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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that th s permit may be subJect to"deed" res4rictions"
<br /> which may be more restrictive than County regulations. The undersigned a�ssumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND COBVTRACTOR RIESPONSIBILITI ES: If thei owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed in acco dance with.state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contracor may be�cited for a misdemeanor vlolation�
<br /> under state law. If the owner or intended contractor are uncertain as to hat licensing requirements may appl;� for the
<br /> intended work, they are advised to contact the Pasco County Building Insp �ction Division—Licensing Section at i'27-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, e (s advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be esponsiblei. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and i�� not entitled to permitting privileges in Pasco
<br /> County. �
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE REC JVERY FEES: The undersigned und��rstands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply t� the const;ruction of new buildings, cl�ange of
<br /> use in existing buildings, or expansion of existing buiidings, as specified ir� Pasco County Ordinance number 8�1-07 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 /> permittfng. It is further understood that Transportation Impact Fees and R�source Recovery Fees must be paic� 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. Furth�ermore, 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 amende�d): 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 "F orida Construction Lien Law—HomE;owner's�
<br /> ` Protection Gufde" prepared by�the Florida Department of Agriculture and �onsumer,Affairs., If the applicant is someone
<br /> other than the "owner", I certify that I have obtained a copy of the above de�cribed document and promise in goo�faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information n this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction, zoning an;d land development. Appiication 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 perfor ed to meet standards of all laws rE�gulating�
<br /> construction, County and City codes, zoning regulations, and land devei�pment regulations in the jurisdiction. f also
<br /> certify-that I understand that the regulations of otfier 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. S ach agencies include but are not IimitEd to:
<br /> - Department of Environmental Protection-Cypress Bayheads, VNetland Ai eas and Environmentally :3ensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cy�ress Bayheads, Wetland Areas, Altering
<br /> Watercourses. i
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterwa s. j
<br /> - Department of Health & Rehabilitative Services/Environment�I Health �Unit-Wells, Wastewater Tr�atment,
<br /> Septic Tanks. I '
<br /> - US Environmental Protection Agency-Asbestos abatement. �
<br /> - Federal Aviation Authority-Runways. I �
<br /> I understand that the following restrfctions apply to the use of fill:� � �
<br /> - Use of fill is not ailowed in Fiood Zone"V"unless expressly per�nitted.
<br /> - if the fill material is to be used in Flood Zone "A", it is u derstood �that a drainage plan addr�3ssing 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 flll material is to be used in Flood Zone "A" in connect on with a permitted building using stem wall'
<br /> construction, I certify that fill will be used only to fill the area witMin the stein wail.
<br /> - If fill material is to be used in any area, I certify that use �f such fill will not adversely affect adjacent�
<br /> properties. If use of fill is found to adversely affect adjacent p operties, the owner may be cfted for violating,
<br /> the conditions of the building permit issued under the attache� permit application, for lots less thari one (1);
<br /> acre which are elevated by�II, an engineered drainage plan is r�equired. i
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith to inform the��owner of the permitting conditions se:t forth in
<br /> this affidavit prior to commencing construction. I understand that a separ5ite permiti may be required for electrii;al work,
<br /> plumbing, signs, welis, pools, air conditioning, gas, or other installations i�ot specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work �ind not as authority to violate, cancel, aiter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a per�nit prevent the Buiiding Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any co es. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six mont s of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after t I�e 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)consecuti�e days, ttie job is considered abandoried.
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<br /> WARNING TO OWNER: YOUR FAILUR� TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT I!N YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU NTEND TO O IN FINANCING, C��NSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC �OF MENCEMENT.
<br /> FLORIbA JURAT(F.S.117.03) __
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<br />—=—OWNER-OR�GENT— - - --- ----CONTRACT ___ -- - — -__ � — - - ---- -- -- —
<br /> Subscribed and swom to(or afflrmed)before me thls Subscribed and swom o(or afflrmed� before me this
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<br /> Who Is/are personally known to me or has/have produced Who fs/are p sonally nown to me or has/have produced
<br /> as IdenUflc2tlon. I as Identiflcation. ,
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<br /> Notary Publlc � � Notary Public
<br /> Commission No.
<br /> Com iss n No 'i� �':�� Commission# 150422
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<br /> " ,�;,,``' 9ondodTNulroyFmnlnwrance8003e.�`•10f9
<br /> Name of Notary typed,printed or stamped Name of Notary ped,printed or stamped
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