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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 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 p~ior 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 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
<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, WaterlWastewater 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 "An, 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 "An 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 ~hat a s.eparate permit may ~e requir~d for elect~ica.1 work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other Installations not specifically 1n~luded. In the application. A
<br />permit issued shall be construed to be a license to proce?d with the work a~d not as authono/ !o vlolat~, cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
<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 authonzed by
<br />the permit is suspended or abandoned for a period of six (6) months after the time th~ work is commenced: An extension
<br />may be requested, in writing, from the Building Offici a! for a period not t~ exceed n1n~ty ~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 />
<br />WARNING TO OWNER: YOUR FAILURE TO RECO~D A NOTICE OF COMMENCEMENT MAY RESULT INYOUR
<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. 117.03)
<br />
<br />OWNER OR AGENT
<br />Sypscribed and swom to <sr afflJl1led) before me Jhi~ /J
<br />'1- 2-0 - (,("by LNA ,IJE P7v r-rrAL F I/::'-'-'Y
<br />j20 is/are personally, kn~to me or has/have produced
<br />filS () IliA vv't IAiI./as identification.
<br />
<br />CONTRACTOR
<br />S~bSCribed end swom to (Orafflr!JIed~efOre !!,e f,(iSJ~ /l
<br />-26 -tP by WI-) i("!Jr- iltrlitl vvv
<br />wr:: Is~e personally ~wn to me 9r has/have produced
<br />~ f)/JA /;c, I( 'VO oJ ;./ as Identification.
<br />
<br />~ I). fMd!
<br />
<br />Notary Public
<br />
<br />~ 4, tY~
<br />
<br />Notary Public
<br />
<br />lie State of Florida
<br />BI1JCe A Asbel
<br />M~ Commission 00566784
<br />b If&I>lJ6/2212010
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