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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subjeGt to"deed"restrictions::--
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility f�r compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 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 for a misdemeanor violation
<br /> under state Iaw 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 727-847-
<br /> 8009 Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this app�ication 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 privileges in Pasco
<br /> Counry
<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 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 aiso 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"ceRificate of occupancy"or final power release. If the project does not invoive 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 Statutes,as amended). If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Fiorida Department of Agricuiture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certiiy that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT I certity that all the information in this application is accurate and that all work
<br /> will be done in compliance with ali applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated I certify that no work or instailation has
<br /> commenced prior to issuance of a permit and that 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. I also
<br /> certify that I understand that the regulations of other government agencies may apply to the 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 Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/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 Health & Rehabilitative ServiceslEnvironmental Health Unit-Wells Wastewater Treatment.
<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 fll material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume"wiil be submitted at time 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" m connection with a permitted building using stem wall
<br /> construction, I certify that fifi 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 adjacent
<br /> properties if use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the 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 THE OWNER, 1 promise in good faith to inform the owner of the permitting 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, welis, pools, air conditioning, gas, or other installations not specifically inciuded in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority 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 permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
<br /> may be requested, in writing, from the Building Official 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 OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S 117 03) �,
<br /> �/'� �� \ ��j�,, l��
<br /> OWNERORAGENT� /7L11J �^''_�' CONTRACTO
<br /> Subscribed and swo�rmed)be e me lhis � Subscribed an swom r affirrr+ed)bef e lhis
<br /> by —by-- � — — —
<br /> Who is/are�ersonallv known�o me or has ave produced Who is/are personallv known to me or has/have produced
<br /> as identifcation ___ ______ ___--as idenlification
<br /> i
<br /> ! l!� �.(.,(�.(^.� (�� ublic _.L�!�"_���_�. �� Y-__ ___Notary Public
<br /> _.v �
<br /> Commission No --
<br /> ,�gr n Notary P�ub Ezell,�,�-���9�¢ _ ��� -- ---
<br /> a e ta�t �ryyjysi96ibpp'e"-- Name d�i6�1�d 4 E. ��6t�Y6�d3—
<br /> �` Kathleen F zell
<br /> �� �' cxpiros 08105�z��3 � � My Commission DD914221
<br /> orti° �a�� Expires o8/05l2013
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