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. , NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" rest ctions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance ith any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES. If the owner has hired a contr ctor 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 v olation
<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 to contact the Pasco County Building Inspection Division—Licensing Section at 7 7-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor( ) sign
<br /> portions of the "contractor Block" of this appliqGon 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 priviieges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned unde stands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, ch nge of
<br /> use in exisdng buildings, or expansion of existing buildings, as specified in Pasco Counry Ordinance number 89- 7 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the ime of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid rior to
<br /> receiving a"certificate of occupanc�' or final power release. If the project does not involve a certificate of occup ncy 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 Statutes, as amended): If valuation of work is $2,500.00 or ore, I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Home wner's
<br /> Protection Guide" prepared by the Florida Department of qgriculture and Consumer Affairs. If the applicant is s eone
<br /> other than the "owner', I certify that I have obtained a copy of the above described document and promise in good aith 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 II work
<br /> will be done in compliance with all applicable laws regulating oonstruction, zoning and land development. Appli tion is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installati n has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws re lating
<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 t at 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 Bayheads, Wetland Areas and Environmentally S nsiGve
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Itering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Tre tment,
<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 permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addre ing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional e gineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a perrnitted building using ste wall
<br /> construction, I certify that fill wil� be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, I certiTy that use of such fill will not adversely affect a jacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for vi lating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than ne (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 permitting conditions set orth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrica work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not speafically induded in the applicat n. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, ter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from th eafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become nvalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authori ed by
<br /> the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An ex nsion
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demo strate
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandone .
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN OUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CO SULT
<br /> WITH Y UR LEND OR AN RNEY BEFORE RECORDING YOU OTICE OF MMENCEMENT.
<br /> FLORIDA JURAT (F.S. 11 .0
<br /> OWNER OR AGEN CONTRACT R ��
<br /> Subscribed and swom r affirtned b fore me this Subscribed an or affirme efore me lhis `
<br /> by p
<br /> Who islare personally known to me or has/ ave produced Who is/are personally known to me or has/have produced
<br /> as iden ' tion. as identification.
<br /> / ___
<br /> — --- - -__ No Public u lic
<br /> mmission No. Commission No. ._ -"� J
<br /> � - � i
<br /> Name yped, pri ed or sta e Name of Nola
<br /> yped, prin or stamped
<br /> ,NUU N.u�u.� .,.
<br /> � SUZANNE ALLEN �`��"� � SUZANNE ALLEN
<br /> ��,� `' z Notary Public - State of Florida i Notuy Public • State of florid�
<br /> �s���� My Comm Expires Oct 25, 2015 � ,g M�r Comm. Exp�res Oct 25, 2015
<br /> ,,,�����,�� Commisaion � EE 131770 1, ���� Commission � EE 131770
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