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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 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 ticensed in accordance wifh state and local regutations. 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 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 contrac�ors, 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 indication that he is not property licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES 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 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 certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer 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, Florlda Statutes, as amended): If valuation of work is$2,500.00 or more, I
<br /> certify that 1, 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 appticarrt is someone
<br /> other than the"owne�', 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 AFFIDAVIT• I certify that al!the information in this application is accurate and that all work
<br /> witl be done in compliance with afl applicable faws regulating construction, zoning and land development. Apptication is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or instaltation has
<br /> commenced prior to issuance of a permit and that a{I work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regula#ions in the jurisdiction. I also
<br /> certify that I understand that the regulations of other govemment agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions 1 must take to be in complia�ce. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentatly 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 Watenivays.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Welts, 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" wiN 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" 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 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 OVYNER, 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, wells, pools, air conditioning, gas, or other instal{ations not specificalty included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the wo�lc 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 excsed 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 PROPER'fY. IF YOU INTEND TO OBTAIN FINANCiNG,CONSULT
<br /> WITH YOUR LENDER OR AN ATT RNEY BEFORE RE DING Y NOTICE OF C NCEN�NT.
<br /> FLORIDA JURAT(F.$:11 . 3) j
<br /> � ,q.�� CONTRACTOR q, � � �y�`'°"
<br /> OWNER OR AGENT`� �/�''!' -�"
<br /> Su tx and swom to(or affirtned)before me this Su ' and swo�n to(or a��before me this
<br /> py 3���� r�';u. �i�).�n : I� by 1)!J� c�
<br /> Who i /are�ersonallv known to me or has/have produced Who is/are personallY known to me or hasfiave produQed
<br /> as identification. as idendfication.
<br /> � r � ,yf�.� �j�„� Notary Public .,Sy,�n,c��-. �Jir� ,�a�x�ts Notary Public
<br /> Commission No. L L �I���� Commission No. t•� '-�l�I�'�
<br /> Sisc�„ Anh [�.�/f�ep _ �:�s�� l�►,r, i�w�J/�e
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> �.M�� Notary Public State of Florida
<br /> ��✓ . , Susan Ann Lavallee
<br /> �� N��Y�'ubi�c State of Flonda �� ,p` My Commissio�EE 218188
<br /> • Susan Ann l�avallee or wd' eXP��es o�rz2no�s
<br /> �►r�� MyCommission EF 2�g�8g
<br /> EXpires 07/22J2075
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