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<br /> ' NOTiCE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject fo"deed"restric#ions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicabie deed rest�ictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: tf the owner has hEred a contracfor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractar is not licensed as required by law, both the owner a�d contractar may be cited far a misdemeanor viofation
<br /> under state (aw. If the owner or intended contractor are uncertain as to what licensing requiremenfs may apply for the
<br /> intended work,they are advised to cantact the Pasca County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furknermore, if the owner has hired a contractor or contractors, he is advised to have fhe contractor(s} sign
<br /> portians of the°contractor Block"of this appiication for which they wiil be responsible. if you, as the awner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled ta permitking privileges in Pasco
<br /> Gaunty.
<br /> TRANSPORTATtON IMPACT/UTILITIES tMPAC7 AND RESOURCE RECOVERY FEES: The undersigned undersfands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the canstruction of new buildings,change af
<br /> use in existing buildings, or axpansion af existirrg buildings, as specified in Pasco County 4rdinance numbec 89-07 and
<br /> 90-07, as amended. 7he undersigned also understands, that such fees, as may be due,wiil be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"cer#ificate of occupancy"or fina!power release. If the praject daes not involve a cert9ficate af occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer lmpact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTE2UCTlON LIEN LAW�Ghapter 713,Florida 8tatutes,as amended): lf va3uation of work is$2,504.00 or more,1
<br /> certify that I, the applicant, have been provided with a copy af the "'Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Fiorida pepartment of Agriculture and Consumer Affairs. If the applicant is someone
<br /> ather than fhe"owner",1 certify tha#1 have obtained e copy af the above desoribed documant and pramise in gaad faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the infarmation in this application is accurate and that all work
<br /> witl be done in compliance with ail applicable taws regulating canstruc#ion,zoning and land development. Rpplication is
<br /> hereby made to obtain a permit to do work and installation as indicated. � certify that no work ar instaliation has
<br /> commenced prior to issuance of a permit and that all work will be performed ta meet standards of all laws regulating
<br /> construction, County and City codes, zaning regulations, and land development regulatians in the jurisdiction. 1 also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actians!must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department af Environmental Pratectian-Gypress Bayheads, YVetiand Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Trea#ment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of 8ngineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehebilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Sepfic Tanks.
<br /> - US Enviranmental Protection Agency-Asbestos abatement.
<br /> - Federa!Aviation Authority-Runways.
<br /> 1 understand that the following resfrictions apply fo the use of fll:
<br /> - lJse of fill is not allowed in Flood Zone"V"unless expressly permitted,
<br /> - IP the fil! material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume"wil{ be submitted at tirne of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - if the fi!! materiai is to be used in Road Zone "A" in connection with a permitted building using stem wall
<br /> canstrucfion, I certify that fill wi11 be used only to fi11 the area within the stem wati.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. if use of fi!!is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> the conditions of fhe building permit issued under the attached perm�t appiicatian,for lots less than ane (1}
<br /> acre which are elevated by fill,an engineered drainage plan is required,
<br /> if!am the AGENT FQR TNE OWNER, i pramise in gaod faith to infvrm the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing constructian. i understand that a separate permit may be raquired for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of the teohnical eodes, nar sha((issuance of a permit prevent the Building Official from thereaffer
<br /> requiring a carrection of errars in plans,construction or violations of any codes. Every permit issued shall become invalid ;,�1��.1•"N•.,
<br /> A��
<br /> untess the work autharized by such permit is commenced within six months of permit issuance,or if work authorized by bc �_
<br /> the permit is suspended or abandoned for a period of six(6)monfhs after the time the wark is commenced. An extension �:?oqo„,�';�
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90)days and will demonstrate �"''�%��rt"''�
<br /> justifsabie cause for the extension. lf wark ceases for ninety{9Q)consecutive days,the jab is considersd abandoned. o �
<br /> ���
<br /> WAF2NING TO OWNER: YOUR FAILURE TO RECORD A N0710E OF COMMENCEMENT MAY RESULT IN YOUR ��"o p
<br /> <^o r'� PAYING TWiCE FOi21MPRQVEMENTS TO YOUR PROPERTY. !F YOU INTENL?TO OBTAlN FlNANClHG,CQNSUL.T Z���
<br /> o .. cn z
<br /> �"�;v� WITH YOUR LENd R A TTORHEY BEFORE RECORDIi3G YOUR N07tCE OF COMM6NCEMENT. �y�a
<br /> o,w��� FLORIDA JURA7(F. .1 .0 ) �� ?y
<br /> ���� �
<br /> F p�a OWNER OR AGENT f CQNTRAGTOR � � 4t�Q
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<br /> q�¢ � s e d s n to r ffirmec his s ed nd s n r a d)befo this ��
<br /> 2 f!J ••o fD 4 J
<br /> u�i��� �bY by �`+�
<br /> �-=cr,� Who i�sonatiy k n to hasJhave produced Who islare pe so y n to me or h s(h e produced � a
<br /> ��X� as ide ' atio�. i entification.
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<br /> ;���."•`?bo�'� otary Pubiic Notary Pubiio
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<br /> i:�„ '�`� G mission No. C ission No. i
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<br /> � Name pf Notary typed,printed or stamped Name of—PNotary ty ed,pri e ar stampedT
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