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<br /> NOTICE QF DEED RESTR1CT10NS: ,The underslgned understands that th�s perm�t may be subject to"deed�tesitr3ci�ons"
<br /> which may be rnare restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> appEicable deed restrictloris. � -- .
<br /> UNI.ICENSED,CONTRACT4RS AND CO�VTRACTOR R�SPONSIBILITIES: if #he owner has hired a contractor or
<br /> contrac#o�s to undertake work, they may be required to,be licensed in acco dance with-state and'local regulatfons. !f the
<br /> contracfor is nat licensed as required by law, both the�awner and contrac ar may be ci#ed for a misdemeanor vEolation�
<br /> under state law. If the owner or intended contractor are uncertain as to iiat licensing requirements�may_apply for the
<br /> intended wark, they are advised to contact the Pasco County 8uilding Insp c#ion Dlv�sion--Licensing Sectlan at i'27-847-
<br /> 8009. Furthermore, if the awner has hired a contractor or contractars, e is advised to have the contractor(s) sign
<br /> portfons of ths °contractar Bfock" of this appilcation for wt�ich they will be espons{ble. !f you, as the owner sign as the
<br /> contracfor, #hat may be an indication fha# he is nof properly (icensed and i� not entitled to permffting priviieges in Pasca
<br /> County. .
<br /> TRANSPCIRTATIaN IMPACTlUT1�IT1E5 tMFACT AND.R�SQURCE REG�VERY EEES: The ttndersignecf uncl+3rsfands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply t the caitstruction ofi new buildings, ctiange af
<br /> use in existing buildings,.or expans'ran of existing buildings, as speeif�ed ir� F'asea Counky Ordinance rturnber 8�1-Q7 and
<br /> 90-p7, as amended. The undersigned also understands; that such fees, as may be due, will be'identified at thE� time of
<br /> permitting. it €s further understood #hat Transpartation lmpact Fees and R�saurce Recovery �ees must be paic� priar to
<br /> receiving a "ce�tificafe of occupancy" or final power release. (f the praject�oes nat involve a certifieate of occupancy or
<br /> final power release, the fees must be paid priar to permit issuance. Furth� rmore, if Pasco Caunty Water/5ewer Impact
<br /> fees are due, they must be paid prlor to permlt issuance in accordance with�ppllcable Pasco Gounty ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Fiorida Statutes, ag amended): If valuation of wcrrk is$2,500.00 or more, I.
<br /> certify fhat I, the appllcant, have besn pravlded with a copy of the °F orida ConstructRon l.ien L.aw—Nam�:awner's�
<br /> Protection Guide" prepared by the Florida Department of,Agricul#ure and� ��ronsumer�Affairs. If the applicant ls sameone
<br /> other than the"owner", ! cerkify that I have obtained a copy of the abave de•cribed document and prornlse in goo�i faith to
<br /> deliver it ta#he"owner"prior fo commencemenf.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify #hat all the infnrmation n this applicatlon is accurate and that all work
<br /> wili be done in compliance with ail applicable laws regulating.construcEion, zoning and land deveiapment. Application is
<br /> hereby made ta obtain a permi# to do work and installation as indicated. 1:-certify �that� no work or installation has
<br /> cammenced pr3or to 3ssuance of a permit and that a0 wark wiii be perfor ed ta��`rtieet standards of al! laws c�3gulating
<br /> constructian, County and City cades, zoning regulations, and land devel�pment regula#ions in the jurisdic#ion, i aisa
<br /> certify that I unde�stand #hat the regulatians of other government agencies may apply ta the intended work, and that it is�
<br /> my responsibi(ity#o identify what actions ( mus##ake to be in compliance. S ch agencies include but are not limifad to:
<br /> - Department of Environmental Pro#ection-Cypcess Bayheads, VNetland Areas and Enviranmen#aily ;3ensitive
<br /> Lands,WaferltNasEewater Treatment.
