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<br /> PJOTICE OF DEED RESTRICTIO S: The undersigned understands that this permit may be subJect to"deed"restrictions"
<br /> which may be more restrictive th n County regulations. The undersigned assumes responsibflity for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,th y may be required to be licensed in accordance with state and local regulatlons. If the
<br /> contractor is not licensed as req ired 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 contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the own r has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block of thls application for which they will be responsible. If you, as the owner sign as the
<br /> contractor, ihat may be an indic tion that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRAPISPORTATION IMPACT/U ILITIES IAfiPACT AfdD RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees nd Recourse Recovery Fees may appiy to the construction of new buildings,change of
<br /> use in existing buildings, or exp nsion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The under igned also understands,that such fees, as may be due,will be identified at the time of
<br /> permitting. It is further understo d that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupa cy"or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees m t be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they musl be paid rior to permit issuance In accordance with appllcable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(C apter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more, I
<br /> certify that I, the applicant, ha e been prov(ded with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by t e Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner",I certify t at I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to c mmencement.
<br /> CONTRACTOR'SIOWNER'S A FIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with II applicable laws regulating construction,zoning and land development. Application is
<br /> hereby made to obtain a per t to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance a permit and that all work will be Performed to meet standards of all laws regulating
<br /> construction, County and City odes, zoning regulations, and land development regulations in the jurisdiction. I 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 Envi onmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WatedWast ater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engi eers-Seawalis,Docks,Navigable Waterways.
<br /> - Department of Hea th 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> i Septic Tanks.
<br /> - US Environmental otection Agency-Asbestos abatement.
<br /> - Federal Aviation Au hority-Runways.
<br /> I understand that the following r strictions apply to the use of fill:
<br /> - Use of fill is not allo ed in Flood Zone"V"unless expressly permitted.
<br /> - If the fill material i to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volu e"will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the Stat of Florida.
<br /> - If ihe fill materiai i to be used in Flood Zone "A" in connection with a permitted building using stem wail
<br /> construction,I certi that fill will be used only to fill the area within the stem wall.
<br /> - If fifl material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use o fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of th building permit(ssued under the attached permit application, for lots less than one(1)
<br /> acre which are elev ted by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR TF9E O PIER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commenci g construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, ir conditioning, gas, or other installations not specifically inciuded in the application. A
<br /> permit issued shall be construe 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 chnical codes,nor shall issuance of a permit prevent the Buildirig Official from thereafter
<br /> requiring a correction of errors f plans,construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by uch permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or aba doned for a period of six(6)months after the time the work is commenced. An extension
<br /> may be requested, in writing,fr m the Building O�cial for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extensi n. if work ceases for ninety(90)consecutive days,th�job is considered abandoned.
<br /> IRlARNING TO OWNER: YO R FAILURE 70 62ECOFtD A PIOTICE OF CONIMENCENAENT�AAY 12ESULT IN YOUR
<br /> PAYING TVVICE FOR I�PROV IWENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIPWPlE1NG,CONSULT
<br /> WITH YOUR LENDER OR AN � ORPIEY BEFORE RECORDIPIG YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S 117 0
<br /> OWNER OR AGENT� � �' ,/ �j�f>�'��COPITRACTOR
<br /> S bscribed and swom t or afflrrAed fo e e this ` Subscribed and swom to(ar affirmed)before me thfs
<br /> — 3— - �'�-�►^, v . �h �r by
<br /> Who isl persona ly cnown to me or slhave prody ed Who Is/are personally known to me or haslhave produced
<br /> as Id ntlficatlon. as Identlfication.
<br /> ary Publ Notary Public
<br /> � Commissio #F 150422
<br /> Co ml �4fJ .,' Comm(ssion No.
<br /> �. •c: - � ,. � -
<br /> ,«,1f�Rp� F.tarL�dlhf'701y ainlnsurence800.7b5•7019
<br /> N e oF �urel� Name of Nolary typed,printed or stamped
<br /> ,- I
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