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From 0��05;2012 09 11 #82`.i P 001%001
<br /> NOTICE OF DEED'RESTRICTIONS: The undersigned understands that this permit 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 dee�restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSISlLITIES: If the owne� has hired a �contractor or
<br /> contractors to undertake work,they may be required to be ticensed 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 violatfon
<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 727-847-
<br /> 8009 Fu�thermore, 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 application for which they wilf be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not propetiy I+censed and is not entitled to permitting privileges in Pasco
<br /> County
<br /> TRANSPORTATfON IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES. The u�dersigned understands
<br /> that Transportation Impact Fees a�d Recourse Recovery Fees may apply to the construction of new buildings,change of
<br /> use in existing buildings, or expansion of exisfing buildings, as spec�ied 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 identified at the time of
<br /> permitting. It is further understood that Transportatfon 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 invoive a.cer��cate 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 acaordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): 1f 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 Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner",I cert'rfy that 1 have obtained a copy of the above described document and promise in good faith!o
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'5/OWNER'S AFFIDAVIT I certify that all tne information in this application is accurate and that all work
<br /> will be done in compliance with atl applicable laws reguEating construction,zoning and Eand development. Application is
<br /> hereby made to obtain a permit to do work and instailafion as indicated. I cerlify that no work or instaHation has
<br /> commenced prior to issuance of a permit and that ail work will be performed fo meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> cerfrfy that I understand that the regulations of other government agencies may appiy to the intended work,and that it is
<br /> my responsibility to identify whak actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmenta( Protection-Cypress Bayheads, Wetland Areas and Environmenfally 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 E� f2ehabifitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmentai Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-F2unways.
<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 professional engineer
<br /> lice�sed by the State of�lorida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem walf
<br /> construction,I certify that fill will be used only to fill the area within the stem wali.
<br /> - If fill material is to be used in any area, � certify that use of such fill wifl not adversely affect adjacent
<br /> properties. If use oi fil! 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 fess than one(1)
<br /> acre which are elevated by filf,an engineered drainage ptan is required.
<br /> lf I 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. 1 understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other insta�lations 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 provisions of the lechnical codes,nor shall issuance of a permit prevent the Buiiding Official from thereafter
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shali 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 Buiiding Officiai for a period not to exceed ninety(90)days and wiil demonstrate
<br /> justifiabie cause for the extension. If work ceases for ninery(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNEft: YOUR FAlLURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE fOR IMPRdVEMENTS TO YOUR PROPERTY. IF YOIJ INTENb TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR L NDER OR AN ATTORNEY BE�ORE RECOR 1 YOUR OTiCE OF CO � MENT.
<br /> FIORIDA JURAT(F S.117.03) ��
<br /> O4YNER OR AGENT CONTRACTO
<br /> Subscribed and sworn to(or affirmed)before me this S b cri d and Siy m to aft�e be ore me ' � � n��.r�,/�� —
<br /> —bY y— ����--f�=
<br /> Who is/are perso�ally known to me or has/have produced ar onall own to m r has/have duced
<br /> as idendfication. as identificatlon.
<br /> _ Notary PubHc
<br /> � ub'
<br /> _ C� � 2�� �•,,,"'•••., LYNNE DUPUIS
<br /> Comm3ssion No. Commis ian o.
<br /> ��j =+°. .`�= Notary Public-State of florida
<br /> Name ot Notary typed,printed or stamped Name of Fary typed,print or s mped . •= y Comm.Expires Jul 10,2��S
<br /> ':,+,F �.A:� Commission#EE 102895
<br /> ��''°����`���, Bonded ThrougA National Notary Assn
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