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' NOTICE OF DEED RESTRICTIONS: The unde igned understands that this permit may be subject to"deed°restrictions°
<br /> which may be more restrictive than County regul tions. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CON CTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be req red to be licensed in accordance with state and local regulations. If the
<br /> contractor is not ticensed as required by law, b•th the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended conU ctor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the P sco County Building Inspection Division--Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a ontractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block°of this applica'on for which they will be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indication that he is ot properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPA T 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 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,wili 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 po er release. If the project does not involve a certificate of occupancy or
<br /> flnal power release,the fees must be paid prior to peRnit issuance. Furthermore, if Pasco County WatedSewer impact
<br /> fees are due,they must be paid prior to permit is uance 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 provid d with a copy of the "Flarida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Dep ment of Agriculture and Consumer Affairs. if the applicant is someone
<br /> other than the"owner",I certiiy that I have obtai ed a copy of the above described document and promise in good faith to
<br /> deliver it to the"owne�'prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce ify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable I s regulating construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work nd installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and hat all work wiil be pertormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning r gulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of ther government agencies may apply to the intended work,and that it is
<br /> my responsibility to identify what actions i must ke to be in compliance. Such agencies inGude but are not limited to:
<br /> - Department of Environmental Prot ction-Cypress Bayheads, Wetland Areas and Environmentally Sensftive
<br /> Lands,Water/Wastewater Treatme t.
<br /> - Southwest Florida Water Mana ement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - ARny Corps of Engineers-Seawalis,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilit tive Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agen -Asbestos abatement.
<br /> - Federal A�iation Authority-Runway .
<br /> i understand that the foliowing restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Ftood Zo e"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°wiil be sub itted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fiil material is to be used in Flood Zone "A" in connection with a permitted buiiding using stem wall
<br /> construction,I certify that fili wili be sed only to fill the area within the stem wall.
<br /> - If fill material is to be used in a 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 per t 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 promi e in good faith to inform the owrter 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 condiGoning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a licens to proceed with the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,const tion or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is mmenced within six months of permit issuance,or if work authorized by
<br /> the permit is suspended or abandoned for a pe'od of six(6)months after the time the work is commenced. An extension
<br /> may be requested,in writing,from the Buildin Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justffiable cause for the extension. If work ceas s for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE T RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO Y UR PROPERTY. IF YOU INTEND TO OBTAIN FItdANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY B FORE RECORDING YOU TICE OF CO ENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNERORAGENT �TRACTO `
<br /> Subscribed an bswom to(or a�rtned)before me this Sub 'bed to or affirme r me[his
<br /> y �y v � _
<br /> Who is/are personelly known to me or has/have produced Who is! personel y own to me or aslhave produced
<br /> as identfication. as'dentification.
<br /> �
<br /> Notery P lic Notary Pubtic
<br /> Cammission No. Com ssi n � ��
<br /> .p�c'
<br /> Name of Notary typed,printed or stamped Name of Not ��+��@g�gecember 12,2��8
<br /> .�
<br /> �%:Fpr F.,°,.P`�` Bo�ed Tfw Troy Fein Insurerwe 800-385•7019't
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