<br /> - Southwest Florida Water Management District-Welis, Cy�ress Sayheads, Wetland Areas, Altering
<br /> lN�t@�GOLlCSBS.
<br /> - Army Corps of Enginesrs-Seawalls, Docks, Navigable Waterwa s.
<br /> - Deparkment of Hea}th 8� Rehabilitative Services/Environment I Health Unit-Wells, Wastewater Tr�atment,.
<br /> � Septic Tanks.
<br /> - US Envfronmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviat3on Autharity-Runways. ,
<br /> I understand that the following restrictions apply to the use of fili:�
<br /> - Use of filE is no#allowed in Flood Zone°V"�nless expressiy per�ltted. ' �
<br /> - If`'the fll rnaterial is #o be used in Flaod Zone "A", it fs u derstood thaf a�drainage plan addr��ssing a
<br /> "campensating volume" wil! be submitted at time of permitting which is prepared by a professional �engineer
<br /> licensed by the State af Florida.
<br /> - If the fill materfal is to be used in Flood Zone "A" in connect on with a permitted building using stem wall�
<br /> construction, I ee�tify that fill will be usec3 only to fll the area wit��n the stem wall.
<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 Es found ta adversely affect ad�acent p•operkEes, the owner may be cfted far violaf9ng;
<br /> the conditions of the building permit issued under the attache permit application, for lats (ess ti�ari one (1)'
<br /> acre whlch are elevated by fill, an engineered drainage plan is r� qulred.
<br /> . If i am the AGENT F�R THE OWNER, i promise in good faith ta inform fh�awner cif the permit#ing condifians seyt forth in
<br /> this affidavit priar to commencing construction. I understand that a separ ite permit may be required for electrii:al work,
<br /> plumbing, signs, wells, pools, air canditianing, gas, or other installafsons�lot specificalEy included in the applic�ation. A
<br /> permit issued shaii be construed ta be a license to proceed with the work �ind not as aukhority to violate, cancel, alter, or
<br /> set aside any prov�sions of the technical cades, nor sha11 issuance of a per n1#prevent#he Buildirig Officia!fram thereafter
<br /> requiring a correction of errors in plans, construction or violations of any co es. Every permif issued sha11 become invalid
<br /> unless the work authorized by such permit is commenced within six mant s of permit issuance, or if work authorized by
<br /> the permit is suspended or abandaned for a pariad of six(8}months affer t��e time the wark ts commenced. An�:xtensiori
<br /> may be requested, in writing, from the Building Official for a period no,t to exceed ninety (90) days and wili demonstrate`
<br /> justifiable cause for the extension. If work ceases for ninet}r{90)conseautl�e days,the job is cansidered abandoned.
<br /> WARNING TO t}WNER: Yt�UR FA[LUR� TO RECQRD A NOTICE 4F CCtMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING'TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU NTEND TO OBTAiN FINANCING, C�aNSULT
<br /> WITN YOUR I.ENDER OR AN ATTQRNEY BEFORE RECORDING YOU NOTIC� OF GOMMENCEMENT. �
<br /> _�~--~FLORtDA JURAT(F.S.117.03)- - - �-
<br /> OWNER di2 AGENT CONTRACTOR � �._,,,� —
<br /> Subscrlbed and sworn ta tor affirmed}befare ma thls Subscr(bed and swom o{or a ed}before me this
<br /> by bY
<br /> Who is/are persanaity known to me or hasthave produced Who Is/are persona!!y own to me or has/have produced
<br /> as(dentl8cation. = as tdenttBcation. ,
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<br /> :�''�°��`` �''�: ;;� Notary Public � Notary Public
<br /> Commission No.`°i;`�. Cornmisslon No. �` ' �
<br /> < <,
<br /> i Name of Notary ryped,printed or stamped Name of IVotary fyped,printed or stamped
<br /> �.�.; "� �
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