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<br /> NOTtCE OF DEED RESTRtCTiONS: The undersigned understands that th s permit may be subject fo"deed"resQrictions"
<br /> which may be mare restrict#ve than County reguEations. The undersigned assumes respans36illty for compiiance with any
<br /> applicable deed restrlctions. ' �
<br /> UNLlCENSEQ CQNTRACTORS AND COWTRACTOR R�SPONSlBILlTI S: !f th`e owner has hired a contractor or
<br /> contraciors #o undertake work, they may be requlred to be licensed in acco dance witti state and local regulations. If the
<br /> contractor is no# licensed as required by law, both the owner and contrac.or may be clted for a misdemeanor v(otafian� �
<br /> under sfate iaw. ff fhe owner or infended contracfor are uneertain as to het licensing requirements may apply for the.
<br /> intended work, they are advised to contacf the Pasco County Building lnsp c#lon DivEsion—Licensing Sectlon at 7'27-847-
<br /> 8009. Furthermore, If the owner has hired a contractor or contractors, e !s advlsed to have the contractor(s) sign
<br /> partlons of the °contractar 6lock" of khls appllcatlan for which they will be esponsible. 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 permifting privileges in Pasco
<br /> County. '
<br /> TRANSPOR'TATION IMPACTIUTILITiES IMFACT AND REStJURCE REC�VERY FEES: The undersigned und�rsfands
<br /> thaf Transpor#afion tmpacf Fees and Recourse Recavery Fees rriay appiy to tlie consfruction of new buifdings, change of
<br /> use in existing buildings,, or expansian of exlsting buEld"sngs, as specified I� Pasco Gounty C?rdinance number 8�I-Q7 and
<br /> 90-07, as amended. Tlie undersigned�also understands, that such fees, as may be due, wiA be identifisd at the; time af
<br /> perrnitt4ng. !t is furtlier understoc�d that Transportation Impact Fees and R�source Recovery Fees must be pai�l prior to
<br /> receiving a °cerkificate of ocaupancy" or final power release. If the project�1oes nat involve a certificate of occupancy or
<br /> flnal pawer release, the fees mus# be paid prior to permit issuance. Furth�rmore, if Pasco Cactnty Water/Sewer impact�
<br /> fees are due, they must be paid prior to permft issuance in accardance with�pplicable;Pasca Caunty ord3nances.
<br /> CONSTRUCTICIN LIEN 1.AW(Chapter 713, Flarida Statutes� as amende ): If valua#{on of work fs$2,50Q.00 ar more, I
<br /> certify that I, the app}Icant, have been provided with a copy of the "�orida Constructlan Lien Law—Home�owner's�
<br /> Pratectlon Guide° prepared by the�Fforida�Departmen# of Agrlculture and �onsumer Affairs. If the applicant is someone
<br /> _ other than;the"owner°,.! cerkify that I have obtalned a copy of the above de,�cribed document and prom(se in gaor�faith fo
<br /> deliver It to the°owner"prior to commencement. ;
<br /> CONTRACTOR'S10WN�R'S AFFIDAVIT: I certify that ali fhe'information n fhis application is accurate and that ail work
<br /> will be done in compliance with a(I appiicable laws regulating canstruction, zoning and land develapmen#. Appiication is
<br /> hereby made to abtain a permit to da woric and instaEiattan as indlcated, i certify #hat na work or instaliat[on has.
