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' NOTICE OF DEED RESTRICTIONS: The undersigned un erstands that this permit may be subject to"deed°restrictions°
<br /> which may be more restrictive than County regulations. T e undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR SPONSIBILITIES: 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 /> conVactor is not licensed as required by law, both the o ner and contractor may be cited for a misdemeanor violation
<br /> under state law If the owner or intended contractor are ncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco Cou ty 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 wh ch they will be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indication that he is not properl licensed and is not entiUed to permitting privileges in Pasco
<br /> County
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND R SOURCE RECOVERY FEES: The undersigried understands
<br /> that Transportation Impact Fees and Recourse Recovery ees may apply to the construction of new buildings,change of
<br /> use in existing buildings,or expansion of existing building ,as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, hat such fees,as may be due,will be identified at the time of
<br /> permitting. It is further understood that Transportation Im act Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final power releas . If the project does not involve a certificate of occupancy or
<br /> final power release,the fees must be paid prior to permit ssuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in ccordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statu es,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 griculture 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 all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulat ng construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and install tion as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all wo k 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 gove ment agencies may apply to the intended work,and that it is
<br /> my responsibility to identify what actions I must take to be i compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypr ss Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management Di trict-Wells, Cypress Bayheads, WeUand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Na igable Waterways.
<br /> - Department of Health 8� Rehabilitative Servi s/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbesto abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use f fill:
<br /> - Use of fill is not allowed in Flood Zone"V"unle s expressly permitted.
<br /> - If the fill material is to be used in Flood Z ne "A", it is understood that a drainage plan addressing a
<br /> "compensating volume"will be submitted at ti e 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 Zon "A" in connection with a permitted building using stem wall
<br /> construction,I certify that fill will be used only t fill the area within the stem wall.
<br /> - If fill material is to be used in any area, I ertify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely ffect adjacent properties,the owner may be cited for violating
<br /> the conditions of the building permit issued u der the attached permit application,for lots less than one(1)
<br /> acre which are elevated by fill,an engineered rainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good f ith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing consVucfion. I understa d that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or ot er installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to procee with the work and not as authority to violate, cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall is uance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,construction or viol tions of any codes. Every permit 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( )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 for the extension. If work ceases for nine (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 IMPROVEMENTS TO YOUR PROP RTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE REC RDING YOUR N ICFe OF COMMENCEM T.
<br /> FLORIDA JURAT(F.S.117.03) �
<br /> OWNER OR AGENT �C NTRACTOR
<br /> Subscribed an b�worn to(or a�rmed)before me this scri ed an qtn to r a�m�d�f re melhi��
<br /> � �. ZC. C1
<br /> Who islare personaily known to me or has/have produced W o islare pe on IIy known to me or has/have p�oduced
<br /> as identification. as identification.
<br /> Notary Public � Notary Public
<br /> ', z�.��°•4c: Jf�CQUE I E B
<br /> Commission No. Co i ion No.
<br /> _� ,o; � � ' sion EE 040520
<br /> Name of Notary typed,printed or stamped Na e of Notary t e','• �d�or s�N rro F' �
<br /> Y eminsuranc��pQ�g�,1019
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