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<br /> NOTICE OF DEED RESTRICTIOfdS: 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 COiVTRACTORS ARID CONTRACTOR RE�SPOPISIB�L,ITIES.: .. If the;o,w�er,,t�as.�hi�ed,-a contractor or
<br /> contractors to undertake work, they may be required to be licerts���in�ac�ofc�ance�w'ith ���Ce�and9'iic�l�re'gulations. If the
<br /> contractor is not licensed as required by law, both the owtie�,�a�tcr'con��tor.rinay be;�cite��fo�,�{�isdetr.�eanor violation
<br /> under state law. If the owner or intended contractor are���icer�ain as to what licensirig r�quirerriehts"m�y 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 /> Counry.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURC�;Ft�COVE'�;'f._�ES;:�"he,urjd�e��igned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in e�Ci�ting.d�uildin��„�w�e�qansio�,vf exist�r�q�.b�ilc#�Cjs, as specified in F.as�cp�}Co.u�ty,�lr�li,�ar�ce;'yiUmber 89-07 and
<br /> 90-07, as �mended'� he uridersi�e also dnderstanct�', that such fees, as may be du ', will�e i�entified 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,.berpaid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due, they must be pa�'d�prio�-fo'�permit issuance 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 Cor.�st�uctjon�.Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer AYFairs�rlf the applicant is someone
<br /> other than the "owner", I certify 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. '��;�s--'�'
<br /> CONTRACTOR'SIOWNER'S AFFIDA�IT: I certify that all the information in this application is accurate and that all work
<br /> will be done in complianc�rv�it�akk�ap�i icable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit t��'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 other 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, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses. �-
<br /> .� �
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal 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 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 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 autho,r�ized by sucF,�permit is comrr�enced within six months of permit issuance, or if work authorized by
<br /> the permit is.su�pend�ti.+o�:.;al,�aridor3ed:�o1_:a�pe�'iod�of six (6) months after the time the work,is'comrra.enced.. An extension
<br /> ma be re uested, in'writin from the Buildin Official for a eriod not to exceed�ninet 90-da�s and"Jvill demonstrate
<br /> Y 9 9, 9 p Y � ) Y
<br /> justiiiable�,cayse.forft�ae extgnsion. If work ceases for n�inety�90�)Yco��e�uti�e d�.�j s�-,the�ob�c�o�sidgr�d.:abandoned.
<br /> ��.,�!.._.:`1,`� v', `1„�� _. Y� o. ',.n, +.•._�_9�°',,;j-'a..'� " -� -. + _ c .•'`.�..t. 3'_ .a
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A IdOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCiNG, CONSULT
<br /> WIfFI YOl1R LE 9t Afd��'!J�?R�Y-3�FOR� R�CURUING TICE OF COMMENCEMENT.
<br /> FLORIDA JURAT .S. 117.03) -`- --- —
<br /> I OWNER OR AG NT ,/L-� CONTRACT
<br /> Subscribed and s o o(or a i ed before me this bs ribed an wom or af6r d f re e thi
<br /> 7��y-I4 bY���� � ��'72f � by
<br /> Who Is/are personallv known to me or has/have produced Who is/are personally known to me or has/have produced
<br /> as identlfication. as identification.
<br /> 1 Notary Public Notary Public
<br /> Commission Na. Commission No.
<br /> ;
<br /> ,,.�,;!'P�;-•,, HEATHER D.HOSFEID
<br /> Name of Notary typed,printed me of Notary typed,pri '.' �
<br /> `.4PpY�ny�c,, HFJ�THER D.HOSfELD : . . �p EXPIRES:March 21,2018
<br /> '?4 MY COMMISSION#FF 072365 'r• '`= Public UndenvrAers 5
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<br /> "•',;'• o;;•' gonded Thru Notary Public Underxriters �,9ea�
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