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NCITICE OF DEED RESTRICTIONS: The undersfgned understand that this permit may be subJect to"deed"restrictions"
<br /> which may be more restrictive than County regulations. The under igned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPON IBILITIES: 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 Iicensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco County Buildi g Inspection Division--Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has h(red a contractor or con ctors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block°of this application for which ihey will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properiy licens d and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTlUTILITIES IMPACT AND RESOUR E RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees ma apply ta the construction of new buildings,change of
<br /> use in existing buildings, or expansion of existing buildings,as sp cified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands,that suc fees,;as may be due,will be identified at the time of
<br /> permitting. It is further understood that Transportatlon Impact Fee 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 Issuan . Furthermore, ff Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accorda ce with applicable Pasco County ordinances.
<br /> CONSTRUCTION LfEN L.f�W(Chapter 773,Florida Statutes,as mended): If valuation of work is$2,500.00 or more,I
<br /> certify ihat I, the applicant, have been provided with a copy o the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Department of Agricultu e and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that I have obtained a copy of the a ove described document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the Info mation in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating cons ruction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I cerlify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will b performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and lan development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other government a encies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in compli nce. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bay eads, Weiland Areas and Environmentally Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management District-W Is, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable aterways.
<br /> - Department of Health 8 Rehabilitative Services/Envi nmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. '
<br /> - US Environmental Protection Agency-Asbestos abatem nt.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand lhat the following restrictions apply to the use of flll:�
<br /> - Use of fill is not allowed in Flood Zone"V°unless expre sly 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 pe mitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is ta be used in Flood Zone "A" in onnection with a permitted building using stem wall
<br /> construction,I certify that fill will be used only to fill the rea within the stem wall.
<br /> - If fill material is to be used in any area, I certify th t use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect ad cent properties,the owner may be cited for violating
<br /> the conditions of the building permit issued under the ltached permit application,for lots less than one(1)
<br /> acre which are elevated by flll,an engineered drainage lan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith to in orm the owner of the permiBing conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other instal ations not specifically inciuded in the application. A
<br /> permit issued shall be construed to be a license to proceed with th work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall issuance f a permit prevent the Buildirig Official from thereafter
<br /> requiring a correction of errors in plans,construction or violations o any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within si months of permit issuance,or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6)month after the time the work is commenced. An extension
<br /> may be requested, in writing,from the Building Official for a perio not tb exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)co secutive days,th�Job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOT CE OF COMMENCEMENT Mp►Y RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEIIAENTS TO YOUR PROPERTY. 1 YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.11 03) ' I
<br /> OWNER OR AGENT �'�'�_ CONTRACT R �
<br /> Subscdbed and swom to(or affirmed)befor me this Subscdbed a d swom to(or atfirtned)before me tltis
<br /> by by
<br /> Who Is/are persanally knovm lo me or has/have produced Who Is/are p rsonally known to me or hasRiave produced
<br /> Identlficadon, as Identifiqtion.
<br /> � Notary Public Nofary Public
<br /> Cammis "tY�"•: �OEL E.BACON Commission o.
<br /> :Y
<br /> �� a= Expires June 29,2018 '
<br /> Name of / Name of No ry typed,pdnted or stamped
<br />
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