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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 ions. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions. • I
<br /> UNLICENSED CONTRACTORS AND CONTRA TOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be requi d to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, bo 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 o� contractors, he is advised to have the contractor(s) sign
<br /> portions of the"wntractor 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 IMPACTIUTILITIES 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 existin buildings,�as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also und tands,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 occupancy"or final po er release.l If the project does not involve a certificate of occupancy or
<br /> final power release,the fees must be paid prior o 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,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 ment of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner',I certify that I have obtain d 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 cert fy 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 construction,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 t at all worlc will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning re ulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of o her govemment agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must t ke to be injcompliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Prote ion-Cypress Bayheads, Wetland Areas and Environmentaily Sensitive
<br /> Lands,Water/Wastewater Treatmen. i
<br /> - Southwest Florida Water Manag ment District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses. j
<br /> - Army Corps of Engineers-Seawalls, ocks,Navigable Waterways.
<br /> - Department of Health & Rehabilita ive 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 volume"will be sub itted 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 lood Zone "A" in connection with a permitted building using stem wall
<br /> construction,I certify that fill will 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 fill 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 permt issued under the attached permit application,for lots less than one (1)
<br /> acre which are elevated by fill,an e gineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promi e 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, gas, or ottier installations not specifically included in the application. A
<br /> permit issued shall be construed to be a licens 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,constru tion or violations of any codes. Every permit issued shall become invalid
<br /> unless the work 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 pe'od of six(6)months after the time the work is commenced. An extension
<br /> may be requested, in writing,from the Building Official fo�a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work ceas s for ninety(90)consecutive days,the job is considered abandoned.
<br /> I
<br /> WARNING TO OWNER: YOUR FAILURE T RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO Y UR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BE ORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03) I �
<br /> OWNER OR AGENT CONTRACTOR��
<br /> l�ubscribed and swo n (or affirmed)before me this ubscribed and sworn lo(or affirmed)before me this
<br /> -1� by � PQ.�ES /� FFiR-- ��-y�'1 by C�}A2C..ES ADr4iR-
<br /> I Who is/are pPrsonallv knowai me or has/have produced Who is/are personally known to me or has/have produced
<br /> as identification. I as idenlification.
<br /> � I
<br /> ��"" '�'� Notary P lic i ��"�' � Notary Public
<br /> Commission No. Commissian No.
<br /> I
<br /> , Name Nota�t d,pr�(�����e�tate ot Florida Name of Notary typed,printed or s
<br /> _��� ThOmBS M LOCicero ov�P� Notary Public State of Florida
<br /> `� � My Commission EE 864649 ;� . Thomas M LOCicerO
<br /> "f ov r��� Expires 01/13l2017 � �� My Commission EE 8646A9
<br />�
<br /> or n� Expiros 0 111 312 0 1 7
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