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� � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restridions"
<br /> which may be more resVictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable 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 vidation
<br /> under state law If the owner or intended contrador are uncertain as to what licensing requirements may apply for the
<br /> intended woric, 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 contrador or conVactors, he is advised to have the conVactor(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 pertnitting privileges in Pasco
<br /> County
<br /> TRANSPORTATION IMPACT/UTILITIES 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 Trensportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy" or final power release. If the project dces not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to pertnit issuance. Furthermore, if Pasco County WateNSewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accorclance 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—Homeowner's
<br /> Protedion Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the "owner", I cerfify 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 commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the informa6on in this application is accurate and that all woric
<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 ceRify that no work or installation has
<br /> commenced prior to issuance of a pertnit and that all work will be pertormed 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 ac6ons 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-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Artny Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health 8 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 following restrictions 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 Fbrida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construcGon, 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 faith to inform the owner of the pertnitting conditions set forth in
<br /> this affidavit prior to commenang construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically induded 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, atter, or
<br /> set aside any provisions of the technical codes, nor shall issuanoe of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every pertnit 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 wo�lc 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 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N0T10E OF COMMENCEMENT.
<br /> FLORIDA JURAT (F.S. 117.03)
<br /> OWNER OR AGENT CONTRACTOR .(.11/ILQf �21�Et��
<br /> 7+ Su sc� bed and swo to (or�a ed) efore me this Su r 'bed and sworp affiAned) ¢efore me this
<br /> by Z` by C�I^Ct �ESCt��Y
<br /> Who is/are e o me or hasRiave produced Who is/are p ersonally k to m e w has/have produced
<br /> as identificaUon. as identification.
<br /> \\"'�'�\� \ ^"s�� � Notary Public �� �7 Notary PuWic
<br /> Commission No. Commission No. �
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<br /> ;�'� ��`° Commission #EE 05642 �*; Commi�ion # EE 105642
<br /> � ;r � � ,��� Expkes Jlme 23, 2�15 Expir'es Jtxte 23, 2015
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