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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned unders ands that this permit may be subject to"deed"restrictions"
<br /> vhich may be more restrictive than County regulations. The u dersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RES ONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be lice sed 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 cited for a misdemeanor violation
<br /> under state law If the owner or intended contractor are unc rtain as to what licensing requirements may apply for the
<br /> � intended work,they are advised to contact the Pasco County uilding Inspection Division—Licensing Section at 727-847-
<br /> ' 8009. Furthermore, if the owner has hired a contractor or ontractors, he is advised to have the contractor(s) sign
<br /> ' portions of the"contractor BIocK'of this application for which hey will be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indication that he is not properly li ensed and is not entitled to permitting privileges in Pasco
<br /> :' County.
<br />�, TRANSPORTATION IMPACT/UTILITIES IMPACT AND RES URCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fee may apply to the construction of new buildings,change of
<br /> use in existing buildings, or expansion of existing buildings, a specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of
<br /> permitting. It is further understood that Transportation Impac Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final power release. I the project does not involve a certificate of occupancy or
<br /> final power release,the fees must be paid prior to permit iss ance. Furthermore, if Pasco County WateNSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in acc rdance with applicable Pasco County 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 co y of the "Florida Construction Lien Law—Homeowners
<br /> Protection Guide"prepared by the Florida Department of Agri ulture and Consumer Affairs. If the applicant is someone
<br /> other than the"owne�",I certify that I have obtained a copy of e 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 th information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating onstruction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installatio as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work ill be pertormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, an land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other govermm �t agencies may appiy to the intended work,and that it is
<br /> my responsibility to identify what actions I must take to be in c mpliance. 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 Distri t-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis,Docks,Navig ble Waterways.
<br /> - Department of Health & Rehabilitative Services Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos a atement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of II:
<br /> - Use of fill is not allowed in Flood Zone"V"unless xpressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume"will be submitted at time 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 " " in connection with a permitted building using stem wall
<br /> construction,I certify that fill will be used only to fil the area within the stem wall.
<br /> - If fill material is to be used in any area, I cert fy that use of such fill will not adversely affect adjacent
<br />, properties. If use of fill is found to adversely aff t adjacent properties,the owner may be cited for violating
<br /> the conditions of the building permit issued unde the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill,an engineered drai age plan is required.
<br /> If I am the AGENT FOR THE OWNER,I promise in good fait to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed ith the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall issu nce of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,construction or violati ns of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced wi hin six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) onths after the time the work is commenced. An extension
<br /> may be requested, in writing,from the Building Official for a eriod not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety( 0)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 PROPE TY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO DING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S. 1 .03)
<br /> OWNER OR AGE CON RACTOR
<br /> (0�ubsc'be and swo (or affirmed) re m this S 'b n o o(or affirmed)befo e this
<br /> by � � `�` Te�r�[c.�I o
<br /> Who i are personally known to me or has/have produced Who'/are p rsonall o me or has/Fiave produced
<br /> as identlfication. as identification.
<br /> e�� �
<br /> l�.biw Notary Public W� Notary Public
<br /> Commission No. �V � O'��� Com is' o. � �
<br /> O T r� �
<br /> Name of Notary typed,printed or stamped Nam of Notary typed,printed or stamped
<br /> o.�pPY PUB� ROBIN J.LAW �°�;R'P;B��o ROBIN J.LAW
<br /> 2 ;•'••, n
<br /> * * MY COMMISSION#FF 026196 * * MY COMMISSION#FF 026196
<br /> EXPIRES:October 11,2017 N Q, EXPIRES:October 11,2017
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