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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 CONTRACTaRS ANO 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 violat�on
<br /> under state law. !f 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 Di,�sion--Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contrac:or(s) sign
<br /> portions of the"contractor Block"of this application for which ihey wilf be responsible. if you, as the owner sign as the
<br /> contractor that may be an indication that he is rtot properly licensed and is not entiYled to permitting privi{eges in Pasco
<br /> Counry.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned unde!stands
<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 /> SO-�7, as amended. The undersigned also understands,that such fees,as may be due,wiil 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 occupanc�'or final pawer retease. If the project does not involve a certificate of occupancy or
<br /> finaf power release,tne fees must be paid pnor to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTlON LIEN LAW{Chapter 713,�Iorida 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 "F(orida Construction Lien Law—Nomeowners
<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 tha[i nave obtained a copy of the above described document and promise in goor�faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT I certify thai all the information in this application is accurate and thaf ail work
<br /> wili be done in compliance with aii appticable laws regula6ng construction,zoning and iand development. Application is
<br /> hereby made to obtain a permit to do wark and instailation as indicated. I certify that no work or instaliation 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 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 tha:it is
<br /> my responsibdity to identify what actions I must take to be in compliance. Such agencies include but are not limited io:
<br /> - Department oC Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaliy Sensitive
<br /> Lands,WaterlWastewater Treatment.
<br /> - SouthNest Florida Water Management District-Wells, Cypress Bayheads. Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health 8 Rehabilitative Services/Environmentai Heaith Unit-Wells. Wastewater Treafinent,
<br /> Septic Tanks.
<br /> - US Environmental Protecfion Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the foilowing restrictions apply to the use of fill:
<br /> - Use of fill is not aliowed in Flood Zcne"V"unless expressiy permitted.
<br /> - If the fill material is to be used in Flood 2one "A", it is understaod that a drainage plan addressing a
<br /> compensating volume' will be submitted at time of permitting which is prepared by a professionai engineer
<br /> licensed by the State of Florida.
<br /> - If the fill materiai is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction,I certify that fcll wiil be used only to fill the area within the stem wafl.
<br /> - If fil( material is to be used in any area, I certify that use of such fili 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 b�ilding 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 AGElJT FOR THE OWNER,I promise in good taith to inform the owner of the permitting canditions 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, weils, 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 violalions of any codes. Every permit issued shall become invalid
<br /> unless the wor{c authorized by such permit is commenced within six months of permit issuar,ce. 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 wriling,from the Building Officia{for a period not to exceed ninety(90)days and wili demonstrate
<br /> justifiabie cause ror the sxtension. If work ceases for ninety(90)consecuGve days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENGEMENT MAY RESULT IN YOUR
<br /> PAYING TiNiCE FOR lMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER R AN ATT RNEY BEF RE RE ORDIN Y R NOTICE OF C MMEN EMENT.
<br /> FLORIDA JURAT(F.S.117.G3}
<br /> OWNER OR�GENT� /t�,tr�„}n„J ��� ST T
<br /> Subscribed and sworn to�or affirmed)before m�this CONTRACTOR�
<br /> '}k,� �y �'c�� A� ,�5��_ Subscribed and swom[o'ora fore me this
<br /> Who is�are per onally known to me.a hasfiave roduCed J`���Kr�"�by , _ ,
<br /> � T"'�-- P Who islr�re pe�aily Imown to me a haslhave produced
<br /> as idenliTication.
<br /> " ideMification.
<br /> . � � �
<br /> Notary Public
<br /> �t n NoWry Public
<br /> Commission No. � (� «-1 Commfssion No. �� I `(g {�—1
<br /> '�i�l.S A M L pt Ye p£ ,�i dG
<br /> Name of No[ary typed,pnnted or stamped Name of Nota�� q rt� `�V�
<br /> ry tYped,prin[ed or stamped
<br /> :�c�Y'y�;. TINAM.LAFOE "'�. '� nw►M.�.,a�oe
<br /> =t: +: MY COMMISSION#EE 196124 r��` MY COMMISSION q EE 196124
<br /> ::. .+_
<br /> H '�- EXPIRES:September 5,2016 '��6 EXPIRES:September 5,2016
<br /> '��.,P,f;;,y;E' Banded Thru Notary Public Underwnters �$,R f�h. Bonded Thru Motary PuWic Underwnters
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