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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restricUbns"
<br />which may be more restrictive than County regulations. The undersigned assunies responsibility for compliance with any
<br />applic~bledee<;J 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 />understate 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 h~shlred 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/UTII,.ITIESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transportation Impact Fees and Recourse Rec;:overy 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 underslgne<;J 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 .certiflcate 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 paldprlor to permit Issuance In accordance with applicable Pasco County ordinances.
<br />CONSTRUCTION LIEN LAW (Chapter 113, 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, 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 hOt 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 />.compensatlng 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.wlll 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 ~f the permlttln~ conditions s~t forth In
<br />this affidavit prior to commencing construction. I understand that a s,eparate perm~t may ?e reqUired for elect~lca.1 work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other InstallatIons not specifically In~luded. In the application. A
<br />permit Issued shall be construed to be a license to proceed with the work a~d not as authon~y !o vlolat~, cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~'I.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 commen~ed within six months o.f permIt Issu~nce, or if work authorized, by
<br />the ermit is suspended or abandoned for a period of SIX (6) months after the lime th~ work IS commenced: An extenSion
<br />mal be requested, in writing, from the Building Official for a period not t~ exceed mn~ty ~90) da~s 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 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 />
<br />FLORIDA JURAT (F.S. 11}-03) /7 'j. I
<br />
<br />OWNERORAGENT Qt.4ZH ~ CONTRACTOR
<br />~ubscrlbed and swo' or am ed) be. e me thIs Subscribed a.nd ~;om to (or affirmed) before me this
<br />
<br />f- i -0"1 by. . ne. Who Is/are personally known to me or haslhave produced
<br />Wh9-lslare,. pers90.allY kno to me or haslh e. produced as Identification.
<br />r-lD~. ~O- ~(D ~ . as Identlflcatlon;
<br />
<br />l~I.;r.\'f~~ JACQUELINE BOGES
<br />~.: ':.~ Commission DO 621833 Notary Public
<br />~i' ,-:..~'<l ExpirAA necilJleer 12 2610 Notary Public
<br />"hr.,fi't':.., Bonded Thru Troy Fain Insurance soO.sss.7019
<br />Commission No.
<br />Isslon No.
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<br />
<br />
<br />Name of Notary typed, printed or stamped
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