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<br /> ' NOTICE OF DEED RESTRICTIONS: The undersigned under}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 resVictions.
<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 nsed in accordance with state and local regulations. If the
<br /> , contractor is not licensed as required by law, both the owner and contractor may be ated for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are un rtain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Futthertnore, if the owner has hired a contractor o contractors, he is advised to have the contractar(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 /> contractar,that may be an indication that he is not properly icensed and is not entitled to pertnitting 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 F s may appty 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,th t such fees,as may be due,will be identfied at the time of
<br /> pertnitting. It is further understood that Transportation Impa t Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a°certficate 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 pertnit is uance. Furthertnore,'rf Pasco County WatedSewer Impact
<br /> fees are due,they must be paid prior to pertnit issuance in a rdance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statute ,as amended►: If valuation of worlc is$2,500.00 or more,I
<br /> certify that I, the applicant, have been provided with a py of the °Florida Construction Lien Law—Homeowner's
<br /> Protection Guide°prepared by the Florida Departrnent of Ag'culture and Consumer Affairs. If the applicant is someone
<br /> other than the"owne�',,I certify that I have obtained a copy o the above described document and promise in good faith to
<br /> deliver it to the°owne�'prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all e information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulatin construction,zoning and land development. Application is
<br /> hereby made to obtain a pertnit to do work and installati n as indicated. I certify that no woric or installation has
<br /> commenced prior to issuance of a permit and that all wo will be perfortned to meet standards of all laws regulating
<br /> construction, County and City cwdes, zoning regulations, a d land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other govem ent agencies may apply to the intended work,and that it is
<br /> my responsibility to identify what acGons I must take to be in mpliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypr s Bayheads,Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterMlastewater Treatrnent. '
<br /> - Southwest Florida Water Management Dist'ct-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Water�courses.
<br /> - Artny Corps of Engineers-Seawalls,Docks,Navi able Waterways.
<br /> - Department of Health & RehabilitaGve Servi lEnvironmental HeaRh Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Enviranmental Protection Agency-Asbestos batement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use o filt:
<br /> - Use of fill is not allowed in Flood Zone"V°unle 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 tim 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 II the area within the stem wall.
<br /> - If fill material is to be used in any area, I rtify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely a d 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 infortn the owner of the permitting condi6ons set forth in
<br /> this affidavit prior to commencing construction. I understa d that a separate pertnit may be required for electrical work,
<br /> plumbing, signs,wells, pools, air conditioning, gas, or oth�r installations not specifically inGuded 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 i uance of a permit prevent the Building Official from thereafter
<br /> requiring a carrection 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 wark 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 will 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 />�I PAYING 7WICE FOR IMPROVEMENTS TO YOUR PROP RTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WIT YOUR LENDER OR AN ATTORNEY BEFORE REC RDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDAJURAT(F.S.117.03) ` �
<br /> OWNERORAGENT CO TRACTOR
<br /> Subsaibed and swom to(or affirtned)before me thls S scri ed a m to(or rtned)before me this
<br /> by —
<br /> Who is/are personally Imovm to me or has/have produced Wh is/are rsonall Imown to me or hasRiave pmducad
<br /> as identifica6on. as idenGScation.
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<br /> Notary Public L.Q Notary Public
<br /> commission No. c issio N . ��:►?Y f"''•. JA
<br /> , :+.: :,� Commission#EE 040520
<br /> Name of Notary typed,printed or stamped Na e of Nota • o ,
<br /> '.,p,��„�•`' Bo T1w Troy Fan Inserance 80o-33&7019
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