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NO�ICE O� DEED RESTRICTIONS� The undersigned underst. http//www.ci.zephyrhills.fl.us/files/Buiiding_Dept/Permit_Applica.
<br /> NOTICE OF DEED RESTRICTIONS� The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than Counry regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions
<br /> UNLICENSED CQNTRACTORS AND CONTRACTQR 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 regula6ons 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 wark,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 contractors, 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 properly licensed and is not entitled to perrnitting privileges in Pasco
<br /> County
<br /> TRANSPQRTATION IMPACT/UTILITIES 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 af
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Counry Ordinance number 89-Q7 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 "certficate of occupancy" or final power release If the project does not involve a certficate 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 Counry ordinances
<br /> CONSTRUCTION LIEN LAW{Chapter 713.Florida Statutes,as amended) If valuation of work is$2,500.00 or more, I
<br /> certiiy 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 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 all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regula6ng construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regula6ons, and land development regula6ons in the jurisdiction I also
<br /> certiiy 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 I must take ta be in compliance Such agencies include but are not limited to
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterNVastewaterTreatment.
<br /> - Southwest Florida Water Manayement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls.Docks,Navigable Waterways
<br /> - Department of Health & Rehabilitative Senrices/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks
<br /> - US Enviranmental 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 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 peimitted building using stem wall
<br /> construction,I certiiy 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 byfill.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 forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical worlc,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or ather installations not specifically included in the application. A
<br /> permit issued shall be constnaed to be a license to proceed with the work and not as authoriry 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 aRer the time the work is commenced. An extension
<br /> may be requested, in writing,from the Building Official for a period not to exceed ninety{90)days and will demonstrate
<br /> jusUfiable 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 PR�PERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH Y�UR LENDER OR AN ATTORNEY BEFORE RECORDING YOIJR NOTICE OF C MENCEMENT.
<br /> FLORIDA JURAT(F S 11T 0
<br /> OWNER OR AGENT • CONTRACTOR'\ �
<br /> Subsaibed and sw m[o i edJ o e e Ihis Subscribed and swom ro�a�ffv�ned)befy re��is
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<br /> V�Iho !ar@ personally known to me or haslhave produced Who islare personally known to me or haslha+re produced
<br /> pL J�r, �,c�.�.sa_ asiden6fication Ft �r G c¢ asidentificaLOn
<br /> _\
<br /> � � Notary Pub6c � �� � No[ay Public
<br /> C I551 �IR�.I���y � �Q(�(� COfTIR115 ,11 V GI�N C7WE5
<br /> _''*; =�a Commission#��p ?.'� ;� Commiss on
<br /> ��p �
<br /> Name of f t •� � ri U`5[�rf , � Name of o • • ri ��e��7019
<br /> u TIrU Troy Fain Insurance 804385-7019�"' � ���•
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