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<br /> 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 contra tor 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 APl RESOURCE RECOVERY FEES. The undersigned understands
<br /> 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 buii ings,as specfied in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understan s,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 occupanc�'or final power re ease. If the project does not involve a certifiqte of occupancy or
<br /> final power release, the fees must be paid prior to pe it issuance. Furthermore,if Pasco County WatedSewer 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 infortnation in this application is accurate and that all work
<br /> will be done in comp{iance with a11 appficable 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 a I work will be pertormed to meet standards of all laws regulating
<br /> construction, Counry and City codes, zoning regulati ns, 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 to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection- ypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> I Lands,WateNWastewater Treatment.
<br /> - Southwest Florida Water Managemen District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Dock ,Navigable Waterways.
<br /> - Department of Health 8� Rehabilitative ervices/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asb stos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following resfictions 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 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 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 afTect adjacent
<br /> prope�ties. If use of fill is found to adver ely affect adjacent properties,the owner may be cited for violating
<br /> the conditions of the building permit issu d 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 /> lf I am the AGENT FOR THE OWNER,l Qromise in g od 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 pertnit 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 ceed 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 Offiicial 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 woric 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 Offici I for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the exlension. {f 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 RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR ROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFOR RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F. .117.0
<br /> �OWNE OR AGEN C y�� CONTRACTOR ��J���"ek�.
<br /> I�r _be nd�w to(ora e fore this e �aSk :� and bwo o ) f n
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<br /> Wh is/are p nall lo or has/h e prod Who is/ar person lly known e or has/have pr ced
<br /> s identifi on. as'dentifi 'on.
<br /> �� �r . � r�
<br /> otary Public Notary Public
<br /> Co issi No. Commission
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<br /> ,o4ypt�, of N ary y A; ��6s a Pe Name ,+Q,�.;y,, M� IED
<br /> =:` �+: Y COMMI 3iaN#FF 026617 ;t. �;: MMISSION 9 F 026617
<br /> ;:�P; EXPIRES:June 12,2017 '-.••�:;; EX IRES:June 12,2017
<br /> '�Af��R4�' Bo�ded Thru Notary Public Undenvriters "•%�'• o;.�
<br /> •�;p���;,. Bonded Thru Notary Public Undenvriters
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