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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understartds that this permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than Couniy regulations. The undersigned assumes responsibiliiy for compiiance with any
<br /> applicable deed restrictions. ,
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a c6ntractor or j
<br /> contractors to undertake work,they may be reguired to be licensed in accordance with state and local regutations. If the 3
<br /> contractor is not licensed as required by faw, both the owner and contractor rnay be cited for a misdemeanor violation E
<br /> under state law. If the bwner or intended conUactor.are uncertain as to what licensing requirements may apply for the
<br /> intended work,tliey are advised to contact the Pasco County Building Inspection Division—Licensing Sectiori at 727-847-
<br /> 8009. Furthermore, if the owner has fiired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contracto�Block"of this application for which they wili be responsible. I(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 tMPACTIUTILITIES IMPACT AND RE50URCE 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,or expansion of existing buildi�gs,as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned aiso 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"ce�tificate of occupancy"or final power release. If the projec[iioes 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 issuance in accordance with applicable Pasco Counry 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—Homeowners
<br /> Protection Guide"prepared by the.Florida Departmenf 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 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 ali the information in this applicahon is accurate and that al!work
<br /> wiit be done in compliance with all appiicable laws regulating construclion,zoning-and land devetopment. Applicatlon is
<br /> hereby made to obtain a permit to do work and instaliation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be perfoRned to meet standards of alI iaws regulating
<br /> construction, County and City cotles, zoning regulations, and land development regulations in the jurisdiction. I aEso
<br /> certify that I understand that,the regulations oF other government agencfes may apply to the intended work,and that it is
<br /> my responsibility to idenfify what actions 1 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-Weils, Cypress Bayheads, Wetiand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawails,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative ServiceslEnvironmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental ProtecGon Agency-Asbestos abatement.
<br /> - Federal Aviation Authoriiy-Runways.
<br /> I understand that the foltowing restricUons 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 Fiood Zone "A", it is.understood that a drainage Rlan addressing a
<br /> "wmpensating vdlume"will be submitted at time of pertnitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flooii 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 fil[ material is to be used in a�y area, I certify that use of such fiil will not adversely affect adjacent `
<br /> propeRies. 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 permil appticaGon,for lots less than one(1)
<br /> acre which are elevated by fill,an engineered drainage plan is requirecl.
<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 /> fhis affidavit prior to crommencing consVuction. I understand that a sepa.rate permit may be required for electrical work,
<br /> plumbing,signs, wells, pools, air conditioning,�gas, or other instailations not specificaliy included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and no.t as auihority to violate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building O�cial frbm thereafter
<br /> requiring a correction of errors in plans,construction or violations.of any codes. Every peRnit issued shall become invalid
<br /> unless the work authorized by such permit is.commenced within six months of permit issuance,or if 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 extensian
<br /> may be requested,in wriUng,from the Buiiding O�cial for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If worlc ceases for ninety{90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEtVCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROV ENTS TO YOUR PROPERTY. IF YO 7EN TO OB� AIN FINANCING,.CONSULT #
<br /> WITH YOUR LENDER OR AN NE BEFORE REC RD1NG YOUR TI OF C MMENCEMENT.
<br /> PLORIOA JURA7(F.S. 03) ��
<br /> OWNER OR AGENT CONTRACTOR
<br /> I 0��ubscribed and sw r ryirme be n nd s�,o_�o� irm d) efor �is
<br /> �y `^ � �N�b lT la���� ��
<br /> Who.is re pe onalty k�ovm to me�heslMeve-predaecA. ho i are persona y know me or haslhave produced .
<br /> as fdenGtication. - as idenlification.
<br /> yp�,,I' � �/,��.�-
<br /> ,/� . , ��ty,�/ry Public ,� Notary Public
<br /> Commission P7o.�� �a� ���q C mission No.
<br /> UeV�C�0 I , � �
<br /> � Name of Nolary typed, rir��Qras�p�b I i C, N o r t h C a r o I i n a
<br /> GWENDOLYN M TER Buncombe County
<br /> Benton County M Comm s o Expires �
<br /> Commission IVumber 12390278 �����----
<br /> fVotary Public - Arkansas
<br /> My Commission Expires November 8,2022
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