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NOTICE OF D�ED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions°
<br /> which may be�more restrictive tfian County regulations. The undersigned assumes responsibility fo�compliance with any
<br /> applicable deed restrictions. � � �
<br /> UNLICENSED CONTRACTOR$ AND CONTRACTOR RESPONSIBILITIES:. If the owner has hired a contractor or
<br /> contraators to undertake work, they may be required to 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 violafion
<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 for which they wiil be responsible. If you, as the owner sign as the
<br /> cootractor, that may be an indication that he is not properly 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 6uildings, 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. Furtherino�e, 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 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 tfiat 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.that all the information in this application is accurate and thatall work
<br /> will be done in compliarice with all applicable laws regulating construction, 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 /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. ( also. ,
<br /> certify that I understand that the regulations of other government 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/Wastewate,r Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> � � � � Watercourses.
<br /> � �-' Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> - � �, Septic Tanks. _ • _ .
<br /> - US Environmental Protection Agency-Asbestos abatement. _
<br /> ' -_ � Federal Aviation Autho�ity-Runways. - � � � -� "� -� -
<br /> I understand that�the following restrictions apply to the use of fill:
<br /> - � Use of fill is not allowed in Flood Zone"V°unless expressly permitted.
<br /> - If tfie 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 Flood 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 adversely affect adjacent properties, the owner may be`cited for violating
<br /> ' the conditions.of the building permit issued under the attached permit application, for Iots less than one (1)
<br /> acre which are elevated by fill,,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good 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 b,e required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or 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, construction or 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 wo�k 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 for ninety(90)consecutive 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 OBTi41N FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. _ _ _ _
<br /> FLORIDA-JURAT(F:S:, -:03) - �'
<br /> OWNER OR AGENT CONTRACTOR �
<br /> ,Subscribed and swom or a �n ed)before me this Subscribed and swom to a 'rmed)before me this
<br /> , by'�a�rvirn Yeir.luduo by amm \/ei•�adei-c�
<br /> Who ls/are personally kno to me or has/have produced Who fs/are personally known to e or has/have produced
<br /> � as identification. as identification.
<br /> , � � �� —� ��� O
<br /> ` � ��/%/•�" � �' � G�/�(,,.. fv— � Notary Public
<br /> Notary Publlc
<br /> Commisslon No. � Commission No.
<br /> RIE CYNCH T � � �
<br /> , - -���„„�„ ANNA MA ' ,.tiPay P�'',. ANNi+ MARIE LYNCH'TERRY
<br /> ,o pY Pp�.. � -. tate of'Florida
<br /> � Name o _ � � 'P �,�t@�R@d Apr 4,2 , Name Cd, ary ��, �� 1' t m
<br /> y EE 166865 = . .•, My Comm.Expires Apr 4,2016
<br /> ='N'• •o�; Commission# •
<br /> =;'� o`� Commission#EE 166865
<br /> , '�;,OF F�P� Through National Notary Assn. •;�F oF F`oP••'
<br /> � •'� `�•�� Bonded � �•������� Bonded Through National Notary Asso. _
<br /> , �„�����•
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