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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive than County regulation�. The undersigned assumes responsibility.for compliance with any
<br /> applicable deed restrictions. �
<br /> UNLICENSED CONTRACTORS AND CONTFtACT �R RESPONSIBILITIES: If the ownec has hired a contractor or
<br /> contractors to undertake work, they may be required o be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both t e owner and contractor may be cited for a.misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco � ounty Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the' owne� has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application fbr which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not p�operly licensed and�is not entitled to permitting privileges in Pasco
<br /> County. ' �
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact'Fees and Recourse Recov�ery Fees may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing bui dings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understa ds, that such fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportatio Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a °certificate of occupancy" or final power r lease. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to p rmit issuance. Furthermore, if Pasco County Water/Sewer Impact-
<br /> fees are due, they must be paid prior to permit issuan e in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAVII(Chapter 713; Florida tatutes;:as amended):;If valuation of wo�k is$2,500.U0 or more, I
<br /> certify that I, the applicant, have been provided 'w th a copy of the "Florida Construction Lien Law—Homeowner's
<br /> � Protection Guide" prepared by the Florida Departme t of Agriculture 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/OWPIER'S AFFIDAVIT: I certify t at all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is�
<br /> hereby made to obtain a permit to do work and i�stallation as indicated. I certify that rio work or installation has --
<br /> commenced prior to issuance of a permit and that II work will be perFormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regula�ions, and land development regulations in the jurisdiction. i aiso
<br /> certify that I understand that the�regulations of otfier overnment agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take t be in compliance. 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 Manageme t District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses. � �
<br /> - Army Corps of Engineers-Seawalls, Dock , Navigable Waterways.
<br /> - Department of Health & Rehabilitative ervices/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. �
<br /> - US Environmental Protection Agency-As estos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to th use of fill:
<br /> - Use of fill is not.allowed in Flood Zone"V"�unless expressly permitted. "
<br /> - If the fill mater.ial is to �be used in, Flo d 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 tfie 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 �nly to fill the area within the stem wall.
<br /> - If fill material is to be used in any are , .I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of�II is found to adver ely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engine red drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in �ood faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I unc�erstand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, br other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to pt�oceed with the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor s all issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction r violations 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 pe�mit 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 a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension, If work ceases for inety(90)consecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RE �ORD A NOTICE OF COMMENCEMENT MAY ftESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IfVTEND TO OBTAIN FINANCING, CONSULT
<br /> ___ _�1AlITFI YOUR LE�l9�R OR AN�4T1�C)RP�EY BEFOR� RECOR�ING YOUR NOTICE OF_Cp�lIIVIENCElVIENT..—____ ,�- _._ _ �
<br /> FLORIDA JURAT(F.S.117.03) ,�—
<br /> OWNER OR AGENT � CONTRACTOR
<br /> Subscribed and sworn ta(or a rmed) efore me Is Subscrlbed and swom to r affir d)befo m this
<br /> by by
<br /> Who is/are personally known to me or has/have praduced Who Is/are personally known to me or has! e produced
<br /> as Identlfication. as identification.
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<br /> � QE6N
<br /> �� ��'P �•; • No ry Public � . Notary Public
<br /> _ ;«= sion 137073 ' '.` Commission#FF 137073
<br /> ""�� �a: Expires June 29,2018 -*` �= " 2 �8
<br /> Com ss I�.�••e�:� Comm sio ci, _
<br /> ���u �oy am Ins�aanee 800385d019 ���RF� ;9?^�d Ttw TroY Fain In:uanea 800385-T019
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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