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NOTICE OF DmoD Re STR ive thN County regulat9ons. The undersigned a sp ns bilby for c mpl ance t with �ny
<br /> which may b
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the vwner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and Iocal regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractot may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requfrements may appiy 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 cvntractors, 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 IMPACTIUTILITIES 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 /> 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 Counfy Water/Sewer Impact
<br /> fees are due, they must be paid prior to permft issuance in accordance with applicable Pasco Cvun ty or dinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florfda 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 Lfen Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department vf Agriculture and Consumer Affairs. If the applicant is svmeone
<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 appiicable 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 responsibflity 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 Environmentaily 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 foilowing restrictions apply to th� 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 (n Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be subm(tted at time of permitting which is prepared by a professional engineer ;
<br /> licensed by the State vf Florida.
<br /> If the fill material is to be used in Flood Zone "A" in connection with a pe�mitted 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 appiication, 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 vwner of the permitting conditions set forth in
<br /> this affidavit prior to commencing const ionin ��s i st ilat ons sp cifically bncluded t e a cati n�
<br /> plumbing, signs, welis, pools, air condit g, 9
<br /> permit issued shall be construed to nical codesenor shall ssua a permit�prevent the Iding Officeal from thereafter
<br /> set aside any provisions of the tech
<br /> requiring a correction of errors in plans, co� is�co six perm t ss a wo authorized by
<br /> unless the work authorized by such permi months after the time the work is commenced. An extension
<br /> the permit is suspended or abandoned for a period of six (6)
<br /> may be requested, in writing, from the Bulldin e� o��ninety (90) days, the job is�cons dee d aba� doned
<br /> )ustiflable cause for the extension. If work ceas
<br /> WARNING TO OWNER: YOUR FAILURE TO RR PROPERT1f. YOU INTEND TO BTAIN NANCSNGTCONSULT
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOU
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR OTICE OF MMENCEMENT.
<br /> FLORIDA JURAT (F.S. 117.03) � / ,lj C , /�
<br /> - I� G L � 7 �----
<br /> CONTRACT
<br /> pyYNER OR AGENT bscrib and swom to (o affirmed) before me this
<br /> Subsc ed a d swom to or afflrmed before me thls / �� o by
<br /> ��— b t me or has/have produced
<br /> o s/ e sonally known to me or has/have produced ers�g,n�// as Identification.
<br /> �� �f ' as ldentlflcatlon. .
<br /> � ' -
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<br /> /� /� � �, , �,�! ____Notary Publlc
<br /> /,� _ L'�1�� Notary Publlc �
<br /> o sion No.
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<br /> om on No.� --- j � �° ; .°;'��
<br /> * * MYCOMNIISSIONtDD99E� L ed, rintedorstamped * * My���DD
<br /> b • uh 21, 2014 Name of Notary tyP P EXPIRES: Juh 21, 2014
<br /> Nartl e of Notary fy ��� �� 8aid�d Thu Budpd NOtwp Servioes � c��p��~ Boided TMu Budgel Nohry Services
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