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<br /> f�OTICE OF DEED RESTRICTIONS: The undersigned understands that th,s permit may be subject to°deed"restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compllance with any
<br /> applicable deed restrlctlons.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI S: If the owner has hired a contractor or
<br /> contractors to uridertake work,they may be requlred to be Ilcensed In accordance with state and local regulations. If the
<br /> contractor Is not�icensed as requlred by law, both the owner and contractor may be clted for a misdemeanor violation
<br /> under state law. If the owner or Intended cont�actor are uncertaln as to vrhat Iicensing requlrements may apply for the
<br /> intended work,they are advised to contact the Pasco Caunty Building Inspection Dlvlsion—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors,(he ts advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of thls applicaUon for whlch they will be responslble. If you,as the owner sign as the
<br /> contractor,that may be an indlcation that he fs not properly licensed and is not entttled to permitting privileges in Pasco
<br /> Counly.
<br /> TRANSPORTAT6aN.IMiF'ACTIUTILITIES IMPACT AND RESOURCE REC�OVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new bufldings,change of
<br /> use in existing build(ngs,or expansion of existing buildings,as specified ir�Pasco County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also understands,that such fees,as may 6e due,will be identified at the time of
<br /> permitting. It is furlher�lnderstood that�Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a°certificate of occupancy"or flnal power release. If the projectldoes not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit 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 valuaUon of work is$2,500.00 or more,I
<br /> certify that I, the appiicant, have been provlded with a copy of the °Florida-Construction Lien Law—Homeowner's
<br /> Protectfon Guide°prepared by the Florida Department of Agriculture and�onsumer Affairs. If the applicant is someone
<br /> other than the'owner",I certNy that I have obtained a copy of the above descrfbed document and promise in good faith to
<br /> deliver it to the°owner�prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certffy that all the information In thfs applicat(on 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 installatfon as indicat�d. I certffy 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 /> construction, County and City codes, zoning regulatfons, and land development regulations in the jurfsdiction. I also
<br /> certify that I understand that the regulations of oltier government agencies may apply to the intended work,and that It is
<br /> my responsibility to identffy what actions I must take to be In compliance. Such agencies include but are not Iimited to:
<br /> - Department of Environmental Protection-Gypress Bayheads, Wetland Areas and Environmentaliy Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florlda Water Management Dlstrict-Wells, C�press Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers�eawalis,Docks,Navigable Waterways.
<br /> - Department of Health 8� Rehabflitative Services/Environme �tal 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 appiy to the use of flll:•
<br /> - Use of fill Is not allowed in Flood Zone"V°unless expressly permitted.
<br /> - If the flll material is to be used In Flood Zone "A°, It Is understaod ihat a drainage plan addressing a
<br /> °compensaUng volume"will be submitted at time of permitting which(s prepared by a professional engineer
<br /> Ifcensed by the State of Florida.
<br /> - If the flll material is to be used In Flood Zone °A" in conne�tion with a permitted building using stem wail
<br /> construction,I certify that fill wlll be used only to flll the area within the stem wall.
<br /> - If fill materlal is.to be used in any area, I certify that use�of such flll will not adversely affect adjacent
<br /> properties. if use of fill is found to adversely affect adJacent�properties,the owner may be cited for violadng
<br /> the conditions of the building permit issued under the attachled permit applfcation,for lots less than one(1)
<br /> acre which are elevated by flll,an engineered drafnage plan Is�requfred. �
<br /> If I am the AGENT FOR THE OWNER,I promfse In good faith to Inform tfie owner of the permitting conditions set forth in
<br /> this affidavft prior to commencing constructlon. I undeFsta�d that a seperate permlt may be required for electrical work,
<br /> plumbing, signs, welis, poots, alr conditioning, gas, or other Installation� not specffically included in ihe application. A
<br /> permit fssued shall be construed to be a license to proceed with the work and riot as authority to.violate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent tlie Buildirig Offictal from thereafter
<br /> requiring a correction of errors In plans,construct(on or violatfons of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit Is commenced withln six mor�ths of permit Issuance,or ff work authorized by
<br /> the permit Is suspended or abandoned for a period of slx(8)manths afteq the tlme the work Is commenced. An extenston
<br /> may be requested,in wriling,from the Building Officlal for a period not tb exceed ninety(90)days and will demonstrate
<br /> jusliBable cause for the extension. If work ceases for nfnety(90)conseculive days,th�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 FINANGING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTO EY BEFORE RECORDING YOUR NO ENCE NT.
<br /> FLORIDAJURAT(F.S.117.03) �� `� y
<br /> OWNER OR AGENT CONTRACTOR �_ �� -' � '� � "�/—G��Y
<br /> Subscribed and swom to(or aflirmed)before me thls Subsalbed and swo a(or afry "�� efore me tliis
<br /> by by %
<br /> Who is/are personalty fmown to me or hasJhave produced Who Islare personally known me or has/have produced
<br /> asldentlflcatlon. I asldentlftcadon.
<br /> I
<br /> Nohary Publlc f Notary Public
<br /> Commisslon No. Co sion No AiM���"''-• JOEL E.BACO
<br /> .;� ;r ommission#FF 137073
<br /> �� += Exptres June 29 2 1
<br /> Name of Notary typed,printed or stamped Name of Notary � nt ri7pHel��ma
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