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<br /> , ' NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pertnit 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 /> UNUCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake wotic,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not Bcensed as requhed by iaw,both the owner and contractor may be ated 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 worlc,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, ff the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions oi the"conVactor Block"of this application for which tl�ey 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 Pasw
<br /> County.
<br /> TRANSPORTATION IMPACTNTILITIES 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,o�expansion of existing buildings,as specified in Pasco Counry Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be idenUfied 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 occupanc�'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 pertnit issuance. Furthermore,ff Pasco County Water/Sewer Impact
<br /> fees are due,they must be peid prior to permit issuance in accwdance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutea,aa amended): If valuation of work is 52,500.00 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 applicant is someone
<br /> other than the"owne�',t cerdfy that I have obtained 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: t certify that all the informativn in this apptication is accurate and that all 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 wo�lc and installation as indicated. 1 certify that no work or installation has
<br /> commenced prior to issuance of a pertnit and that all work will be performed to meet standards of aII laws reguladng
<br /> construction, County and City codes, zaning regulations, and land developme�t regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other govemment agencies may apply to the intended worlc,and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
<br /> Lands,WaterNVastewater Treatment.
<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-Wel�s, Wastewater Treatment,
<br /> SepHc Tanks.
<br /> - US Ernironmental Protection Agency-Asbestos abatement.
<br /> - Federel Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone'V"unless expressly permitted.
<br /> - If the filt 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 building 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 filI is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> the conditions of the 6uilding peRnit issued under the attached pertnit 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 AGENT FOR THE OWNER,1 promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this atfidavit prior to commencing construction. I understand that a separate permft may be required for elecVical worfc,
<br /> plumbing, signs, welts, pools, air co�ditioning, gas, or other installations not specfically included in the application. A
<br /> pertnit 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 technlcal 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 pertnit issuance,or'rf 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 tor 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 COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WRH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S 17.03) �
<br /> OWNER OR AGENT� � CONTRACTOR ��' `\�A Ct//�
<br /> Subscribed e�d swom to(or a firtned)before me this T Subscribed and swan jo(w aifimred)t�fore me this
<br /> (��/fo'ZG4-by 1 6-1t�-2��`! by Tht';c:.r. 1(..c_11 r{tin,✓
<br /> Who is/are a iuw me a has/have produced Who is/are�o me or has/have produced
<br /> as identification. as idendflpdon.
<br /> �� �, `-��^"""' Notary Pubbc �� J� v��`-�'�1�'� Notary Pub4c
<br /> Commission No. Commisaion Na `,.��"'t6 Poul A S 0'ROURIGE
<br /> '° `�' Notary Public-State of Florida
<br /> . .��=
<br /> ,.►� �CNo�ary Name of Notary N� os , o�m. xpires Aug 22,2014
<br /> ;z°„ .`�; Notary Public-State of Florida 9, P: Commission#�EE 19776
<br /> _ : : :My Comm.Expires Aug 22,2014 ���'��'��',�'�� Bondetl Through NaUOnal Notary Assn.
<br /> '= `o" Commission�EE 19776 ''�""'
<br /> %�F%°���P�'` gonded Through National Notary Assn.
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