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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pennit 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 RESPONSIBILmES: If the owner has hired a contractor or
<br />contractors to undertake work, they may be required to be llcansed 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 Dlvision-llcensing Section at 727-847-
<br />8009, Furthennore, 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 property Hcensed and is not entitled to pennitting privileges in Pasco
<br />County ,
<br />TRANSPORTATION IMPACTIUTILmES 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 />pennltting. 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 pennlt issuance. Furthermore, If Pasco County Water/Sewer Impact
<br />fees are due, they must be paid prior to pennlt Issuance In accordance with applicable Pasco County ordinances,
<br />CONSTRUCTION UEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work Is $2,500.00 or more, I
<br />certify that I, the appllcent, have been provided with a copy of the 'FlorIda Construction Lien La~omeowner'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 Infonnatlon in this application is accurate and that aU work
<br />win be done in compHance with all applicable laws regulating construction, zoning and land development. Application is
<br />hereby made to obtain a pennlt to do work and installation as indicated, I certify that no work or installation has
<br />commenced prior to Issuance of a pennit and that all work win be perfonned 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 govemment 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 Inctude 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 ServiceslEnvlronmental 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 pennltted.
<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 pennltting 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 pennltted 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 pennlt issued under the attached pennlt application, for lots less than one (1)
<br />acre which are elevated by fill, an engineered dreinage plan Is required.
<br />If I am the AGENT FOR THE OWNER, I promise in good faith to infonn the owner of the permitting conditions set forth in
<br />this affidavit prior to commencing construction. I understand that a separete pennlt may be required for electrical work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations not speclflcaHy included in the application. A
<br />pennit Issued shan 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 pennit prevent the Building Ofl\clal from thereafter
<br />requiring a correction of errors in plans, construction or violations of any codes. Every pennit Issued shall become invalid
<br />unless the work authorized by such pennit Is commenced within six months of pannit issuance, or If work authorized by
<br />the pennit 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 Ofl\clal 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 FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEF RE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDAJURAT(F'S~3) ~
<br />
<br />OWNER OR AGENT ~ a).
<br />su~~ ( ) before me this
<br />
<br />~ IS/are known ~ haslhave produced
<br />as identification,
<br />
<br />
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<br />(, J'f , t -\ } r~ ,Ndary PubUc
<br />
<br />~(J _ j (
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<br />J ,) r /.. " Notary Public
<br />
<br />Commission No,
<br />
<br />Commission No,
<br />
<br />N of Nota nted slam
<br />o'~~Y P(J~.;, Notary Public State of Florida
<br />~.~ ': Deborah L Hodge
<br />~~. ~ My Commission 00400304
<br />"> 0; ",o~ Expires 02/27/2009
<br />
<br />Name of Notary typed, printed or stamped
<br />,~~y P(J~ Notary Public State of Florida
<br />~ ),~ ~ Deborah L Hodge
<br />~ ~'t-. i My Commission 00400304
<br />""" 0; f'O~ Expires 02/27/2009
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