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NOTICE OF DEED RESTRICTION3: The undersigned understands that fhis pertnit may be subject to "deed" restrictions"
<br /> which may be more restricGve than County regulabons. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE3: If the owner has hired a contractor or
<br /> contradors to undertake work, they may be requMed 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 contrador may be cited for a misdemeanor violation
<br /> under atate law If the owner o� 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 Furthermwe, if the owner has hired a conVactor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Blodc" of this application for which they will be responsiWe. If you, as fhe owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to pertnitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impad 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 numbet 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such feas, as may be due, will be identified at the Gme of
<br /> permimng. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"ce�tificate of occupancy" or final power release. If the project does not invdve a certficate of occupancy or
<br /> final power retease, the fees must be paid prior to permit issuance. FuRhertnore, if Pasc;o County Water/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accorclance with applicable Pasco County ordinances.
<br /> CONSTRUCTION UEN LAW (Chaptsr 713, Florida Statutes, as amended): If valuation of work is $2,500.00 w more, I
<br /> cerdfy that I, the applicant, have been provided with a copy of the "Florida ConsUucdon Lien Law—Homeowners
<br /> Protection Guide" prepared by the Fbrida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the "owne�', I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the "owne�' prior to oommencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the informatian in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating constructiai, zoning and land development. Application is
<br /> hereby made to obtain a pertnit to do work and installation as indicated. I certify that no worlc ar installation has
<br /> �mmenced prior to issuance of a pertnit and that all work will be peAormed to meet standards of all laws regulating
<br /> cons6vction, County and City codes, zoning regulations, and land devebpment 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 indude but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wedand Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Fbrida Water Management District-Wells, Cypress Bayheads, Wedand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
<br /> - Department of Health 8 Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment.
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Rurnvays.
<br /> I understand that the following resUictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone "V" unless expressly pertnitted.
<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 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, 1 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 properGes, the owner may be ated for violating
<br /> the conditions of the building pertnit issued under the attached pertnit 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 OYYNER, I promise in good faith to inform the owner of the pertnitting 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, pools, air condidoning, gas, or other installations not specifically inGuded in the applica6on. A
<br /> permit issued shall be construed to be a license to proceed with the woAc and not as authority to vidate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a pertnit prevent the Building Official from thereafter
<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 pertnit 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 dme 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 /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
<br /> WARNING TO OW R: YOUR FAILURE TO RECORD A NOTICE OF MMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR PR N� TO YOUR PROPERTY. IF YOU N ND FlNANCING, CONSULT
<br /> WIT R NDER O ORNEI' EF R EC RD N YO N OF MM M NT.
<br /> FLORIDA JURAT (F.S. 117.03) �
<br /> OWNER OR AGENT i �/`� _ CONTRACTOR —� �
<br /> Subs ' ed and s m to (or aiR ed) befo ' e Uiis S ard swom to (w afirtned) bafore this
<br /> � / �.7 �i Vc. ' � � � i� bv ��4.f�'J�"7�..LcS '�-'.
<br /> Who is/ar personaNy to me or hasrtiave produced o i personaNy known e hae/I�ave produced
<br /> as idenGfication. �� jd�p�yp�.
<br /> � � n � /�
<br /> �, i^/ ' - '" Notary Public �`�� Notary Public
<br /> o. Commis '
<br /> r � ^;�_R� OFFtCI�iL SERL `+'�- OFFICIAL SEAI
<br /> ���
<br /> A��6 d, printed a,afatopad. Name of w stam
<br /> i ;`�:. ? � i �' ��uw�y ru ; , � ' Notary Pubiic
<br /> For the State of South CaroGna - For tl�e Stata of South CaroGna
<br /> My Commission Expires My Commission Expiroa
<br /> May 8, 2017 May 8, 2017
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