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<br /> NOTICE OF DEED RESTRICTIONS: The undersi ned understands that this permit may be subject to "deed" restrictions"
<br /> which may be more restrictive than County regulati ns. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> � UNLICENSED CONTRACTORS AND CONTRA TOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be requir d to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, bot the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contrac or are uncertain as to what licensing requirements may apply for the
<br /> intenr�ed work, they are advised to contact the Pas o County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has• hired a co tractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this applicatio� for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is no properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Re overy Fees may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing uildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also under tands, that such fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transport tion 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 t permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due, they must be paid prior to permit issu nce in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Flori a 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 Depart ent of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the "owner", I certify that I have obtaine 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 certi that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable law regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work an installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and th t all work will be pertormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning reg lations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of oth r government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must tak to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protect on-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WateNWastewater Treatment.
<br /> - Southwest Florida Water Manage ent District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, D cks, Navigable Waterways.
<br /> - Department of Health & Rehabilitati e Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency- sbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions 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 lood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submi ted 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 FI od Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be us d only to fill the area within the stem wall.
<br /> - If fill material is to be used in any rea, 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 permit i sued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill, an eng neered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise n 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, g s, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license t proceed with the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, n r shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, constructi n or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is co menced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a perio� of six (6) months after the time the work is commenced. An extension
<br /> may be requested, in writing, from the Building fficial for a period not to exceed ninety (90) days and will demonstrate
<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 ECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YO R PROPERTY. IF YOU INTEND TO OBTAI FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTO Y BEF RE RECORDING Y U O ICE OF C MENCEMENT.
<br /> FLORIDA JURAT F.S. 7.03) �
<br /> OWNER RAGEN' � CONTRAC --;�rnms� ' ' DZl7Z R»ilracrc IIIriC
<br /> (1 (�Subscr' a d s to(or affir Sd)before me this Subscrib d swom to(or affirmed)before me this
<br /> �by� J 2 by Jerome Ciaravino
<br /> Who is/are personally known me or has/have produced ho is personally known to me or has/have produced
<br /> �- as identification. � as identification.
<br /> ' • .
<br /> Notary Publi Notary Public
<br /> Com s 'on No. Commissi n o.
<br /> Name o otary typed,printed or sta ed Name of Notary typed,printed or stamped
<br /> ����
<br /> •��t.:i%' YVONNE HOSKIN
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<br /> ;�..•••�F: YVONNE HOSKI
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