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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. f
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner 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 the 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 contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this application�or which they will be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indication that he is not pj�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 Recovery Fees may apply to the construction of new buildings,change of
<br /> use in existing buildings; or expansion of existing buildings, 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 Transportation 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 permit issuance. Furthermore, if Pasco County WatedSewer 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 with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Department 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 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 coristruction,zoning and land development: Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> I construction, County and City codes, zoning regula�ions, and land development regulations in the jurisdiction. I also
<br /> ce�tify that I understand that the regulations of otherlgovemment 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�Cypress Bayheads, Wetland 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,Doc s,Navigable Waterways.
<br /> - Department of Health & Rehabilitative �Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. I
<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'�'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 Floocl 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 adveFsely 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'ered 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 understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas,lor 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 shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,constructionlor 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 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 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 YOURIPROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S. . 3)
<br /> OWNER OR AGENT CONTRACTO
<br /> Su ascri ed and�wo�to( affirmed before me this � Subscribed an byor to or affirmed e�me this
<br /> 2`� t b J . A ON W. �EUMANN
<br /> Who islare nar�on u���+����m=�r has/have produced Who is��p nal�ly known to me or has/have produced
<br /> as identification. PERSONALLY KNOWN as ident�cation.
<br /> l�..��!s J 1� .m .,e/�, Notary Public ���� .f'_� m� i Notary Public
<br /> Com/mi�s�sion No. ��i� IY",33��Y" Commis/sia/n�No. �� �Lf,3�j�
<br /> (�h�"�.S�i P lL. �Cs�i d!r Lh r�Shi P �., �F�i d P'
<br /> Name of Nota ped,pr'�rtt��gt��� AJOR Name of Notary typed inted or���TIE K. MAJOR
<br /> \0.
<br /> Q� s`�o�, NOTARY PUBLIC o�0,���AS�'o� NOTARY PUBLIC
<br /> � o STATE OF FLORIDA o =STATE OF FLORIDA
<br /> � - _'Comm#EE143314 '• =Comm#EE143314
<br /> .�s��'CF 19�� Expires 11/2/2015 �'�"�'CE 19�� E�tpiP�� 11/�/2015
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