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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 resVictive than County regulafions. 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 tor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulations If the
<br /> conVactor 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 Sedion at 7 7-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor( ) si n
<br /> portions of the "contractor Block" of this appliqtion for which they will be responsible. If you, as the owner sign as the
<br /> contrador, that may be an indication that he is not properly Iicensed and is not entitled to permitting privileges in Pasco
<br /> Counry.
<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 existing 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 occupancY' or final power release. If the project dces 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 mpact
<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 ner's
<br /> Protection Guide" prepared by the Florida Department of �c riculture and Consumer Affairs. If the applicant is so 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 aonstruction, 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, WateNWastewater 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-Welis, Wastewater Tre tment,
<br /> Septic Tanks.
<br /> - US Environmental Protection f�qency-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 permitted building usfng ste wall
<br /> construction, I certlfy 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 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 oommencing construction. I understand that a separate permit may be required for electrica work,
<br /> plumbing, signs, welis, pools, air conditioning, gas, or other instailations 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 perrnit 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 /> W TH Y UR LEND OR AN A RNEY BEFORE RECORDING YO R ICE OF CO ENCEMENT.
<br /> FLORIDA JURAT (F.S. 11 . �
<br /> � OWNER OR AGEN � � "�— CONTRACTOR �—�
<br /> Subscribed and swom lo (or affirmed) e re me this Subscnbed and s o o.{dr aff(rmed fore me lhis
<br /> 1.'� �J+h ,Z►' "�Jo \ G.5 �b �r�) s�tc S by .� �o r�ov ��S
<br /> Who �s/are persona no lo me or has/have produced Who is/ar personally kno n lo me or haslhave produced
<br /> as identification. as identifiqtion.
<br /> �`_ �,
<br /> ����/ Notary Pubhc � � Notary Pu lic
<br /> Commission No. Commission No,
<br /> Name of Notary typed, printed cr stampad Name ot Nolary lyped, nt d SUZ
<br /> �' = NoUry PuDlic - State of fio�M
<br /> ,,�;,�-"=':y-., SUZANNE ALLEN s,� � My COmm. Expires Oct 5, 20/S
<br /> � r `' "; Notary Public - State of Florid� ' �.� Commiuion N EE 1 770
<br /> . ..,����
<br /> "' = IiAy Comm. Ezpires Oct 25, 2015
<br /> �� ` � r .r COmmiESion +1E EE 131770
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