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<br /> �OTICE OF DEED RESTRICTIONS: The u�dersigned undetstands°that this�petm(t.may be_subject to°deed"restrlctions°
<br /> vhich may be:more.restrlctive.than County regulations. �The underslgned assumes responsibility for compliance with any
<br /> ipplicable deed restrictions. -
<br /> JNLICENSED CONTRACTORS AND COtdTRACTOR RESPONSiBILITIES: If the owner has hired a contractor or
<br /> :ontractors to undertake work, they may be required.to be:licensed in accordance.with state.and•local regutations. If the
<br /> ;ontractor is not licensed as required-by law, both the owner and contractor may be ctted for a misdemeanor violatlon
<br /> inder state law. If the owner or tntended�contractor are uncertaln as to what Iicenstng.requlrements may apply�or the
<br /> ntended work, they are advised to contact the.Pasco County Building Inspection Divlsion—Ltcensing Section at 727-847-
<br /> 1009. Furthermore, if the owner has hired a contractor or contractors, he is advtsed to have the contractor(s) sign
<br /> �ortfons of the "contractor Block° of thls application for which they will ba responsible. If you, as.the owner sign as the
<br /> :ontractor, that may be an indicatfon that he is not.properly licensed and is not entftied to permitting privileges in Pasco
<br /> �ounty.
<br /> �RANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> hat Transportatio� Impact Fees and Recourse Recove.ry.Fees may apply to the construction of new buildings, change of
<br /> ise in existing buildings, or expansion of exfstiri�g':6uildings, as specifled in PascQ Count�r Ordinance number 89-07 and
<br /> �0-07, as amended. The undersigned also understands, that such fees, as;may�be�due„wiil�be identified at the time of
<br /> �ermitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> •eceiving a "certificate of occupancy" or flnal power release. :If the project does not involve a certificate of occupancy or
<br /> �inal power release, the fees must be paid prlor to permit Issuance. Furthermore, if Pasco County WaterlSewer.Impact
<br /> `ees are due, they must be.pald prior-to permit�issuance-In accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTI�N LIEN LAW(Chapter 773� Florida Statutes,as amended): If valuatfon of work is$2,500.00 or more; I
<br /> �ertify that I, the applicant, have been provtded .with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Depactmenf of Agricuiture and Consumer Affairs. If the applicant is someone
<br /> �ther than the"owner", I certify that I have obtaine,d a copy,of the above.described document�and promise in:good faith.to
<br /> delive�it to the°owne�"prior to�commencement:
<br /> CONTRACTOR'S/OWNER'S AFFID�VIT: I.certify that all the Information in thls applicatlon is accurate and that ail work
<br /> �rill be done in compliance with all applicable laws �egulating 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 /> �ommenced prior to issuance of a permit and that.all work wfll be perFormed to meet standards of all� laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations-in the jurisdtction. I also
<br /> certify that I u�de�stand that the regulations 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.corrlpliance: S.uch agencles include but are nnt limited to:
<br /> - Department of Environmental Protection-Cypress.Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Wate� Management- .District-Welis, Cypress. Bay.heads, Wetland Areas, Altering
<br /> Watercourses. ,
<br /> - Army Corps of Engineers-Seawails, Docks, Navigable Waterways.
<br /> - Department of Health 8 ReMabilitative,Services/Environmenfal Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. _
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Avlatlon Authority-Runways.
<br /> I understand that the following.restrictions apply to the use of flll:�
<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. ts understood that a drainage plan addressing a
<br /> °compensating volume" will be submitted at time of permltting which is prepared by a professional engineer
<br /> Iicensed by the State of Florida.
<br /> - If the fill material is-to be used in Flood Zone "A° in�connection with.a�permitted building using stem wall
<br /> � const�uction, I certify that fill�wlll�be used only to fill the area within.the�stem wail. �
<br /> - If fll material is to be used in any area, I certify that use. of such fill will not adversely affect adjacent
<br /> propertfes. If use of flll is found to adversely:affect adJacent properties,.the owner may be cited for vfolat(ng
<br /> the conditions of the building.permit issued under the attaciied permit application, for lots less than one (1)
<br /> acre which are elevated�by flll, an engineered drainage.plan is requtred.
<br /> If I am the AGENT FOR THE OWNER, I;promise in good faith to fnform the owner of�the permitting conditions set forth (n
<br /> this affidavtt prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, weils, pools, air cond(tioning, .gas, or other installations not spec�flcally included-in the application. A
<br /> permit issued shail be construed to be a Ucense to proceed with the work and not as.;authority to,violate, cancel, alter, or .
<br /> set aside any provisions of the techn(cal codes; nor shali issuance of a permit.prevent the Buildirig Official from thereafter
<br /> requiring a correction Qf errors in.plans, constructlon or vlolatlons of any codes. Every perm(t issued shall become invalid
<br /> unless the work authorized by such permit•�is-commenced�within six months of permit issuance, or if work authorized by
<br /> the pe�mit is suspended or abandoned for a period of six E6)months after the time the work is commenced. An extension
<br /> may be requested, 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 ninety(90)consecutive days,.th�job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE.TO,RECORD A NOTIGE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE.FOR IMPROVEMEN.TS TO YOUR PROPERTY. IF YO.U�INTEND'TO�OBTAIN•FIPtANCING,'CONSULT
<br /> +,�A�y_ Qu�_���un� __�p RI A,�T'ORNEY B FORE�RECOR�DINGYOUR�NOTICE°.OF.COMMENCEMENT: L _
<br /> FLORIDA JURAT(F.S.117.03)
<br /> r _ c.yC�- -
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and swom to(or aiflrmed)before me fhis Subscribed and swom to(or affirmed)�before me this
<br /> by ,by ,.
<br /> Who Islare personally known to.me or has/haye produced_ Who Is/are personally knovm to me or has/t�ave produced •
<br /> as Identlflcatlon. as IdentlflcaUon.
<br /> Notary Publlc Notary Public -
<br /> Commisslon No. Commission No.
<br /> Name oI Notary typed,printed or stamped Name of Nolary typed,printed or stamped
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