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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 regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACT R RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both th�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 County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contr2ctor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this application fdr which 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 RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and.Recourse Recovery 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 understands,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 release. 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 issuance in accordance 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 w�th a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Departmer�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/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws re�ulating construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and ir�stallation as indicated. I certify that no 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 regulat ons, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other�overnment agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take td be in compliance. Such agencies include but are not limited to: �
<br /> - Department of Environmental Protection�Cypress Bayheads, Wetiand Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly 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 "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 certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adver�sely 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 engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith 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, welis, 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 with the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor sf�+all issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,construction dr violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is comme ced within 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 a 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 RECIORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR dROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LEND OR AN ATTORNEY BEFORE RECORDING YOUR OTJCE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.1� 0 ^ / ) _
<br /> OWNER OR AGENT � �� v � CONTRACTOR f/
<br /> Subscribed and sworn t (qr aKrmed)befo e me this 4 Subscribed and swor Sb(or affirmed)befor me this
<br /> �by � S1 � �'�•\•\L� by r�
<br /> Who is/are personall k own to me or has/have roduced Who is/are persona I/k n to me or has/ ve produ
<br /> as identification. as identificalion.
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<br /> �• �o u61ic-State of Florida Commission No. .`�� �e'',
<br /> ,N�; � oo`; My�omm Ezpires Oct 25,2015 _ • :°_ Notary Public-State o I
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<br /> me',��a� , ed,pri Name of Notarytyped, �9f � y�omm.Expires Oct 25,2��5
<br /> �'��;o��;,;:•'�` Commission #EE 131770
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