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NOTICE OF DECD RESTRICTIONS: The. undersigned underst�nds that this permit may be subject to "deed" restrictioris"
<br /> which may be more restricfiive than County regulafiions. 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 contractor may�be cited �(or a misdemeanor violation
<br /> under state law. If the owner or intended confiractor are uncertain as to whafi licensing requirements may apply for the
<br /> intended work, they are advised to�confact the Pasco County Building Inspection Division—Licensing Section at 727-8�7-
<br /> 8009. Furthermore, if the owner has hired a contracior or confractors, he is advise.d 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 nofi entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT ANQ RESOURCE RECOVCRY 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 Impaci Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy" or final power release. If tl�e projecfi 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 applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida 5tatutes, as amended�: If valuation of 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—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer A�fairs. I( the applicant is someone
<br /> other than the "owner", I certify that I have .obtained a copy of the above described document and promise in good fiaith to
<br /> deliver it to the "owner" prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify fihat all the information in this application is accurate and that all work
<br /> will be done in compliance wiih 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. 1 certify that no worlc or insfallation has
<br /> commenced prior to issuance of a permit and thafi 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. f also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and fihat it is
<br /> my responsibilifiy to identify what actions I must take to be in comp�iance. Such agencies include but are not limited to:
<br /> - Department of Environment�l Protection-Cypress l3ayheads, Wetland Areas and Environmentaliy Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheacis, Wetland Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unifi-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Env.ironmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fiil:�
<br /> Use of iill is not allowed in Flood Zone "V" unless expressly permitfied.
<br /> If the fill material is to be used in Flood Zone "A", ifi is understood that a drainage plan addressing a
<br /> "compensafing volume" wiil be submiited at fiime of permitting whicl� is prepared by a professional engineer
<br /> licensed by the Sfiate of Florida.
<br /> If the fiill material is to be used in Flood Zone "A" in connecfiion with a permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill fihe �rea within the stem wall.
<br /> If fill material is to be used in any area, I certify thafi use of such fill will not adversely affect adjacent
<br /> - the owner may be cited for violating
<br /> properties. If.use of fill is found to adversely af�ect adjacent properties,
<br /> the conditions of the building permit issued under tlze 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 TFIE OWNER, I promise in good faiih fio inform the owner of the permitting conditions set forfh in
<br /> this affidavit prior to commencing construction. I undersfiand 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 anplication. A
<br /> permit issued shall be consthe echn cal c hall s�s a a pe mit�prevent the Iding Oificial ther
<br /> set aside any provisions of t
<br /> requiring a correction of errors in plan ermit s si a months e of permit pssua wo authoeized by
<br /> unless the work authorized by such p
<br /> the permit is suspended or abando the g ial fo6a per o not fio exc ed ne y days and will demo
<br /> may be requested, in writing, from
<br /> the ob is considered abandone .
<br /> justifiable cause for the exfiension. If work ceases for ninety (90) consecutive days, �j
<br /> WARNING TO OWNER: YOUR FAIL�RO YOUR PROPERTY. YOC1 INTE D OBTAIN NANC NG C
<br /> PAYING TWICE FOR IMPROVEMENT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT (F:S. 117•03) � � � `���{��-�""' I
<br /> CONTRACTOR
<br /> OWNER OR AGEN i� F—� ��'' ��,,� Subscribed and sworn t9, r a(frmed efor � this —e�
<br /> Subscribed and �worp�tcy(o� rme ) efoye� e this _ V
<br /> p V uL� ^u'-J
<br /> Who is/are personallv Icnown to me or has/have roduce
<br /> Who is/are personally known to me or has/ha e produced as identification.
<br /> as identification.
<br /> Notary Public
<br /> Notary Public
<br /> Commission No. 'OTARY PLI3LTGSTATE OF FI.ORIDA Commission No. SUZ2I1ri0 Balu'
<br /> uzanne a :• =. •
<br /> 'ssion # EE044504 Name of Notary typed, printed�j 1�
<br /> ed, rf ', , �s: NOV. 22, 2014 .,, ,,; xpires. i+OV. 22, 2014
<br /> NameofNotarytyp P , .� gp�=D�TiIIiL'�A"iL.�.�"�'ICBOSll
<br /> BO\'DED TfII2L' ATLA.`7TIC BOr'DLVG CO., INC.
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