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NOTICE OF DEED RESTRICTIONS: The. undersigned understands fihafi this permit may be subject to "deed" restrictions"
<br /> which may be more restricfiive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITICS: 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 coniractor may�be cited �for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised fio�contact the Pasco County Building Inspection Division—Licensing Section at 727-8�7-
<br /> 8009. Furthermore, if fihe owner has hired a contracior or contractors, he is advise.d to have the contractor(s} sign
<br /> portions of'the "contractor Biock" of this application for which they will be responsible. lf you, as the owner sign as the
<br /> contracfor, that may be an indication that he is riot properly licensed and is nofi entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVGRY FEES: The undersigned understands
<br /> that Transportation Impact Fees and I�ecourse 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, fihat sucl� fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood fihat 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. Furfihermore, if Pasco County Water/5ewer Impact
<br /> fees are due, they must be paid prior to permifi issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida 5fiatutes, as amended): If valuation ofi work is $2,500.00 or more, I
<br /> certify that I, the applicant, have been provided wifih a copy of the "Florida Construction Lien Law—I-lomeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Aifairs. I�F the applicanfi is someone
<br /> other than the "owner", I certify that I have .obtained a copy of the above described document and promise in good faifh fo
<br /> deliver it to the owner prior to commencement.
<br /> �� ��
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify thafi all the information in this application is accurate and that all work
<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 �s indicated. I cerfiify that no work or installation I�as
<br /> commenced prior to issuance of a permifi and thafi all work will be perFormed to meet sfiandards 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 ihe intended work, and that it is
<br /> my responsibility 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 [3ayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Wafier/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 Healfih & R�habilitative ServiceslEnvironmental Health Unifi-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - lJS Env.ironmental Protection Agency-Asbesfios 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 permitled.
<br /> If the fill material is fio be used in Flood Zone "A", il is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at fiime 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 conneciion with a permitted building using stem wall
<br /> � construction, I certify thafi fill will be used only to fill fihe area within the stem wall.
<br /> - If fill material is to be used in any area, I certify fihafi use of such �fill will not adversely affect adjacent
<br /> properties. If.use of fill is fiound to adversely affect adj�cent properlies, the owner may be cited fior violating
<br /> the conditions of the Uuilding �ermifi issued under the attached permif application, for lots less than one ('I )
<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 faifih to inform the owner of the permitiing 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 noi specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as auihority 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 �ermit issuance, or iF work authorized by
<br /> the permit is suspended or abandoned for a period of six (6) months aiter the time the work is commenced. An extension
<br /> may be requested, in writing, from the Building 'OFficial for a period not to exceed nineiy (90) days and will demonstrate
<br /> the ob is considered abandoned.
<br /> justifiable cause for the exfiension. If work ceases for ninety (90) consecutive days, j
<br /> WARNING TO OWNER: R�VEMEN TO YOUR PROP RTY. YOC1 1NT�END TO OBTA NM NANC NG C
<br /> PAYING TWICE FOR IMP
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORfDA JURAT (F:S. 117.03) � d v // �/,
<br /> ��`��� CONTRACTOR "�
<br /> OWNER OR AGENT ' �
<br /> Subscribed and sworn �t �ed) be ore me this /0- -(� Subscribed and b� orn to (or�a rmeG) befo e e��� � 7
<br /> bY S ''`�" �' "'� Who is/are ersonally known to me or has/have produced
<br /> Who is/are personally known to me or has/have produced p as identification.
<br /> as identification.
<br /> Notary Public
<br /> Notary Public
<br /> Commissi No. Commission No. T y ptiN1.iC•5i'AT?� OFFIARIDA
<br /> •� � OF FLORIDA S�lzc�i71`1N B
<br /> , Suzanne Bahr mission # EE044504
<br /> Name of Notary typ �, . �� # EE044504 Name of Notary typed, printe � .� `
<br /> ed" ��- ',,, ,,.•� Fxpires �� JV. 22, 2014
<br /> �'F.xp:res: �iCV.22,2014 so���ntxrqT�..�.�r�.. �u�r,c�cco.,u�c.
<br /> BO\'DEDTI?Rl ATI.4.'"TICit�.�Ti:�GCO.,INC.
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