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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 />applicabie 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 IMPACTIUTILlTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transportation Impact Fees and Recourse Recove/)' 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 Recove/)' Fees must be paid prior to
<br />recellling 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-Homeowners
<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-Weils, Cypress Bayheads, Wetland Areas, Altering
<br />Watercourses.
<br />Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br />Department of Health & Rehabllltallve 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 submltled at lime 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 fallh 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, poots, air condlllonlng, gas, or other Installatlon8 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, aller, 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 or violations of any codes. Eve/)' 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 wrillng, 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 />
<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 FINANCtNG, CONSULT
<br />WITH YOUR LENDER ORAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FlORIOAJURAT{F.S.117.0 ~._.--_._"
<br />
<br />OWNER OR AGENT CONTRACTOR_
<br />Subsalbed.LIndswomto ore ~Ub . and rmedlbefC}lllm8.thls v
<br />W1-1.'-Q1 by", z... by)Y,V\'~\:L ~\lV\c-~1C
<br />Who IsIare Il!!fSOnefty 10 me or hasJheve ptOduced Who sIe pereoneKv known to me or hasJheve proclu<:ed
<br />es IdenUllcaUon. - aeldentiflcaUon.
<br />
<br />
<br />KYMIE D. CREWS
<br />MY COMMISSION. DO 302546
<br />EXPIRES: March 23, 2008
<br />BondI<l1l1ru Notary POOIIc Underwriters
<br />
<br />~(L 9JJ.Ma>>d.J
<br />
<br />Commission No.l:::::DD ~5 ~ l ( .:s
<br />A\fr i n.J;;, \ \ \f I D. \.Ad
<br />Name of Notary . prinled or stamped
<br />.n...................................---s
<br />: ALECIA G~ I
<br />i ~~.. CammlDDClI)5415 ;
<br />:: ~., .; i ExpIrea 313012OO8 :
<br />'I ", ,.... /" ': .
<br />'. . I":::('~ Nclary Assn.. L-:::: ~
<br />
<br />Notary Public
<br />
<br />,L.. *'~ _ ~ ~ G"J J!-- Nolery PubUc
<br />
<br />Commission No. "bt) 3u:;).5'\ l,p
<br />
<br />ILv..tNl '\-<.. \:). c..r~. j:::.,
<br />Name<< Notery typed, printed or stamped
<br />
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