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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 unde�signed 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 unde�take 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 owner has hired a contr�actor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this application fQ�r 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;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 Reco�ery Fees may apply to{he 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 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 `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"owne�'prior to commencement.
<br /> CONTRACTOR'SIOWNER'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 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 regula ions, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other ovemment agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take t�be in compiiance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Manageme t District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,DocKs,Navigable Waterways.
<br /> - Department of Health & Rehabilitative 5ervices/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. �
<br /> - US Environmental Protection Agency-Asdestos 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` 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 submitte 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 area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adve sely 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, welis, pools, air conditioning, gas,lor other installations not specifically inGuded in the application. A
<br /> peRnit 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�hall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correotion of errors in plans,constructionlor vioiations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commgnced 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 Offi�ial for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work ceases fo�ninety(90)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 pROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F 117.03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subs rib d and swom t (o�rmed)before me th' I Subsc ibe and sworn (or affirmed before me this
<br /> 1 1 by V . � � (l by SON W. �EUMANN
<br /> Who is/are personallv known to me or has/have produced o is/are personally known to me or has/have produced
<br />� as identification. PERSONAI,LY KNOWN as ident�cation.
<br /> l ���,�, . r�ri. �IotaryPublic ' NotaryPublic
<br /> Co�m/m�ission No. �/- l����1� Commission No.
<br /> /.hri�s,�j� t�� ._,^ i b t� • L/ fY! o•�
<br /> Name of Notary yped,printed or stamped Name of Notary ' ted s am e
<br /> �° N�TA�RY PUBLIC
<br /> �p�ARYq CkIRI�TI�K MAJOR ��
<br /> ❑�7ATE OF FLORIDA
<br /> oQ � PVOTARY pUBLIC � . z
<br /> o , 0 STATE pF FLORIDA �': 1� Comm#EE143314
<br /> "' � " �Comm#EE143314 E�� ��Pires 11f�1��15
<br /> ��'�'E19�� Expires 11/9i�n��
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