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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to°deed°restric6ons"
<br /> . . which•rnay be more restrictive than County regulations. The undersigned assumes responsibility for compiiance 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 contrador(s) sign
<br /> portions of the"contractor Block°of this application for which they wiil be responsible. If you,as the owner sign as the
<br /> conVactor,that may be an indicatlon that he is not propedy 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 /> pertnitting. 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 certifiqte of occupancy or
<br /> final power release,the fees must be aid rior to
<br /> ermit issuance. Furtherm
<br /> P P P ore,if Pasco County WateNSewer Impact
<br /> fees are due,they must be aid rior to ermit issuance in a
<br />, P P P cc:ordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or mor�e,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 applicant is someone
<br /> other than the"owne�,I certify that I have abtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner'prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this appliqtion is accurate and that ail work
<br /> will be done in compiiance 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 certity that no work or instaliation has
<br />' commenced prior to issuance of a permit and that all work will be perfortned 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 /> Icertify 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 to be in compliance. Such agencies inGude but are not limited to:
<br /> ' - Department of Environmental Protection-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatrnent.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatrnent,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the foliowing restrictions appiy 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 permitted buiiding using stem wall
<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 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 appliqtion,for lots less than one(1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,I promise in good fakh to infortn the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing consVuction. I understand that a separate permit may be required for electripl wortc,
<br /> plumbing, signs,wells, pools, air conditioning, gas, or other installations not specifically inGuded in the application. A
<br /> permit issued shall be construed to be a ticense 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 pertnit 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 permft 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 /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMIWENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPRO ENTS TO YOUR PROPERTY. IF YOU INTEND TO OB AIN FINANCING,CONSULT
<br /> � WITH YOUR L OR AN ORNEY BEFORE RECORDING Y OTICE OF C MMENCEMENT.
<br /> FLORIDAJURAT( .S.117. )
<br /> OWNER OR AGENT CONTRACTOR
<br /> SLu a swom to i ) me this Sub 'be an swo (or aff bef re m i
<br /> -F�����by �' _��bY I�
<br /> Who islare rsonalty known to m r ha d Who i are rsonally known to me or
<br /> as ideMif tion. as identification.
<br /> Commissi �"""' LEN Com ssion N �`ina�°�e'�. SUZANNE ALLEN
<br /> .�
<br /> ?' ' "°� ota Public-State of Florida �' ' `°= Notary Public-State oi Florida
<br /> Neme of Notary ' �}. * ' f '_
<br /> ;N� a;; .,o m.Expires Oct 25, Noterytyped,printed or �� ,o;; y:,omm. xpi es Oct 25,2015
<br /> �''%;eoFF,.o?; COmmisSion#EE 131770 �'';��oF��o;.` CommiSSion #EE 131770
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