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NOTICE OF DEED RESTRICTIONS: The undersigned unde�stands that this permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than County regulations. The ndersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RE PONSIBILITIES: if the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be lic�nsed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owne�r and contractor may be cited for a misdemeanor violation
<br /> under state law If the owner or intended contractor are un q�ertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco County IBuilding 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 whic they will be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indication that he is not properly I censed and is not entitled to permitting privileges in Pasco
<br /> County:
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RES URCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fee may apply to the construction of new buildings,change of
<br /> use in existing buildings, or expansion of existing buildings, s specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands,tha�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. Ilf the project does not involve a certificate of occupancy or
<br /> final power release,the fees must be paid prior to permit iss�ance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statute�,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 Agr'culture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner",I certify that I have obtained a copy of he 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 th information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating consVuction,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 y�vill be pertormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, anH land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other govermm �t agencies may apply to the intended work,and that it is
<br /> my responsibility to identify what actions I must take to be in c mpliance. 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 Distri t-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navig ble Waterways.
<br /> - Department of Health 8� Rehabilitative Services�Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos ab tement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fi I:
<br /> - Use of fill is not allowed in Flood Zone"V"unless xpressly 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 f 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 certi�y 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 unde�the attached permit application,for lots less than one (1)
<br /> acre which are elevated by fill,an engineered drai age 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 hat a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other,nstallations 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 authoriry to violate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall issu�nce 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 wit i in six months of permit issuance,or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6)rr�onths 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(9 i)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A �JOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAN ,CONSULT
<br /> WITH YOUR LENDER OR AN A7TORNEY BEFORE RECOR ING YOUR NOTICE OF COMME NT
<br /> FLORIDA JURAT(F.S.117.0 )
<br /> OWNER OR AGENT � CONTRACTOR
<br /> S�S cr' ed and swo p t o � fore me this Subscri� and swo , oy affirmed o e this
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<br /> ho isfare ersonall nown to me r as/have produced Who is/�are personally know � r as/have produced -_``;���111 1 11 7 11!/���'
<br /> as i e tification. as identification. '`\��\�!o LY!j�/�/�j'
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<br /> Notary Public 1 �`�° _ 'N`������- EXPIRES ��Z �
<br /> Com ssion No Cammi I sion No. ' '--.A L/�lZ�1 ti1�\ e =
<br /> � 1, � � :- �Stz[c�:I.ar6� e C
<br /> 1�. � P�� � =�JUNE 18,2016 ,.= �
<br /> f Notary typed,printed o�st�¢� ed Name 'f Notary typed, rinted or stamped %� '',.;"A� -`G,,,�_L .
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<br /> NOTARY PUBLIC•STATE OF ILLINOIS
<br /> MY COMMISSION EXPIRES:09/03/16
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