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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permi#may be subject to"deed°restrictions"
<br /> which may be more restrictive than Caunty regulations., The undersigned assumes respansibility for compliance.with.any
<br /> app(ieable deed restrictions. ,. � - - - �-, , � _ .. .
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: �If the owner has hired a contractor or
<br /> contractors to undertake wrork, they may be required to be licensed:in accordance with�state and local regulatians. lfthe
<br /> contractor is not licensed as required by law, both the owner and cantractar may be cited far a misdemeanor violation.
<br /> under state law. If the owner ar ihtendec!'contractar are unce�tain as to what:licensing�requ'srements�may apply�fot the
<br /> intended work, they are advised ta contact the Pasco County Building Inspection Division--Licensing.Section at.727-847-
<br /> 8009. Furthermore, if the owner has liired a contractor or contractors, he-is-advised~to have the contractor(s)`sign
<br /> partions af the "contractor Block" of this appiication for rrvhich they will be respansible. If you, as the awner sign as the
<br /> cantractor, that may be an indication that he is not properly licensed and is not entitled to permitting�privileges`in yPasco�
<br /> Caunty. , �
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned undecstands
<br /> that Transportatian Impact Fees-and Recaurse Recovery Fees may apply to#he construetion of�new buildings, change af
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number�89-07 and-
<br /> 90-07, as amended. The�undersigned also understands, that such fees, as rinay be due, wilf be identi�ed at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Rasource Recovery-Fees must be paid prioe-ta
<br /> receiving a "certificate of accupancy" or final power release. If the�project does nat�invalve a certificate of occupancy or
<br /> final pawer release, the fees must be paid prior,#o perrnit issuance. Furthermore, if Pasco County Water/Sewe�.Impac#
<br /> fees are�due, they must be paid prior to permit issuance in accordance with applicable Pasco.County ordinances.'�
<br /> CUNS'PRUCTlON LlEN LAW{Chapter 71�3, F'lorida Statutes,as amended): lf valuation of wark is$2,540:00 or r►i`ore, I
<br /> certify that 1, the apptioant, have-been provided with a copy of the "Florida Canstructian Lien �avw—Homeawner's.
<br /> Protectian Guide" prepared by the Florida Department of Agriculture and Cansumer Affairs. If the applicant is°sameone
<br /> other than the"owner", 1 certify that 1 have obtained a copy of'the above described documenfand prc►mise in good faith to
<br /> deliver it#o the"owner" prior to commencement. '
<br /> CONTRACTOR'SlOWNER'S AFFIDAVIT: I ce�tify that all the information in this application is accuraCe and that al!'wark
<br /> will be done in compfiance with ali applicable iaws regulating construction, zoning and land developmenf: Applieation is
<br /> hereby made to obtain a permit to do work and installation as indicated. ! certify that no work or installation has
<br /> cammenced prior to issuance of a,permit and that alE wark wi11 be pertormed to meet standards af all laws regulating
<br /> construction, Caunty and City codes, zoning regulations, and land development regula#ions in the jurisdiction. I alsa
<br /> cst�ify tha# 1 understand #hat the regulatians of other government agencies may apply ta the intended war.k,,and that it is
<br /> my respansibility to identify what actions I mus#take#o be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Sayheads, Wetland Rreas and Environmentally Serisitive
<br /> L`ands,Water/Wastewafe�Treatment. ' •
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Heal#h & Rehabilitative ServiceslEnviranmental Health Unit-V1fells, lNastewa#er Treatc�ient,
<br /> Septic Tanks. �
<br /> - US Enviranmental Pratection Agency-Asbestos abatement. �
<br /> - Federat Aviation Authority-Runways. -�_�%� ,
<br /> I understand that the following restrictions apply to the use of fill: �
<br /> - Use of fill is nof allowed in Flood Zone"V"unless expressly pem�itted. �
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a .drainage plan addressing a
<br /> "campensating volurr�e° wi8 be submit#ed at tirne af permitting which is prepared by a professional engineer
<br /> iicensed by the Stafe 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 /> constnactian, i certifjr that fill will be used oniy ta fiEl the area within the stem wall.
<br /> - If fill material is to be used in any area, I certify #hat use of such fill will not adversely affect adjacent
<br /> properties. If use of Fill is found to adversely affect adjacent properties, the awner may be cited for viala#ing
<br /> the condi#ions af the.building permit issued under the attached permit apptication, for lots less #han one (1)
<br /> . acre which are elevated by�II, an engineered drainage plan is required. �
<br /> if i am the AGENT FOR THE OWNEI�, 1 prornise in good faith ta inform the owrter af the permitting canditions set forth in
<br /> this affidavit prior to commencing construction. I understand tha# a separate permit may be required for electrical work,
<br /> piumbing, signs, wells, pools, air conditioning, gas, ar ather 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 pravisians of the technical codes, nor shall issuance af a permit prevent the Building Qfficia!from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<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 abandaned for a period af six(6}months after the time the wark isti,commenced. An extension
<br /> may be requested, in writing, from.the Building Official for a period not to exceed ninety (90) days and will demanstrate
<br /> justifiabte cause for the extensEan. tf work ceases far ninety{94}consecutive days,the jab is considered abandoned.�
<br /> VIfARNlNG TO OWNER: YOUR FAlLURE TCl RECORD A NOTICE OF COMMENCEMENT MQY RESULT IN YOUR
<br /> PAYiNG TWtGE FOR'iMPR4VEMENTS TO YCiUR PROPERTY. IF YQU INT.END TO QBTAIN FINANCING,CQNSULT
<br /> WI7H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO.UR NOTICE OF COMMENCEMENT. '
<br /> ' FCO}21�A dllR;4l'-(F.S.11T.03} - -- - —-
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<br /> OWNER OR AGEN7 CQNTRACTOR
<br /> Subscribed and swom ta(ar a�irmed}befare me this Subsorlbed and swom ta{or a�icmed)befare me thls
<br /> by by
<br /> Wha is/are personally known to me or has/have praduced Who is/are personally known to me or has/have produced
<br /> as�den�flcation, as identification.
<br /> �
<br /> Nofary Public Notary Pubi(c
<br /> Commissian f�la. Cammission No.
<br /> Name af Notary typed,printed or stamped Name of Notary typed,printed.ar s#amped
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