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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 restrictive than County regulations. 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 ctor 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 contrador 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 Section at 7 7-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor( ) 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 indiqtion 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 unde tands
<br /> that Transportatlon 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 County 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 does 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 ConsVuction Lien Law—Home wner's
<br /> Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is s 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 ail applicable laws regulating construction,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 pertormed 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 nsitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Itering
<br /> Watercourses.
<br /> - Army Corps of EngineersSeawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Tre tment,
<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 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 using ste wall
<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 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 commencing construction, I understand that a separate permit may be required for electrica work,
<br /> plumbing, signs,wells, pools, air conditioning, gas, or other instaltations not speafically induded in the appiica 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 OfBcial 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 permit 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(90j 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 FAll.URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN OUR
<br /> PAYING TWICE FOR IMPRO MENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAI FINANCING,CO SULT
<br /> WITH Y R LE R OR AN RNEY BEFORE RE ORDING YO CE OF COM ENCEMENT.
<br /> FLORIDA JURAT(F. .11 3)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subs ed d swom to r for me this Subs,Ibed nd sworn lo(or rme e e
<br /> by
<br /> Wh i ar personally k t e or has/hav Who is/are personall� cnown lo me or s/have
<br /> --- s identi ion. eid€nQfica ion.
<br /> Notary Public Nolary Pu lic
<br /> Comm ion Com o
<br /> Name of Notay typed,yrii�ted or slamped Name of Nctary iypad,prinied or stamped
<br /> ;�'�°�e'o SUZANNE AILEN
<br /> ;�:P" '�e'��. SUZANNE ALLEN ii4 �':
<br /> '_' `°: Notary Public-State oi Florida : Notary Public-Stne of Fbrida
<br /> ' Nry Comm.Expirea Oct 25,201
<br /> rs'My Comm.Expires Oct 25,2015 � ���#�131770
<br /> �'�Nm �` Coaimission I�EE 131770 .�`
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