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<br /> � a.� A�OTICE OF DEED RESTRICTIONS: The unde igned understands that this permit may be subject to°deed"restrictions"
<br /> w�;�h may be more restrictive than County regul tions: Th i undersigned assumes responsibility for compliance with any
<br /> ` applicable deed restrictians.
<br /> UNLICENSED CONTRACTORS AND CONT CTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be req ired to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, b th the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contr ctor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the P sco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthertnore, if the owner has hired a ontractor br contractors, he is advised to have the contractor(s) sign
<br /> portions of the°contractor Block°of this applica ion for which they will be responsible. If you,as the owner sign as the
<br /> contractor,that may be an indication that he is ot properiy licensed and is not entitled to permitting privileges in Pasco
<br /> County. �
<br /> TRANSPORTATION IMPACTNTILITIES IMPA T AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse ecovery Fees may apply to the construction of new buildings,change of
<br /> use in existing buildings,or expansion of existin buildings� as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also und rstands,tHat such fees,as may be due,will be identified at the time of
<br /> permitting. It is further understood that Transpo ation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupanc�or final po er release. If the project does not involve a certificate af 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 is uance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Flo ida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been provid d with a copy of the "Florida Construction Lien Law—Homeowners
<br /> Protection Guide°prepared by the Florida Depa ent of A�griculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner', I certify that I have obtai ed a copy of the above described document and promise in good faith to
<br /> deliver it to the"owne�'prior to commencement. I
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I ce ify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable la s regulating construc6on,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work a d installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and hat all work wiil be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning r gulations, end land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of o er govemment agencies may apply ta the intended work,and that it is
<br /> my responsibility to identify what actions I must t ke to be ini compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Prote tion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WatedWastewater Treatmen.
<br /> - Southwest Florida Water Manag ment District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, ocks,Navigable Waterways.
<br /> - Department of Health 8 Rehabilita've Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agenc -Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply o the use of fill:
<br /> - Use of fill is not allowed in Flood Zo e"V"unless expressly permitted.
<br /> - If the fill material is to be used i Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating valume°will be sub itted at time of pertnitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in lood Zone "A° in connection with a permitted building using stem wall
<br /> construction,I certify that fill wiil be sed only to fill the area within the stem wall.
<br /> - If fill material is to be used in an area, I certify that use of such fiil will not adversely affect adjacent
<br /> properties. If use of fill is found to dversely affect adjacent properties,the owner may be cited for violating
<br /> the conditions of the building permi issued under the attached permit application,for lots less than one (1)
<br /> acre which are elevated by fill,an e gineered d�ainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,I promis 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 be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, as, ar other installations not specifically included in the application. A
<br /> pertnit 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, or shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,constru tion or violations of any codes. Every permit issued shall become invalid
<br /> unless the worlc authorized by such permit is c mmenced within six months of permit issuance,or if work authorized by
<br /> the permit is suspended or abandoned for a peri d of six(6)months after the time the work is commenced. An extension
<br /> may 6e requested, in writing,from the Building�Official for la period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause far the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. �+��ko�
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEAIIENT MAY RESULT IN YOUR �o�'
<br /> PAYING TWICE FOR IMPROVEMENTS TO Y UR PROPERTY. IF YOU INTEND TO OBT�N FINANCING,CONSULT �O�•��c
<br /> WITH YOUR LENDER OR AN ATTORNEY BE ORE RECORDING Y R NOTI OF CO ENCEMENT. m��Z
<br /> FLORIDAJURAT(F.S.117.03) I �`� m �
<br /> 'n�
<br /> OWNER OR AGENT CONTRACTOR � 3 <�
<br /> Subscribed and swom to(ar affirtned)before me this Su sc'bed and m lo(or aftirtned)be me this �3.(n Q
<br /> by � \S by 'f`[1'(�t'GC�K S 1 12-a7 � N (p _.
<br /> Who fs/are personelly known to me or has/have produced WH is/are personally known to me or haslhave produced N� � t�n
<br /> as idenGfication. , i as idenfificatian. °m�d
<br /> o�m �
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<br /> Notary Pub ic � Notary Public � � � �
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<br /> Commisslon No. Commission No. �� � ���� � c c .�
<br /> �'�'�-� �C �' F c��9-�.� �.�J..,..�.�.:.r
<br /> Name of Notary lyped,pdnted or stemped Nai e of Notary type printed or stamped
<br /> � I qq
<br /> '' r���Y°�eL Notary PubliC State of Florida
<br /> � � ;� � Mary V Stewart
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<br /> 9�'oFF.�� ExpCres07/18/20E6216630
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