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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions'
<br /> whith may be more resUictive tfian County regulations. The undersigned assumes responsibility for campliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSISILITIES: If the owner has hired a conuactor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> conhactor is not licensed as required by law, bofh the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. It lfie rnmer or intended coMractor are uncertain as to what licensing requirements may apply for the
<br /> iMended work,they are advised to contact the Pasco County Building InspecGon DiviSior�Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the conuactor(s) slgn
<br /> portions of the'contractor Block'of this application for which they witl be responsible. If you,as the awner sign as the
<br /> oontrdctor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION 1MPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Trdnsportation 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 idendfied at the time of
<br /> pertnitting. It is further understood that Transporta6on Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate ot occupancy'or finat 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 Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance wiih applicable Pasco County ordinances.
<br /> CQNSTRUCTfON LIEN LAW(Chapber 713,F[o�ida Statutes,as amended): If valuation of work is 52,500.00 or more,l
<br /> certity that I, the applicant, have been provided with a copy of the 'Fbrida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Fbrida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner,i cer0fy that t have obtained a copy of the above described document and promise in good faith to
<br /> dellver it to the"owner'prior to commencement
<br /> CONTRACTOR'SlOWNER'S AFFIDAVIT• I certify that all the infortnaGon in this application is accurate and that all work
<br /> will be done i�compliance with all appficable laws regulating construction,zoning and land development Appliqtion is
<br /> hereby made to obtain a pertnit to do work and installation as indicated. I certify that no work or i�stallation has
<br /> commertoed prior to issuance of a permit and that aIl work will be perFomied to meet standards of all laws regulating
<br /> conshvction, Counly and Ciry codes, zoning regulations, and land development regulations 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 respons�'bility to identify what actions I must take to be in compliance. Such agencies indude but are not limited to:
<br /> - Department of Environmental Probection-Cypress Bayheads,Wetland Areas and Environmentally Sensi6ve
<br /> Lands,WaterNVastewater Treatment.
<br /> - Southwest Ftorida Water Management District-Wells, Cypress Bayheads, Wetland Areas. Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Departrnent of Health & Rehabititative Services/Environmental HeaRh Unit-Wells, Wastewater Treatrnent,
<br /> Septic Tanks.
<br /> - US Environmental Protec6on Agenq-Asbestas abatement.
<br /> - Federal Aviadon Authority-Rurnvays.
<br /> I understand that the following restridions appy to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V'unless expressly permitted.
<br /> - If the fitl maberial 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 /> licensed by the State of Fbrida.
<br /> - If the fi11 material is to be used in Ffood Zone"A" in connection with a pertnitted building using stem wall
<br /> construction,I certify that fill will be used only to fill the area within the stem wall.
<br /> - If filI material is to be used in any area, I certify that use of such fill wilt not adversely affect adjacent
<br /> properGes. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> the oonditions of the building permit issued under the attached pertnit appfication,for lots less than one{1)
<br /> acre which are elevated by fil,an engineered drainage plan is required.
<br /> If I am the AGENT FOR 7HE OWNER, I promise in good taith to inform the owner of the pertnitting conditions set forth in
<br /> this affidavit pnor to commencing construction. I understand that a separate pertnit may be required for elecVical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifiqlly included in the application. A
<br /> pertnit issued shalt 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 /> requi�ng a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
<br /> untess 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 eutension
<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 e ion. If work ceases for ninety(90)consecuUve days,the job is considered abandoned.
<br /> WARNING TO : YO FAILURE TO RECORD A N0710E OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWI F R PRO ME TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOU N R R AN NEY BEF RE RECORDING YOUR NOT CE OF COMMENCEMENT.
<br /> �oRtDn.N (F.s. ) .
<br /> OVYNER OR AG GONTRACTOR / � .
<br /> Su sxom to r affirmed)betoro me this Subsmbed and swom to(o an ed) me s ���j/3
<br /> ����y '� a/i� 6��D�i� by
<br /> o is/are rsonal known tarnQ'Ohqasfhave producetl Wha islaro personaly knawn to me or hasThave produced
<br /> _� , as W fntifiption. �'� as Identitkation.
<br /> ` �^-'�'�" Noqry Pubtie 6 ���;��"`� Nomry Publie
<br /> C ission N mi i o.
<br /> ;�ti �;; JIWINE E.AL1EN
<br /> Name of Npta 91 Nart�e oi Noqry lyped,pnnted or sWmped
<br /> ,;�, - I ES:March 21,2016 �*':�"'.'•, JANINE E.Al1EN
<br /> Pf�R�,•� ��mN Notary Public Undenvriters :'•� �:' MY COMMISSION k EE 181891
<br /> �:��d' EXPIRES:March 21,2016
<br /> %�;pf��,g`�'�' Bonded Thru Notary PuWic Urdenwiters
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