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NOTICE OF bEED RESTRICTIONS: The underslgned understands that this permit may be subject to"deed"restrictions"
<br /> which may be more resttictive than Gounty regutations. The undersigned assumes responsibiiity for compliance with any
<br /> applicable deed restrictlons. ' r
<br /> UNLtCENSED CONTRACTORS AND CONTRACTOR RESPONSIBtLITtES: If the awner has hired a contracfor or R ~
<br /> contractors to undertake work,#hey may be required to be Ifcensed in accordance wlth staEe and lacal reguiations. tf fhe
<br /> contractor is not licensed as required by law, both the owne�and contraotor may be cited for a misdemeanor violation
<br /> under state taw. If the owner or intended contractor are uncertain as to what licensing requiremenfs may appfy for the
<br /> intended work,they are advised to contacf the Fasco Gounty Building Inspection Division—Llcensing Sectian af 727-847-
<br /> 8009. FurtheRnore, 'rf the owner has hired a contractor or contractors, he is advised to have tne contractar(s) sign
<br /> portions of fhe"contractor Block°of ihis applicafion for wfiich fhey wili be responsible. if you, as tfie owner s(gn as the
<br /> con�ractor,that may be an 9nd3cation that he is not proper{y licensed and is naf entiBed to percnitfing priviisges in Pasoo
<br /> County.
<br /> 7RANSPORTATION tMPACT1UTiLITiES IMPACT ANd RESOURCE RECOVERY FEES: The undersigned undersfands
<br /> that Transpartakion Impact Fess and Recourse f2ecovery Fees may apply to the constre2etion af new bu{ldtngs,change of
<br /> use in existing buildings, or expansian of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 9D-07,as amended. The undersigned aiso undsrsfands,that such fees,as may be due,wiCl be identified at tfie fime of
<br /> permltting. it is further understood that Transportation tmpact Fees and Resource ftecovery Fees must be pald priar ta
<br /> receiving a°certificate of ocoupancy"or final power release. If the project does not invalve a certificate of occupancy or
<br /> ftnal power reisase, the{ees must be paid prior to perm3t issuance. FurEhermare, ifi Pasco County WaterlSewer impact
<br /> fees are due,they must be paid prior tn permit fssuance En accordance with applicable Pasco County ardinances.
<br /> CONSTY2UCTION LIEN LAW(Chapker 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that l, fhe apptlaant, have been provided wi#h a capy of the "Flatida Conshucfion Lfien Law—Hameowner's
<br /> Proteckion Guide"prepared by ihe Florida Department of Agriculture and Consumer Affairs. If the appllcant is someone
<br /> other tF�an tfie°owner",i cerfify thaf I have obtained a copy of the above described dacument and promise in good fa(th to
<br /> deiiver[t to the"owner"prior to commencemenf.
<br /> CONTRACTOR'SIOWNER'S AFFIDE4VIT: I certify that all ihe lnformation In this applicatio�is accurate and that all work
<br /> wil(be done in comptiance with ati applicable taws regulating canstruction,zoning and land development. Appiicafton is
<br /> hereby made ta ob#ain a permit to da worlc and f»stai3akion as indlcated. 4 cettify that no work or instailation has
<br /> aommenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construction, County and Ci#y codes, zoning regulations, and land development regulafions in the jurisdiction. t atso
<br /> cert'sfy that i tinderstand that the regafations of ottier govemmer�t agenctes may appiy to the irrtended work,and that it is
<br /> my responsibility to identffy what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Deparfinent of Environmentat Protection-Cypress Bayheads, HVeftand Areas and Envfronmentaiiy Sensitive
<br /> �ands,Wa#erllAtastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Wafercourses.
<br /> - Army Gorps of Engineers-Seawalls,L7ocks,Naviga6ls Waterways.
<br /> - Department of Health & Rehabllitative ServiceslEnvironmental Nealth Unit-Weils, Wastewater Treatment,
<br /> Septie Tanks.
<br /> - US ErnironmenYal Protection Agenoy-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> t understand thaf fhe fo(lowing restrictians apply to fhe use of fil(:�
<br /> - IJse offil!is not ailowed ln Flood Zone N°unless expressly permitted.
<br /> - lf the fli( maferlal is fo be used in Fiood Zone °A", it is understaod fhaf a drainage plan addressing a
<br /> "campensating volume"witi be subm3tted at time of permPtting which is prepared by a professionai engineer
<br /> licensed by khe State of Florlda.
<br /> - lf fhe fiii materiat is fo be used in Flood Zone °A" in connecfion with a permitted buiiding using sfem watl
<br /> construcfion,1 cerkify that flH wtti be used aniy to fiil the area withfn the stem wali.
<br /> - If flll materiel is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. tf use of fiit is faund to adverseiy affect adJacent properties,the owner may be cited for violating
<br /> ! the canditions of the buiiding permit#ssued under the attached permit applicatian,for lots less than one{1}
<br /> acre which are elevated by flll,an engineered drainage plan is required.
<br /> � ff t am the AGENT FOR THE OWNER,!promise in good faith to infarm the awner oF fhe permiffing candifians set forth 3n
<br /> jthis affidavit prior io commencing construction. I understand that a separate permlt may be required for eleckrical work,
<br /> plumbing, signs,wells, pools, air candi#ioning, gas, or other(nstallafions not spec�calty included in the appticafion. A
<br /> permit issued shalt be construed to be a license to proceed with the work and not as aufharity ta vio2ate,cancei,aiter,or
<br /> set aside any provisions of the technical codes,nor shalt issuance of a pemrit prevent the Buildirig dfficlal from thereafter
<br /> requiring a correction of�rrors in plans,construction or violations of any codes. Every pertniE issued shall become invalid
<br /> unless the worit authorixed by such perm3f is commenced withln s3x months af perm3t Issuance,or if work authorized by
<br /> the permit ts suspended or abandoned far a period of six(6)months after the time the wark is commenced. An extension
<br /> may be requested, fn writing,from the Build(ng Ofiieiai for a period not to exceed nineiy(90}days.and wili demonstrate
<br /> jusf�fable cause for the extension. tf work ceases for ninety{9U}consecutive days,the Job is considered abandoned.
<br /> WARNING TO OWNEit: YOUF2 FAtLURE TO RECOF2D A�t0'ftCE OF COMMENCEMENT MAY RESULT ytV YOUFt
<br /> P,4YItdG'FWIGE FOit iMF6tOVEMEMTS TO YOUR PROPERTY. IF YOU lNTEND 70 OBTAlN FINANClNG,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
<br />� FtOR1DA JURAT(F:S.117.U3)
<br /> OWNER OR AGENT CONTRACTQR
<br /> Subssxilbed and svwm to{or afflrtned)before me ttrls Subsalbed and swam to(or affirmed)before me this
<br /> by by
<br /> Who islare persona!!y known ko me or haslhave produced Who Is/are personally Imown to me or haslhave produced
<br /> as idendfipBon. es Iden88qtion. �
<br /> Notary Public Notary Pub(Ic '
<br /> Commissian No. Commisston No.
<br /> Name of Notary typed,prtnted ar stamped � Name of Nohary typed,printed or stamped
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