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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pe�mit may be subject to'deed"restrictions'
<br /> which may be more restrictive 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 /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is �ot licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state taw 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 conUactors, he is advised 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 indicalfon that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County
<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 conshuctfon of new buildings,change of
<br /> use in existing buildings, or expansion of existing buildings, as specffied 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 ident�ed 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.certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, rf Pascb Gounty WatedSewer Impact
<br /> fees are due,they must he paid prlor.�p permit issuance in accardance with appliCable.pasco Co�nty ordinances.
<br /> CONSTRtJC�ION LIEN LA1�1F(Chapte�'793�,,Florida Statutes,�s ainended): If`V8luation ot work�is$2,500.00 or more,I
<br /> certify that I, ihe applicant, have been provided�virith a eopy of the�"`�IbTida_Constructio�,Lien Law—HomeQvlrner's
<br /> Protection Guide"prepared by the Florida Department of Agriculture and Consurtier Affairs. If 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 faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'SlOWNER'S AFfID/�V1T: �(•��y,that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applic'able laws P�gulaling constniction, zoning and tand development. Application is
<br /> hereby made to obtain a permit to do work and instaAation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a pennit 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 wdrk,and that it is
<br /> my responsibility to identify what actions I must take to be in complfance. Such agencies include but are not limited to•
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WatedWaslewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays.
<br /> - Department of Health 8 Rehabilitative Services/Environmental 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 fill material is to be used in Flood 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 permitted building using stem wali
<br /> construction,I certify 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 Till wili not adversely affect adjacent
<br /> properties. If use of fiil 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 fs required.
<br /> If 1 am the AGENT FOR THE OWNER,i 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, wells, pools, air conditioning, gas, or other installations not specifically included 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 p�ovisions 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(8)months aRer the time the work is commenced. An extension
<br /> may be requested, in writing,from the Building Officfal 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�OMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU TEND TO OBTAIN FINANCING,CONSULT
<br /> WITH Y L OR N A RNE EFORE REC CE F M N ENT.
<br /> FLORIDA JURAT(F.S.117.03) i
<br /> OWNER OR AGENT CONTRACT '� f^
<br /> Subsaibed and swom to(or aflirmed)before me this Subscr{b and \ r� (�rme )be{ th� ,
<br /> bY —2Z— 'Z b 'T
<br /> Who is/are personally known to me or hasRiave produced Who Is/a e on wn to me or haslhave produced
<br /> as Identlflcadon. as identlfipBon.
<br /> Notary Public _ „�� !�,E
<br /> on{ ohary Public
<br /> Commission No, Com � " •�S�6�f11�Q��2 ��4
<br /> Bordad'Ilw Tmy Fah buranoe 80P386TD1Y
<br /> Name of Notary ryped,printed or sfamped Name of Notary lyped,printed or stamped
<br />
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