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<br /> NOTIGE OF DEED RES?RICTIONS: The undersigned understands that�his permit may be subject to"deed"restrictions"
<br /> which may be more restricfive than Caunty regulations. The undersignec3 assumes responsibility for cott��liance�with any
<br /> applicable deed restrictions.
<br /> UNLICENSED Ct7NTR�iC'�ORS AND CONTRAGTOR RESP4IVSI�ILITIES: !f the owner has hired a contractor or
<br /> contractors #o undertake work, fhey may be required ta be licensed in accordance with sta#e and local regulations., if�he
<br /> cont�actor is not licensed as required by law, both the owner and contractor may be cited for a misdemeana�-violakion
<br /> under state (aw. if the owner or intended contractor are uncertain as ta what licensing requirements may apply for the
<br /> intended wark, they are advised to contack the Pasco County Building Inspectian Division—Licensing Section at 727-847-
<br /> 8009. Fu�thsrmore, if the owner has h'sred a con#ractor ar contractors, he is advised fo have the contractar(s} sign
<br /> portions of the "contractor Black" of this application far which they will be responsible. tf you, as the owner sign as the
<br /> contfactor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TR�►NSPORTATION IMP�1C'TIUTILITIES IIIAPAGY AND RI�SOURCE RECOVERY F�ES: The undersigned understands
<br /> that Transportatior� Impac# 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 /> 9Q-07, as amended. The undersigned aEso understands, that such fees, as may be due, wi8 bs identified at the time of -
<br /> permit#ing. It is further understood that Transpartafion Impac# Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a °ce�tificate c�f occupancy" or final power release. !f the project does not involve a certificate of occupancy or
<br /> frnal power release, the fees must be paid prior#o permit issuance. Furfhermare, if Pasco CoUnty Water/Sewer lmpact
<br /> fees are due, ihey must be paid prior to permit issuance in accordance wi#h applicable Pasco County ordinances.
<br /> CONSTRUCTION �IEN lAV1t{Chapter 713, �I,arida Statutes, as amended): lf va3uatian of work is$2,500.00 or more, t
<br /> certify that I, the applicant, have been providetl with a copy of the "Florida Canstructian Lien Law—Hameowner's
<br /> PfOt@C�tQ(i GUt{I@" prepared by the Fiarida Department of Agricuiture and Consumer Affairs. !f the applicant is someane
<br /> other#han #he"owner", I certify thaf 1 have obtained a copy af the above described document and promise in good faifh fo
<br /> deliver it to#he"owner"prior to commencement.
<br /> � CONTRAC'FOR'S/OI�tR1ER'S AFFiD/�1VIT: 1 certify that a41 the infarmation in this application is accurate and that a#I work
<br /> � will�be done in campliance with all applicable laws regulating constructian, zoning and land development. Application is
<br /> hereby made to obtain a perrr�it to do wark and instaltation as indicated. t certify that no work oc insta4lation has
<br /> commenced prior to issuance of a permif and that all work will be perfarmed to meet standards of all (aws regulating
<br /> construckion, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> ce�tify that t understand that fhe regulations of ather gavernment agencies may apply fo the infended worlc, and that it is
<br /> my responsibility#o iden#ify what actions I must take to be in complfance. Such agencies include but are not limited ta:
<br /> - Department af Environmental Pratectian-Cypress Sayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/1Nastewater Treatment.
<br /> - Southwest Florida Water Management Dis#rict-Wells, Gypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Depar#ment of Health & Rehabilitative Services/Environmentai Fleafth Unit-Wells, Wastewater Treatrt�ent,
<br /> Septic Tanks. �
<br /> - US Enviconmental Protection Agency-Asbestos abatement. -- _
<br /> - Federal Aviation Authority-Runways.
<br /> 1 understand that#he foNowing restrictians apply to the use of fill:�
<br /> - Use of fll(is not altawed in Fload Zone°V"uNess expressly permifted.
<br /> - If the fill material is to be used in �Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating vaiume° will be submitted at fime of permifting v�rhich is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - tf the fill material is ta be used in Fload Zane "A" in connection with a permitted building using stem wal4
<br /> construction, I certify that fill will be used only to fill the area within the stem waff.
<br /> - If fill material is to be used in any area, { certify that use of such ftll will not adversely affect adjacent
<br /> properties. (f use of fill is found to adversely affect adjacent properties, the awner may be cited for viotating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by�li, an engineered drainage plan is required.
<br /> If I am the A►GENT FOR TH� OVNNER, I promise in gaod faith to inform the owner of#he permitting conditions set forth in
<br /> this affidavit prior fo comrr�encing construction. I understand that a separate permit may be required for electrical vuork,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or ofher installations not specificatly included in the application. A
<br /> permit issued shall be cons#rued ta 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 permif prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, canstruction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work aufhor.ized by such permit is commenced within six months of perm�t issuance, or �f worlc autharized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
<br /> may be reques#ed, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninery(90)consecu#ive days, the job is considered abandaned.
<br /> WARNINC TO QWNER: YOUR (FAILURE TCt'RECORD A NQTICE O� COMMENCEMENT MAY RESUC.T IN YOUR
<br /> PAYING TWICE FOR IflAPROVEMEN'TS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINA►NCING, CONSULI'
<br /> WITN YOUR LENQEt2 QR AN ATTORNEY BEFOR�REGO�tDING YOUR N TICE C}F COM�PiEMCEMENl'.
<br /> FLORIDA JURAT(F.S. 117.03)
<br /> OWRlER OR AGENT CONTRACTGTR� E
<br /> Subsaribed and swom to(or affirmedj_before me thls Subscribed and sw to or a rmed)before me this ---
<br /> ~--_-- �y bY��a�cyr f.a._S•�l-R:.-
<br /> Who islare persanalty known to me ar haslFtave praduced Who istare person�ly known to me or has/have praduced
<br /> as Identlficallon. as identiBcation.
<br /> Notary Public Notary Public
<br /> Commisslon No. Commtssion No.
<br />', Name of Notary typed,printed or stamped ' Name of Natary typed,printad or stamped
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