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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this perm�t may be subject to"deed"restr;�tions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions. .
<br /> UNLICENSED CONTRACTORS AND COiV'TRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors 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 violation
<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 will be responsible.� If you,�as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES IINPAC'T I4WD 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 buildings, 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 Transpo�tation 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. Furthermore, if Pasco County WaterlSewer Impact
<br /> fees are due, they must•be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN L�►1�11(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 that 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 /> CONTRACTOFt'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> wrill 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 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 pertormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. f also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is I
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - DeparFment �of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment. I
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. 'i
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. I
<br /> , - US Environmental Protection Agency-Asbestos 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 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. i
<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'�lots 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 O1IVNER, 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 be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, o[ other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the wiork and noY as authority to_violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Buildirig.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 suoh 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 work 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, the job is considered abandoned.
<br /> W�4RFlIFIC TO OViINER: YOUR F�►ILURE TO RECORD �4 NOTICE OF COMMENCEMENT Mf�Y FtESULT 1�1 YOUR
<br /> - PAYlNG�TlfVICE-�Olt-I�PROVEnAENTS TO_YOUR PROPER7'Y_. I�YOU INTEND TO`OBT141N FINANCING, COYVSULY _
<br /> lAIIYH YOUR LENDEFt OR�►N ATTORNEY BEFORE RECOPtDING YOUR NOTICE OF COMiVIE�ICEfViENY.
<br /> FLORIDA JURAT(F.S. 117.Q3
<br /> OVdNE92 OR AGENT ��f��fi`/ �i�/(���� CONTRACTO ��•s D/ l.i��<��
<br /> Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this
<br /> 1-i1���5 w�.AuS 1vIEiiLNOE�h1 � -Itm- f5 by CAGt�. E, �E��.��rt�Cl�,
<br /> Who islare ersonally known e or has/have produced Who Is/are personally known to me or has/have produced
<br /> as Identificatlon. r�- �� �ys� '���-5(o°�iyy-O as identification.
<br /> ��'�-�/�° ��-� Notary Public ��"-0-`0`�' �"� Notary Public �
<br />� Commisslon No. �V LY �Q� ����D Commission No. �U�y 1 q� av I(G �
<br /> {�IMI3ERLy 3. NILI. KIMO�FiLy J. H(LL
<br /> Name o(,f;�,� ed rinted or stamped Name of Nota�
<br /> .. ;j �;�{Py��.,, bMBERL J.HILL
<br /> ` ''"., KIAIBERLYJ.HILL �'`�s �•-
<br /> 1••:�,., ----- _ _,�,*. � MY COMMISSION#EE 198821
<br /> •�:��:'.? MY COMMISStON 8 EE 198@21 �i"--��,'����� EXPIRES:July 19,2016
<br /> �':�-:3� • EXPIRES:Juty 19,2016 � .��,'p����` Bonded Thru Notary Publa Undervmlers
<br /> ,;;;;;;��' Urnded.Thru Notary Public Under»viters
<br /> ..��P*:t 7'1i�rfm ._-___ ' '
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