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" . � NOTICE OF DEED RESTRICTIONS: The und igned understands that this permit may be subject to°deed"resfictions°
<br /> which may be more restricdve than County reg lations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed reshictions.
<br /> UNLICENSED CONTRACTORS AND CONT CTOR RESPONSIBILITIES. If the owner has hired a contractor or
<br />, contractors to undertake work,they may be req ired to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, oth the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended cont actor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the asco 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 Blocl�of this appli tion 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 IMPACTNTILITIES IMP CT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse ecovery Fees may apply to the construction of new buildings,change of
<br /> use in existing buildings, or expansion of existi g buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also un erstands,that such fees,as may be due,will be identified at the time of
<br /> permitting. It is further understood that Transp rtation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a°certificate of occupancy°or final p wer release_ IT the project does not involve a cestificate of occupancy or
<br /> final power release,the fees must be paid pri r to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit i suance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,FI rida Statutes,as amended): If valuation of work is$2,500.00 or more, I
<br /> certify that I, the applicant, have been provi ed with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Dep rtment of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that I have obta ned 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 rtify that all the information in this application is accurate and that all worlc
<br /> will be done in compliance with all applicable I ws regulating construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work nd installation as indicated. I certrfy that no work or installation has
<br /> commenced prior to issuance of a permit an that all work will be pertormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning egulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other govemment 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 Environmental Pro ction-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
<br /> Lands,WatedWastewater Treatme t.
<br /> - Southwest Florida Water Man ement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawall ,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabili ative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Age y-Asbestos abatement.
<br /> - Federal Aviation Authority-Runwa .
<br /> I understand that the following restrictions appl to the use of fill:
<br /> - Use of fill is not allowed in Flood Z ne"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 su mitted 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 i Flood Zone °A° in connection with a permitted building using stem wall
<br /> construction,I certify that fill will b used only to fill the area within the stem wall.
<br /> - If fill material is to be used in a y area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found t adversely affect adjacent properties,the owner may be cited for violating
<br /> the conditions of the building pe it issued under the attached permit application,for lots less than one (1)
<br /> acre which are elevated by fill,an ngineered drainage plan is required.
<br /> If 1 am the AGENT FOR THE OWNER,1 prom se in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing constructio . I understand that a separate permit may be required for elecVical woric,
<br /> plumbing, signs, wells, pools, air conditionin gas, or other installaGons not specifically included in the application. A
<br /> permit issued shall be construed to be a licen e to proceed with the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of the technical code ,nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,const ction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is ommenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a p riod of six(6)months after the time the work is commenced. An extension
<br /> may be requested, in writing,from the Buildi Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work ce� es for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE O RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO OUR PROPERTY. IF YOU INTEND TO O AIN FINANCING,CONSULT
<br /> WITH YOUR LEPIDER OR N ATTORNEY B FORE RECORDING Y R NOTICE OF O DIG�EMENT.
<br /> FLORIDAJURAT( . 117.03)
<br /> OWNER OR AGE CONTRACTOR -
<br /> l Zl� 1��bsw J o or�Srrry�d)bef�a're me th , (u cri ��n bw m to firtn��be " j e th(s
<br /> y I`-fti�l I�
<br /> Who islare personally known[o me or haslhave produce o isla2 p all known ta me ar haslhave praduced
<br />� as identificadon. as identificaBon.
<br /> Notary ublic Notary Public
<br /> Comm on No. Cam ssion No.
<br /> Name of Notary typ ,prin @�ut mped Name nfa '11'/ (C��Q
<br /> ;01��°��•,�� JASO SPICOLA �YtYGed,printed ors p ••,
<br /> � `'�= Notary Publfc-St�te ot Florlda
<br /> i, �': Notary Publl -State of Florlda • '°My Comm.Expiree Aup 22,2018
<br /> ;�' 'o`;My Comm.Ex Ires Auq 22,2018 =;9� o;�
<br /> %;rF oa;• Commissl n�FF 136474 %��a��;�'�' Commlaslon�►FF 136�14
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