> I I
<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 INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.11
<br /> OWNER OR AGENT CONTRACTOR—
<br /> Subscribed and sworn to(or affAped)bRfore me this Subscribed and swornito(or affirmed)before me this
<br /> by 'DeLmi uC by !
<br /> Who islare personally known to me or has/have produced P Who islare personally known to me or has/have produced
<br /> as identification. as identification.
<br /> Notary Public i —Notary Public
<br /> Commission No. Commission No.
<br /> 1:a)154A t1 �0\CLr i
<br /> Name of Notary typed,printed or stamped Name of Notary typed;:printed or stamped
<br /> e�,%ypya Notary PublicState Of FlOrid"
<br /> Sarah Katharine Pekarik
<br /> $V (,Ayc 0ISSIOnGG023396
<br /> 08JVJ?-0?o
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