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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned unde tands that this permit may be subject to"deed"restrictions°
<br /> which may be more resVictive 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 li nsed 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 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. Furthermore, if the owner has hired a contractor o contractors, he is advised to have the conVactor(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 icensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTNTILITIES 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, 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 identified at the time of
<br /> permitting. It is further understood that Transportation Impa Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupanc�'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 is uance. Furthermore, if Pasco County WatedSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in a rdance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statut ,as amended): If valuation of work 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 Department of A riculture 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"owner�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 permit to do work and installati n as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all wo will be pertormed to meet standards of all laws regulating
<br /> construction, County and City cades, zoning regulations, nd land development regulaUons in the jurisdiction. I also
<br /> � oertify 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 actions I must take to be in mpliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypre s Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WatedVllastewater Treatment.
<br /> - Southwest Florida Water Management Dis 'ct-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Artny Corps of Engineers-Seawalls,Docks,Navi able Waterways.
<br /> - Department of Health 8 Rehabilitative Servi /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 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 flll 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 appliqtion,for lots less than one(1)
<br /> acre which are elevated by fill,an engineered dr 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 that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or oth r installa6ons 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 ance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,canstruction or viol 'ons of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced 'thin 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 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 /> PAYING TWICE FOR IIV,P OVEMENTS TO YOUR PROP RTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDE AN ATTORNEY BEFORE REC RDING Y N TIC OF C MMENCEMENT.
<br /> FLORIDA JURAT(F.S.11 .03 ---- -
<br /> OWNERORAGENT CO TRACT
<br /> Sub bed and swo to r a}fi � efore 'fhi 1 Su 'b d and t (or affi e efore me this
<br /> /d by � � /0 0 / d i?. .77�saA+rE
<br /> o is/are person Ity known to me or h is/are ersonall kno e or has/have produced
<br /> asidentification. asidentificafion.
<br /> \��2��LL,4G1� Notary Public Notary Public
<br /> Commission No. ��7�f`� Co mission No. �� D��/1�7.5� �
<br /> / !;�'CK% �it/LTLL'��
<br /> o , mped Ne e of Notary typed,printed or stamped
<br /> ���+q� Notary Public Ssate of Ftorida
<br /> jo�r°��n Notary Public State of Florida Peter T Ba�+�ett
<br /> . , Rosalie M Gallina � ,� My Commiss�on FF 054295
<br /> � ����� MyCommissionEE080868 �o�ao� Expires09J�E�2017
<br /> '�or f�° Ex�irea 9�/16/�91�
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