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NOTICE OF DEED RESTRICTIONS: The unders gned understands that this permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than County regul ions. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONT CTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be requi ed to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, bo h 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 P co County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a 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.
<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 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 occupancy"or final po er release. 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 is 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 /> I certify that I, the applicant, have been provid d with a copy of the "Florida Construction Lien Law—HomeownePs
<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 work 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 government agencies may apply to the intended work,and that it is
<br /> my responsibility to identify what actions I must t ke to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Prote tion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater 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 & 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 the use of fill:
<br /> - Use of fill is not allowed in Flood Zo "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 /> I - 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 permi 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 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, or other installations not specifically included in the application. A
<br /> permit 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 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 peri d 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 ceas s for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO 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 CO MENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT �''' CONTRACTOR
<br /> Subscribed and or�f igned)before me this Subscribed sworn to(or d)before me this
<br /> by ' C�orr by _Td�e. La 1.�_c m�+
<br /> Who is/are personaily known to me or has/have produced Who is/are personailv known to me or has/have produced
<br /> ` as identlfication. as identification.
<br /> �\� l . ���v��ry Pu lic ` ` I Notary Public
<br /> Commission No. lSJ U Commission No. � lY 1 �
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<br /> �•••'�oF�dr;•, EXPIRES September 21,2 18 ����oF�d??,: EXPIRES September 21,2018
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