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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permR may be subjed to"deed"restridions"
<br /> which may be more resUictive than County regulations The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> c�ntractors 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 violation
<br /> under state law. If the owner or intended conVador 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 727-847-
<br /> 8009. FuRhermore, 'rf the owner has hired a contrador or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this application for which they will be responslble. 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 Pasoo
<br /> CouMy
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the oonsUuction of new buildings,change of
<br /> use in existing buildings, or expansion of existing buildings,as specified in Pasco Counry 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 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 oertifiwte of occupancy or
<br /> final power release,the fees must be paid prior to pertnit issuance. Furthermore, if Pasco County WatedSewer Impad
<br /> fees are due,they must be paid prior fo permit issuanoe in accordance with applicable Pasco County ordinanoes.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is 52,500•00 or more,I
<br /> certify that I, the applicant, have been provided wiM a copy of the "Florida Construction Lien Law--Homeowner's
<br /> Protection Guide"prepared by the Florida Department of Agricutture and Consumer Affairs. If the applicant is someone
<br /> other than the"owne�',I certity that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owne�'prior to commenoement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the informatio�in this application is accurate and that all work
<br /> will be done in compliance with all applicabie laws regulating construction,zoning and tand development. Application is
<br /> hereby made to obtain a permk to do work and installation as indicated. I ceRify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be perfomied to meet standards of all laws regulating
<br /> construction, County and City oodes, zoning regulations, and land development regulations i� the jurisdiction. 1 also
<br /> certiry that I understand that the reguMations of other govemment agencies may apply to the iMended work,and thal 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, WeUand Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland �eas, Altering
<br /> Watercourses.
<br /> - Artny Corps ot Engineers-Seawalis,Docks,Navigable Waterways.
<br /> - Department of Heatth 8 Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental ProtecGon Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runweys.
<br /> I understand that the fdlowing restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V°unless expressly pertnitted.
<br /> - If the fill material is to be used in Fbod 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 professionai engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A"in connection with a pertnitted building using stem wall
<br /> construction,I certify that fill will be used only to fill the area within ihe stem wall.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversey affect adjacent
<br /> properties. If use of fill is found to adversely affect adjecent properties,the owner may be cited for violating
<br /> the conditions of the building permk issued under the attached permit application,for bts less than one(1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> Ii I am the AGENT FOR THE OWNER,I promise in good faith to inform Me owner of the permiQing conditions set forth in
<br /> this affidavit prior to commenang construction. I understand that a separate pertnit may be required for electricel woric,
<br /> plumbing, signs, wells, poois,air cond'Aaning, gas, or other installations not specifically induded in the application. A
<br /> permit issued shail be construed to be a license to proceed with the work and not as aulhority to violate,wncel,aRer,or
<br /> set aside any provisions oi the technical codes,nor shall issuance of a pertnit prevent the Building Oifiaal from thereafter
<br /> requiring a correction of errors in plans,consVuction 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 pertrik issuance,or'rf work authorized by
<br /> the pertnit is suspended or abandoned for a period of six(6)months after the time the work is commenoed. M extension
<br /> may be requested,in writing,from the Building Offiaal 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 COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTNN FINANCING,CONSULT
<br /> _N_RTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTiCE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGE ..�LsP CONTRACTOR(/'�Le?! aC�1�� -
<br /> ��s�ribed and to( rmed before me Mis Su bed end s a a )before me Mis
<br /> '/%'/,3 bY C�Y= �bY�� _
<br /> Who is/are personall k to me w hasfiave produced Who is/are p._�rsonafl m me or Iriasfiave produced
<br /> as ideMification. es identificetio�.
<br /> �� Mary Public �v'� ���NMary Public
<br /> Commission No. Commission No.
<br /> Name of Notary ryped,printed w stemped Name of Nolery typed,priMed or stamped
<br /> ,,�z�n�°�; SHARRON JOHNSON ;�ti:rc:"ri�� SHARRQN JOHNSON
<br /> *: :� �ommmission#EE 105642 ;,, � Commission#��105642
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