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<br /> 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 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 /> County.
<br /> TRANSPORTATION 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 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 WatedSewer Impact
<br /> fees are due,they must be paid prior to po�ezr�it issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chaptes 793,Florida Statut�s,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been prov�ded �+irti�s � copy of tiie "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the F{cs��da Departrrieart Af A�riculiure and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that!haaae��iain�d a��mf th�above described document and promise in good faith to
<br /> deliver it to the"owner"prior to comrrs�c�a���.
<br /> CONTRACTOR'S/OWNER'S AFFI�3m.�i7` f r.e�€9a�tt�a�a�d 9ir�9�e5ormation in fhis appfication is accurate and that all work �
<br /> will be done in corripliance with all a�p:�r,abi�9a�s rega�9arSing m�tn.�dion,zoning and land development. Application is
<br /> hereby made to obtain a permit to ��arni ir�allati�,n �s indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a �rmit a:m;f R�at aID wark anall be perFormed IIo meet standards of all laws regulating
<br /> construction, County and City cod�,zonir�rc-�ulations, and larad develop�nent regulations in the jurisdiction. I also
<br /> certify that I understand that the res�r�'ations�of a�er govemrrrQnt agencies may apply to the intended work,and that it is
<br /> my responsibility to identify what ac�ns I must take to be in compliance. Suc�agencies include but are not limited to:
<br /> - Department of Environ�ental Flrotection-Cypress Bayheads,Wefiiand Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewat�r Treatrment.
<br /> - Southwest Florida VU'�r Management Distriet-Wells, �G1jpr�ss Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engine�r�Seawalls,.Docks,Navigable WatErvfuays.
<br /> - Department of Health � Rehabilita�nre Services�nviros�s�ental Hea!!h Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental.Protee�:ir.�n Ag.et�c.y-Astiest�a.b�terr3ent
<br /> - Federal Aviation Authori3y-�uror��,
<br /> I understand that the following restr�r.#�r�rns��g���o��use o3fsBl:
<br /> - Use of:fill is not allowed ir��!1z��'�'�teas�xipress9y perm�tl�d.
<br /> . - If the filf material is to �� aised 'an �ar� .Ztar� °A", it is understood that a drainage plan addressing a
<br /> "compensating volume°.v,��V be subrr�ed��ir�ze�f�ermitting which is prepared by a professional engineer
<br /> licensed by the State of F�9a���.
<br /> - If the fill material is to be us�d�n FBo�d Zt��s A in connection with a permitted building using stem wall
<br /> construction,I certify that fsi3 v�vi➢1 h�used only do�i�!ihe area within the stem wall.
<br /> - If fill material is to be used in any area, 3 certity that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is fo�s�ad 4o adveesety affeci adjacent properties,the owner may be cited for violating
<br /> the conditions of the buildiz�� permit issued under the attached permit application,for lots less than one(1)
<br /> acre which are elevated by fi13,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 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 ninety(90)consecutive days,the job is considered abandoned.
<br /> F�ORIpq 11VARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> �5 y PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT ��OR/D
<br /> � ; �a WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. �� q�o�,
<br /> " -AC 'fLORIDA JURAT(F.S.117.03) r' w�
<br /> �j���011V����� OWNER ORAGENT���/ , CONTRACTOR � `�—'�^ ' ' yc�,
<br /> Subscribed and swoI�t4� r affirmed)before me this Subscribed and sworn to( r a�rmed before me this N �O
<br /> IT7 n (A Z C"� 'l JAS N W. �UMANN �Ittl1
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<br /> t?. 3 D o is/are personally known to me or haslhave produced �Who is/are personally known lo me or has/have produced at p —{
<br /> � 3 m D � ^r�� �S as idenlification. PERSONAI,LY KNOWN as identification. a. � D � �
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<br /> am�e of Notary typed,printed or stamped � Name of Notary typed,printed or stamped ° D Zl
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