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<br /> ` NOTICE OF DEED RESTRICTIONS: The undersigned und rstands 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 RE PONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be li ensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the own r and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are u certain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco Count Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor r contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this application for whi h 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 RE OURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fe s 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,th t such fees,as may be due,will be identified at the time of
<br /> permitting. It is further understood that Transportation Imp ct 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 i suance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in a cordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statut s,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been provided with a opy of the "Florida ConsVuction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Department of A riculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner",I certify that I have obtained a copy f 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 t e information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulati g construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installat on as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all wor will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, nd land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other gover ent 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-Cypre s Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management Dis rict-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Nav gable Waterways.
<br /> - Department of Health & Rehabilitative Servi s/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos batement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use o fill:
<br /> - Use of fill is not allowed in Flood Zone"V"unles expressly permitted.
<br /> - If the fill material is to be used in Flood Zo e "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 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 c rtify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely a ect adjacent properties,the owner may be cited for violating
<br /> the conditions of the building permit issued un er the attached permit application, for lots less than one(1)
<br /> acre which are elevated by fill,an engineered d inage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good fa th to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understa d that a separate permit may be required for electrical work,
<br /> _ plumbing, signs, wells, pools, air conditioning, gas, or oth r 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 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 ithin 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 extension
<br /> may be requested, in writing,from the Building Official for period not to exceed ninety(90)days and wiil demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP RTY. IF YOU INT D TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDE AN ATTORNEY BEFORE REC RDING YOUR N ICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.11 .� �
<br /> .t..
<br /> OWNER OR AGENT
<br /> Subscribed and swom to r affirmed) efore m his Su scribe swo t� a irmed)before me is
<br /> by by
<br /> Who is/ na y w e or av pr ced is/are perso II now or haslhave roduced
<br /> a ' ficat' . as identlfication.
<br /> � �� lic Notary Public
<br /> ,s o,� o- PubliC-S t ot Floflde Co mis ion.Nd:����.''�.
<br /> • 1�� .:
<br /> 1;.�,�. �' My�omm Expire 0 t 25,2015 �e��; SUZANNE ALLEN
<br /> NarhB ,of�tj�typed SS Na e of Not j ed!�Jrpited o�sc - a e of Florida
<br /> '�" - � � 'oQ; MY�omm. Expires Oct 25,2015
<br /> .- �'`cOF c1.�P`��
<br /> , �•��,,,,,,,,, Commission#EE 13f 770
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