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• NOTICE OF DEED RESTRICTIONS: The undersigne 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 CONTRACTO RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required t be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both th owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor re 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 owner has hired a contr ctor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this application fo which they will be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indication that he is not pr perly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT A D RESOURCE RECOVERY FEES: The undersigned understands
<br /> I that Transportation Impact Fees and Recourse Recov ry Fees may apply to the construction of new buildings,change of
<br /> use in existing buildings,or expansion of existing buil ings,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 pe mit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuanc in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida tatutes,as amended): If valuation of work is$2,500.00 or more, I
<br /> certify that I, the applicant, have been provided wi h a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Departmen of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner",I certify that I have obtained a opy of 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 th t 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 in tallation 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 t be in compliance. Such agencies include but are not limited to:
<br />� - Department of Environmental Protection- ypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br />� - Southwest Florida Water Manageme 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-Asbestos abatement.
<br />' - Federel 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 material 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 the State of Florida.
<br /> - If the fill material is to be used in Floo 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 fill is found to adve ely affect adjacent properties,the owner may be cited for violating
<br /> the conditions of the building permit iss ed 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 un erstand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, r other installations not specifically included in the application. A
<br /> . permit issued shall be construed to be a license to p 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 comm nced within six months of permit issuance,or if work authorized by
<br /> the permit is suspended or abandoned for a period o six(6)months after the time the work is commenced. An extension
<br />� may be requested, in writing,from the Building Offic al 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 OWN : YOUR FAILURE TO RE ORD A NOTICE OF CO MENCEMENT MAY RESULT IN�YOUR
<br /> PAYING TWICE FO MPROVEMENTS TO YOUR ROPERTY. IF YOU INT D TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDE OR-AN A ORNEY BEFOR RECORDING YOUR NCI OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.11�7. )
<br /> A
<br /> OWNER OR AGENT � � I CONTRACTOR
<br /> �bsG� d�Rd swo t (o ed b ore me this b c' ed and swor 1to r affirmed)befo�e e is �
<br /> Lby � .'f � • u by J � �C.-
<br />� Who is/are pe k ovf n to me or h slhave p duced Who is/are person I k wn to me or has ve produced
<br /> as identification. as identification.
<br />� ....a�..��, �.
<br />' Not Public � /� n Notary Public
<br /> Commi�i5n t�@ blic-State of Florida Commission
<br /> � ;.�; My Comm.Expires Oct 25,2015 ,��������.,
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<br /> Narr� : otarytQ{ffi�f�FG�FdB NameofNo typed, ' �@ors ed
<br /> ;, ,,,, _ ��ary Public-State of Florida
<br /> , •
<br /> "� �N9Y •a;; My Comm.Expires Oct 25,2015
<br /> '�•,;oFF�;?�' Commission #EE 131770
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