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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requlrements may apply for the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner,has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Blnck"of this application for which they will be responsible. If�you,as the-owner sign as the
<br /> contractor,thatmay.be an indication�tha�he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the consVuction of new buildings,change of
<br /> use in existing buildings, or expansion of existing buildings, as specified (n Pasco County Ordinance number 89-07 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 /> permitting. It is further understood that Transportation impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupanc�'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. Furthermore, 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 /> COPlSTRUCTION LIEfV LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,5�0.00 or more,I
<br /> certify that 1, the applicant, have been provided with a copy oi the "Florida Construc6on Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise(n good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'S10WNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating 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 /> commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other govemment agencies may apply to the intended-work, and-that it is.
<br /> my responsibility fo identify what actions I musf take to be in compliance. SLcfi agencies incfude but are not fimited to:
<br /> - Department of Environmentat Protection-Gypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill: I
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly perrraitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a �
<br /> "compensating volume"wfll be submitted at tfine of permitting which is prepared by a professional engineer
<br /> licensed 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 /> construction,I certify that fill will be used only to fill the area within the stem wall.
<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 fill is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application,for lots less than one (1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of.the permitting.conditions set fo�th in
<br /> this a�davit prior to commencing constructio�, t understand that a separate permit.may tie.required 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 technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a corzection of errors in plans,construction or violations of any codes. Every permit issued shall become fnvalid '
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6)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,the job is considered abandoned.
<br /> lNARNING 7'O OWNER: YOUft FAILUFZE TO F2E�ORD A NOTICE OF COiVlMEfdCEMENT MAY-RESULT IId YOUR
<br /> PAYING TWICE FOR-tMPROVEMENTS TO•YOU4i PROPERTY. IF YOl1 tNTEND TO OBTAi�+1 FtNANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
<br /> FLORIDA JURAT(F.S.717 03)
<br /> r
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and swom[o(or a ed)before me this Subscribed and swom to(or f rmed) ore me this
<br /> by by
<br /> Who fs/are personelly known to me or has/have produced Who islare personally know me or has/have produced
<br /> as idantiflcation. as identification.
<br /> Public , Notary Public �
<br /> Co iss�pu�t�,�� ZANNE ALLE �- o ' on No. ���u. N
<br /> :�i°�, ;`�? Notary Public-State f lorid�� � ;.2 ef�;'s Notary Public-State of Florida ,
<br /> Na at t p =print �1@i @B Name of Notary typed,prl �} s •c ORIm ss 011 86
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<br /> �'��°����'� Bonded through Natianal Notary Assn �i�FOF F�;,��
<br /> �������• B o n d e d t hr o u g h Nat lonal Notar y Assn
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