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NOTICE OF DEED RESTRICTIOIVS: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility 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, the:y 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 licensing requirements may apply for the
<br /> intended work, they are advised tc�contact the Pasco 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 Block" of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indicaiion that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES. The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees 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 issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
<br /> certify that I, the applicant, havE; been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by thE: Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify th��t I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to cornmencement.
<br /> CONTRACTOR'S/OWNER'S AFF�IDAVIT: I certify that all the information in this applicatior is accurate and that all work
<br /> , will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City co�es, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the r��gulations 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 Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida 1Nater Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of HealtYi & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. '
<br /> - US Environmental Prctection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following reslrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"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 submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is tc� be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify tl�at fill will be used only to fill the area within the stem wall.
<br /> - If fill material is to b�� used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of f�ll is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the I�uilding permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevate:d by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWIVER, I promise 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, I
<br /> plumbing, signs, welis, pools, air conditioning, gas, or other installations not specifically included in the application. A �
<br /> permit issued shall be construed t�� 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, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in K�lans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by surh permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandaned for a period of six(6) months after the time the work is commenced. An extension I
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate I
<br /> justifiable cause for the extension. If work ceases 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 IMPROVENIENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I
<br /> FLORIDA JURAT(F.S.117.03
<br /> OWNER OR AGENT � CONTRACTOR , �
<br /> Subscn ed and swom t �r aff.irmed before me this Sub cnbed and swom t r_af�i'rmed)before me this
<br /> �-I2�lJr by R�'h � n 5 y �S by �i�l'►��l f�{IVL� �
<br /> Who is/are person ly kno�n to e or has/liave produced Who is are personally known to m or has/have produced
<br /> as identif�cation. — as identification.
<br /> I
<br /> /Notary Public Notary Public
<br /> Commission No. Commission No.
<br /> Name o,;io���Bype ,prin e or s am e Name of Notary ,r„,,,;,, rr►ryed
<br /> ;_� ��; N4�NCY J �R1�OKS ;=o��avP4e4�; �IANCY J BROOKS
<br /> ' �= MYCOMMISSION#=F093699 ` '
<br /> ;^.. . ::a�` :' �"Q; MY COMMISSION#FF093699
<br /> , ''"�oFF;;oP.� EXPIRES February 18.2018 9� P;
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<br /> � (ao�)3sa-o153 FloridallotaryServic:e.com (407)398A153 FloridallotaryService.com
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