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<br /> NOTICE OF DEED RESTRICTIONS: The undersi ned understands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive than County regula ons. Thie undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions. ,
<br /> UNLICENSED CONTRACTORS AND CONTRA TOR RESPONSIBILITIES If the owner has hired a contractor or
<br /> contractors to undertake work, they may be requir d to be �licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, bot the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contra tor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pa co County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a c ntractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this applicati n for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is n t properly licensed and is not entitled to permitting privileges in Pasco
<br /> County. i
<br /> TRANSPORTATION IMPACT/UTILITIES IMPAC AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse R covery 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 unde tands, t�at such fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transport tion Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final pow r release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior t permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit iss ance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Flori a Statutes, as amended): If valuation of work is$2,500.00 or more, I
<br /> certify that I, the applicant, have been provide with a I copy of the "Florida Construction Lien Law—Homeowner's ,
<br /> Protection Guide" prepared by the Florida Depart ent of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that I have obtaine 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 certi that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable law regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work an installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and th t all wo�rk will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning reg lations, and land development regulations in the jurisdiction I also
<br /> certify that I understand that the regulations of ot er government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must ta e to be in compliance. Such agencies include but are not limited to.
<br /> - Department of Environmental Protect on-Cypress Bayheads, Wetland Areas and Environmentally Sensitive �I
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Manage ent District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, D cks, Navigable Waterways.
<br /> - Department of Health & Rehabilitati e Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency- sbestos 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"V" unless expressly permitted. '
<br /> - If the fill material is to be used in lood Zone "A", it is understood that a drainage plan addressing a �
<br /> "compensating volume" will be submi ted 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 FI od Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be us d only to fill the area within the stem wall.
<br /> - If fill material is to be used in any rea, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to a versely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permit i sued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill, an eng neered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise n 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 be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, g s, or oth�er installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license t� proceed with the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, n r shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, constructi n or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is co menced Iwithin six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a perio of six(6) months after the time the work is commenced. An extension
<br /> may be requested, in writing, from the Building 0 icial for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases#or ninety(90) consecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO ECORD A NOTICE O OMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOU PROPERTY. IF YOW I TEND TO BTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEF RE REC�ORDING YO R OTICE F COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03) % �
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<br /> OWNER OR AGENT .� ''� CONTRACTOR W
<br /> Sub'crib d and sworn to(or affirmed)befor�elne this Subscribed and sworn to(or affirmed)befo me this
<br /> �2 /S ' by.�-{�r_u��LC'z �N311'-/ by 2Lt5s�u. �.L} Ey
<br /> Who is/ re personall" y known to me or has/have produced �(ho is/are personally known to m�or has/have produced
<br /> as identification. � as identification.
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<br /> Notary Public I ���N Notary Public
<br /> Commission No Commission No.
<br /> �.��`"���"��., JOSHUA A.SCHULZ ,
<br /> Name of _ ,�ri�ttqri�9b e a Na,me of Notary typed,printed or stamp c��'' '� = �
<br /> -' ` '�=My Comm.Expires Oct 18,2018 i =•• , ;*= MY COMMISSION#EE079226
<br /> ��`s°• � ��a
<br /> -`=�- ;�;�� Commission#Ff 134897 EXPIRES March 30,2015
<br /> _. -+.�- I (40�)398-0153 FlaridallotaryService.com
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