<br /> commenced prior ta fissuance af a permit and that ali work wil{ be perFar ed to mes# standards of a!! laws r�gulating
<br /> canstruction, County and City codes, zoning regulations, and land deve! pment regulatians in khe jurisdiction. I also
<br /> certify that ! understand that the regulations of other government agencies may apptyj to the intended work, and fhat it is�
<br /> my responsibility to identify what actions I must take to be in compliance. S�ah agencies inc(ude but are not limit�d to:
<br /> - Department of Environmental Prafection-Cypress Bayheads, etiand Areas and Env'rranmentatly :3ensitive
<br /> Lands, Wafer/Was#ewater Treatment. '
<br /> - Southwest Fiorida Water Management D(stric#-Wells, Cy�ress Bayheads, Wetland Areas, Altering
<br /> Watercaurses. �
<br /> - Army Gacps of Engineers-Seawalls, Docks, Navigable Wa#erwa s. � '
<br /> - Deparkment o# Health & Rehab4l�tative Servlces/Environment�l Health Wnit-We(Is, Wastewater Tr�atment,
<br /> Septic Tanks. `
<br /> - US Enviranmental Profection Agency-Asbestos abatement. ;
<br /> - Federal Avia#iort Authority-Runways. � �
<br /> I understand that the following restrictians appiy to the use of ftll: � � r '
<br /> - Use af fiil is not allowed in Fiood Zone"V"unless expressly per�nitted. '
<br /> - If the �11 materia! is to be used in Flood Zone "A", it is u derstood tliat a drainage plan addr��ssing a
<br /> "'compensating volume" wi!! be submitted at time of permitting which is prepared by a professional �engineer
<br /> licensed by the State of Florida, `
<br /> - If ihe fill material is #o be used in Fload Zone "A" in connectian with a permitted buiiding using stem walf'
<br /> construcfion, I certify that fill will6e used anfy to fill the area wit�in the stem wall.
<br /> - If fill material is to be used in any area, 1 certify that use f such fi1! ;wil! not adversely affect adjacent
<br /> praperties. if use of fill is found to adversely affect adJacent p-ape�ties, ttie owner may be clted for violating;
<br /> the conditions of the building permit Essued under the attache permit application, for lats less than one {1)'
<br /> acre whlch are slevated by fill, an engineered drainage plan is requfred. ;
<br /> If 1 am the AGENT FOR TNE OWNER, I promise in good faith to inform th� ownet of the permitting conditians sE:t forth in
<br /> this affidavit prfor to commencing cans#ruc#ion. 1 understand that a separ ite permi# may be requRred far eiectrfr,ai wark,
<br /> plumbing, signs, welis, poals, air canditioning, gas, or other instaHations��ot speciflcaliy included in the applic�tion. A
<br /> permit issued shali be canstrued to be a license tv proceed wl#h the wark�ind nat as authority to vialate, aancel, alter, or
<br /> set aside any provisions of the Eechnlcal codes, nor shall lssuance of a per�nit prevent the Buildirig O�aial from thereafter
<br /> requiring a carrectian of errors in plans, construction or v[alations of any co�es. Every;permit issued shatl beaome invalid
<br /> uniess the wark aukharized by such permik is co'rnmenced within six monf s of permit�issuance, or if work authc�rized by
<br /> the permit is suspended or abandoned for a periad af six(6) months after f I�e time the work is commenced. An�.�xtension
<br /> may be requested, in writing, from the Building Officiai for a period not ta�exceed ninefy {90) days and w}}I demonstrate
<br /> justifiable cause for the extension, If wark ceases for ninety{90)consecutl�e days, the'Jab is considered abandoned.
<br /> WARNING TO OWNER: YaUR FAtlUR� TO RECC?RD A NC?TICE OF COMMENCEMENT MAY RESULT IIN YOUR
<br /> _FAYING'FWtCE FOR IMPROYEMENTS TO YOUR PROPERTY. IF YOU NTEND TO;OBTAtN FINANCING, C��NSU�T
<br /> --_ .;�;,,T-;;=�YC:l::-L-€:�S?ER-t36�AN-�=T-T4:lRNEY�EFQR�=RECtZRt11NG�`lJJR NO -iCE�OF�C � MENC�'ciUiENT: --'�-- -""_
<br /> FLORIbA JURAT(F.S.117.03) " —�,.
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<br /> OWNEE2 OR AGENT CONTRA �„—.�
<br /> Subscrlbed and sworn to(ar affirmed)before me thls Subscribed and sworn a(or afflrmed}Ibefore me this
<br /> by bY
<br /> Who Istare ersonaif known to me or haslha've produced Who(s/are personally nown to me or!has/have praduced ,
<br /> � Y as IdenBficatlon. � as identificatlon. �
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<br /> Notary Public � Notary PubUc
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<br /> Gommisslon No. Commission No. � �
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<br /> Name af Notary typed,printed or stamped Name of Notary typed,printed'or stamped
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