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NOTiCE Of DEED RES'TRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br /> which may be more res�ic�ive than County regulations. The undersigned assumes responsibiiity for compliance with �ny
<br /> applicabte deed restricti0r►s•
<br /> UNUCENSEfl /�ND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> ����to� to und�ake wo�Vc, tl�ey may be required to be licensed in accordance with state and locat regulations. If the
<br /> cantractor is not licensed as �ec}uired by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. if the owmer or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended wcxlc, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8049. Furthernwre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of tl�e "contractor Blodc" 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 /> Ca�nty.
<br /> TRANSPORTATION 11�lPACT/UTtLiTFES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that TransporEatia► Impact FBes and Recourse Recavery Fees may apply to the construction of new buildings, change of
<br /> use in e�asti�g buitdings, or expansiorr of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amen�d. The ur�gned a�so understands, that such fees, as may be due, will be identified at the time of
<br /> perrr�tting. It is further urxierstood 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 permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with appticable Pasco County ordinances.
<br /> CONSTRUCTtON UEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br /> certify that I, tfie appticant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> ather than the "owne�', I certify that i have obtained a copy of the above described document and promise in good faith to
<br /> de{iver it to the "pwner� prior to comr�encement.
<br /> CONTRACT�2'SIDWNER'S AFFt[�AVtT: I certify that all the information in this application is accurate and that ail work
<br /> wi11 be done in campfiance 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 regulating
<br /> construction, Counry and City codes, zoning regula�ons, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regutations of other government agencies may apply to the intended work, and that it is
<br /> my responsibit�ty to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Deparbnent af Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WatertWastewater Treatrnent.
<br /> - Southwest F{orida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercou�ses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabi{itative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Envi�onmer�tal Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the following Festricgons apply to the use of fill:
<br /> - Use of fill is not atlowed 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 engineer
<br /> licensed by the State of Florida.
<br /> If the filf material is to be used in Flood Zone "A" in connectic,n with a permitted 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 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 �wner of the permitting 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 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 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 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 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 COMMENCEM Y RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROV TS TO YOUR PROPERTY. IF YOU INTEND T T ANCING, CONSULT
<br /> WITH YOUR LENDER OR AN Y BEFORE RECORDING YOUR NOTICE F MENT.
<br /> FLORIDA JURAT (F.S. 117.03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and swom to (or affir re me this .Si`/�rF^+�'� Subscribed �� b�om to (or affirmed) b re e this Sf�TF��8E
<br /> T by ✓oHN L►vf x
<br /> Wh i personally known to me or has/have produced Wh per�sona�l h� n to e or ha asade bficab n.
<br /> as identiflcation.
<br /> Notary Public Nofary Public
<br /> Commission No. D D 7 � 0 23 Commission No. D� r I'I y 0�3
<br /> Name of Notary typed, printed or stamped Name of Notary ryped, printed or stamped
<br /> ��t';;� ELI95A M. HOLLERAN
<br /> �' t' '� . ELISSA M. HOLLERAN =:�` �� Z Commisslon 4D 774423
<br /> �*. �„s Commission DD 774023 � ' z Expires June 6, 201 2����
<br /> :�, �� Expires June 6, 2012 ''--�,,.�� 8 aii 0 idTM" t '��°"''"� 10 '
<br /> ;P,„..`' BaW�aihn+troyFnnlmwance80o38B�1019
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