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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 T.rans.portation 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 Water/Sewer Impact
<br /> �fees are due, they must be paid prior to permit.i5suance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION,LIEN LAW(Chapter 713, Florida 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 "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"owner", I certify that I have obtained a copy of the above described dqcument and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: 1 certify that all the information in this application 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 work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed 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 otfier government 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 include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> � Lands, 111/ater/Wastewater Treatment.
<br /> - Southwest Florida Wate� 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/Environmental Nealth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I undersfand 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 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 permifted 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 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 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, 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 withiR six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandaned 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 arid will demonstrate
<br /> justifiable cause f,or..the extensibn. 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�TWICE FOR LMPROVEMENTS'TO YOUR:PROPERTY. _IF YOU INTEND TO_OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. � �
<br /> FLORIDA JURAT(F:S.11.7.03) ' • �
<br /> _ ;.y 1`.3'.e� riiil:;:-`;'i^:..�Y_� ..;�... �.T�� T:%�-'�t:." r (y--//��— - 'i3.;•yk;� ;-
<br /> � // � ) _ Sffii��%. a:r'�.I._.�;i;., .1:tC.. .�/ \
<br /> OWNER�aQR`AGEN;:T'`��==�-J �'��/VIiN/� .., �'�`;,f . __:`CON'fRACTORr - �-I �-- -- .,. .
<br /> � Sutiscntied`and sworn to{or�ff`irmed)betore me this Y Subscribed and swom to(or a rmed before me this
<br /> • by bY .
<br /> �; Who.is/are personally known to me or has/have produced Who is/are personally known to me or haslhave produced
<br /> i.
<br /> � as identification. as identification.
<br /> I � -
<br /> i; � Notary Public � Notary Public
<br />� �� Com ssion No Com Iss on No.
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<br /> � ,.������.,,,, ;�,�,as:ryp��= JOEL E.BACON
<br /> I? ,,�ti�::ev,�; JOEt E.BACON -
<br />' f; Name bf Notary � � ''� f�� Name of Notary ", 2r��B�29,2018
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