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NOTICE OF DEED RESTRICTIONS. The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> whicFi 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 licensed 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 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 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 permitting privileges in Pasco
<br /> Counry.
<br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that TranspoRation 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 perrnit issuance. Furthermore, if Pasco County WateNSewer 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,Florida Statutes,as amended): If 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 appiicant 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"owne�'prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT� I certify that ali the information in this application is accurate and that ali work
<br /> will be done in compliance with all applicable laws regulating 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 perFormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations. and land development regulations in the jurisdiction. I alsc
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is
<br /> my responsibility to ident'rfy 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 Sensitive
<br /> Lands,V`Jater/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmentai Protection Agency-Asbestos abatement.
<br /> - Federai Aviation Authority-Runways.
<br /> i understand that the following restricticns apply to the use of fill:
<br /> - Use ot fill is not allowed in Flocd?one"V"unless expressiy permitted.
<br /> - li the fill material is to be used in �lood Zone "A", it �s understood that a dra�nage plan addressing a
<br /> "compensating volume"will be submitted at time oi permi:ting which is prepared by a profess�onai enyi�eer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used m Flood Zone "A" in connection with a permitted building using stem wail
<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 ❑sed in :,n�� are<•, i certi"ry that u:a c` such fill will not adversely affect adiaceri
<br /> properties. If use of fill is found c��adversely aflect adjaceni pre�erties,the owner may be cited for violatiny
<br /> the conditions of the building perr;�it issued under the attactieG aermit application, for lots iess than one (1)
<br /> acre which are elevated by fi:l,an�-ir�inee�ed dr�inage plar•�rec;uired.
<br /> If I am;he�GENT F�R THE OWNER, I prorrise in good faith to inforrn the cwne;of the permitting conditions s2t foRh in
<br /> this affidavit prior to commencir�g construction. I understand that a separate permii may be required for elecirical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations 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 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 exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for�inety(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 PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMME EMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT CONTRACTOR � ✓
<br /> Subscribed and swom to(or affirtned)before ma this Sub cribed n m�p r afflrtne re me thls
<br /> bY �� yy CQ�ec1 C�a�
<br /> Who is/are personally known ta me or hasJhave produced Wha is/are pe onan.����to e or has/have produced
<br /> as identification. as identification.
<br /> t /7
<br /> Notary Public ����� � � �. �`LL1� v Notary Public
<br /> Commission No. Commission No. �t' �� �� lJ��
<br /> r GCCI � '�C l, l'�C� �
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped ,,.,
<br /> ;=at""A`°<�..; LINDA M RITTENHOUSE
<br /> -• '€ MY COMMISSION#FF018161
<br /> �"N.���Or.
<br /> 'F` " op� EXPIRES May 31.2017
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<br /> w07�398-Di53 FlorfdalloteryService.com
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