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NOTIC[ OF DEED RESTRICTIONS The undersigned understands that this permit may be subjed to "deed' restnchons
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibiiiry for compliance with any
<br /> apphcable deed res[ncUons.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES. If the owner has hiretl a contractor or
<br /> contracrors to undeRake work, they may be required to be licensed in accordance wrth state and local regulations If the
<br /> contractor is not hcensed as required by law, both ihe owner and contractor may be cited for a misdemeanor vrolation
<br /> under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply tor the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Diwsion—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 "contrector Bixk" 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 priwleges �n Pasco
<br /> County
<br /> TRANSPORTATION IMPACY/UTILITIES IMPACT AND RESOURCE RECOVERY FEES The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the consiruction 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 t�me oi
<br /> permithng. It is (urther understood that Transportation Impact Fees and Resource Recovery Fees must be paid pnor to
<br /> receiving a"certificate of occupancy" or final power release. If the project does not involve a ceRificate 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 o( the "Fiorida Construction Lien Law—Homeowner's
<br /> Protection Gwde" prepared by the Flonda Department of Agriculture and Consumer AHairs. If the applicant is someone
<br /> other than the "owner", I certify that 1 have oblained a copy ot the above described document and promise �n good faith to
<br /> deliver it to the "owner" prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infortnation in this application is accurate and that au work
<br /> w�ll 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 regulahng
<br /> construction, County and Ciry codes, zoning regulations, and land development regulations in the �urisdiction. I also
<br /> certify that I understand that the regulations of other govemmeM agencies may apply to the intended work, and that rt is
<br /> my �esponsibility 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, Wedand Areas and Environmentalty Sensitive
<br /> Lands, WaterlWastewater Treatment.
<br /> - Southwest Florida Water Management Distnct-Wells, Cypress Bayheads, Wetland Areas Altering
<br /> W atercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Deparlment of Health & Rehabilitative Services/Environmental Health Unit-Welts, 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 submitted at time of permitting which is prepared by a professional engmeer
<br /> licensed by the State o( Fiorida.
<br /> - Ii the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wali
<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 wili not adversely affect ad�acent
<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 pertnit applicaGOn, 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 that a separate permit may be required tor electrical work,
<br /> plumbing, signs, we�ls, pools, air conditioning, gas, or other installations 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, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building OKcial irom thereafter
<br /> requiring a correction oi 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 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 writing, from the Buiiding Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. H work ceases for ninety (90) consecutive days, the job is considered abandoned
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOVR 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 1 7 03)
<br /> OWNER OR AGEN CONTRACTOR P�iLfJF %�
<br /> Subscribetl and swo to (6 ffirmed) before me this S}��b anC sw�f t r afyrmed) Defore me lhis
<br /> �01 bv �PYt 14cC�a L lGSZ1! by [j[t� bGY�'C.
<br /> Who is/are personally kn n lo me or �as/have DrotluCed Who is/a�e DerSOnaliv kn n[o me or has/have produced
<br /> _ as idenlificahon as idenlification
<br /> Notary Pubhc � ,� /%��_��`�\ Nolary Pu7hc
<br /> Commission No Commis5i,o�n7No
<br /> Name o �I l� V�.il : !/� ' 1��L / /�� V i..( L . � �/ I /'� l� — _ _
<br /> ry yped, pnnled o� slamped Name ot otary ryped, pnn[etl br stampetl/ �°���'—
<br /> = o��t�, n Notary P��� State of Florida
<br /> , Bruce A Asbel �ti�' � Notary PuWic State W Flonda
<br /> 9�_ ,t'�` MY Commiasq� D0989010 , Bruce A As6e1
<br /> '�'o��a�' Expires 06/22/2ptq �G� � My Commission DD989o10
<br /> ' �'oin.� Ezpirea 06l22/2014
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