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. NOTICE OF DEED RESTRIGTIONS. The undersigned understands that this permit may be subjed to°deed"restrictions"
<br /> • which may be more restrictive than County regulations. The undersigned assumes responsibiliiy far cx�mpliance witfi any
<br /> applicabls deed restrictlons.
<br /> UN�ICENSEd CONTRAGfiOR5 AND CONTRAGTOR RESPONSEBIL.ITtES: if the owne� has hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and Iacal regulations. If the
<br /> contractar is not licensed as required by law, both the owner and conG`actor may be cited for a misdemeanor violation
<br /> under state iaw. If the owner or intended cantractor are uncertain as ta what licensing requirements may apply far the
<br /> , intended work,they are advised ta contact fhe Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. �urthermore, if the owner has hired a contractor or cantractars, he is advised to have the contractor(s) sign
<br /> paRians af the"co�tractor Block"of th�s appiication far which they witl be responsible. If you, as the awner sign as the
<br /> contractor,that may be an indication that he is not prope�ly licensed and is not entitied to permitting privileges in Paseo
<br /> County.
<br /> TRANSPORTATIQN tMPAGTN?1LITIES tMPAGT AND RESOURCE REC4VERY FEES: The undersigned understands
<br /> tfiat Transportation Impact Fees and Recaurse Recovery Fees may apply to#he canstrvc#ion af new buildings,change of
<br /> use in existing buildings, or expansion af existing buildings, as specified in Pasco Caunty ordinance numbee 89-07 and
<br /> �-07,as arrsended. The undersigned also u�derstands,that such fees,as may be due,wil{be identified at the time of
<br /> permitting. it is further understaod that TransportatiaFl Impact Fees and Resaurce Recovery Fees must be paid pria�ta
<br /> receiving a°certificate of occupancy°nr final power release. If the project does not involve a certificate of oacupancy or
<br /> flnal power release, the fees must 6e paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer Impact
<br /> fees are ciue,they must be paid prior to pertnit issuance in accordance with applicable Pasco Coun#y ardinances.
<br /> CONSTRUCTIQN LIEN LAW(Cbapter 713,Florida Statutes,as amended): If valuatian of work is$2,500.Q0 or more, I
<br /> certity that !, the applicant, have been provided wittt a copy of the "Florida Construction Lien �aw—Homeovmer's
<br /> Protectian Guide"prepared by the F{orida Department af Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"awne�',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 cammencement.
<br /> CONTRACTOR'S/BWNER'S AFFI[}AV17: 1 cer#'rfy that aII tha{nformation in this appGcation is accurate and that alI wark
<br /> will be done in compliance with all applicable laws regulating canstruction,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 per►nit and that aI!work wiil be performed to meet standards af atI laws regufating
<br /> construcdon, Caunty and City codes, zoning regulatinns, and land developmeM regulations in the jurisdiction. I �Iso
<br /> certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is
<br /> my responsibility to iderrtify what actions 1 must take to be in compliance. Such agencies inctude but are nat Iimited to:
<br /> - Department of Enviranmental Protection-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Southwest Flarida Water Management District-Ws11s, Cypress 8ayheads, We#land Areas, Attering
<br /> Watercourses.
<br /> - Army Corps af Englneers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative ServiceslEnvironrnentai Health Unit-Walls, Wastewater Trsatment,
<br /> Septic Tanks.
<br /> - US Enviro�mental Protection Agency-Asbestos aba#ement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the fallowing restrictions apply to the use of Till:
<br /> - Use of fill is not allawed in Flood Zone"V"unless e�ressly permitted.
<br /> - It the fil1 material is ta be used in flood Zone "A°, it is understood that a drainage plan addressing a
<br /> °compensating volume°will be submitted at time of permitking which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If tfie filt material is ta be used in FIoa1 Zone "A" in connection with a permitted building using stem wall
<br /> constructian,I certify that fill will be used only to fili the area within#he 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 /> praperties. 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 permft application,for iots less than one (1)
<br /> acre whicn are elevated by fill,an engineered drainage plan is required.
<br /> If i am the AGENT FdR THE OWNER,I pramise in gaxi faith to infarm the owner of the permttting conciitions set forth in
<br /> thls affidavlt prior to commencing construction. I understand#hat a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in tfie application. A
<br /> permit issued shall be construed#o be a Iicense ta proceed with the wark and nat as authority ta 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 corcec6on of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work autt�or3zed by such permit is c�nmenced within six months of permii issuance,�it work autharized by
<br /> the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extansion
<br /> may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiabfe cause for#he extension. If work ceases for ninety{90}ca�secutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENGEMEN7 MAY RESUL7 IN YOUR
<br /> PAYlNG TWICE FOR iMPROVEMENT$T4 YpUR PROPERTY. IF YOU 1NTEND TO OBTAIN FIFIANGItiG,CONSU�T
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCE�MENT.
<br /> FLORIDA JURAT(F.S.717.03)
<br /> � _ ..�,
<br /> OWNER OR AfaENT�G7LA�C�`L1, COt�fTRAC70R rY+
<br /> Sub ui an bswo to(o�alflrmednbefae m+t s Subs bed nd awom C�rm before me this
<br /> y �'o f�U / b / �i �f8de.f,t�
<br /> star persaia ly knoxm to me ar has/have praduced �s e personaiE��owri t tr�e or haslhave produced
<br /> ?J as identification. as identifiration.
<br /> �.
<br /> —�— WI►nMn N/NN1/�I�IW
<br /> ��' �ti��ERT F.DIAMOND ��'"R4BERT F.DIAMOND
<br /> .,rnr..rurccinN Notsry Public MY t;Ot�BSSION 0 EE1T9W2 Natary Public
<br /> G�cm No XPfRFS.Mercl�27.ZOIG FJ�[RfS:Marcb 27.2016
<br /> Co i
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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