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<br /> NOTICE [}F DEED RESTRICTIONS: The undersigned understands that this permit may besUbi- ` to "deed"' resthnt� C n�
<br /> which may be more nas�ioUvethan County regu|a�ons. Theunderaignedaasumee `responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESP ]NSlBlL|T|ES. If owner has hired a c onbootoror
<br /> contractors to undertake work, they may be requiredtn be licensed
<br /> in accordance with state and local regul'�itinna. If-the
<br /> contractor is not-licensed an required by |aw, both the owner and contractor may be cited for e misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intondad\murk, they are advised to contact the Pasco County
<br /> Building Inspection Divie|on--L(cenainQ Section at727-847- �
<br /> ' 8009. Fudharmmre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as th�
<br /> contractor,�that may bean indication that he |a not propedylicensed and is not enb1|edto permitting privileges.in Pasco
<br /> County.
<br /> TBA0SP0BTAT|ON IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation.|rnpemt Fe'es and Recourse Recovery Fees may apply tothe construction of new buiid|ngs, change of
<br /> use in existing buildings, or expansion of existing bui|dinga, as specified in Pasco County Ordinance number 89-07 and
<br /> 00'07. as amended. The undersigned also.underatando, 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 Feeo.muot be paid prior to
<br /> receiving a "nart�oaba of occupancy" or final power ro|ea�e. If the project does not involve e 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 /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of Work is$2.500.bO or rnora. \
<br /> certify that i, the applicant, have been provided with a copy of the "FloridaConstruction- Lien Law—Homeowner's
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<br /> Protection Guido" 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 in good faith to
<br /> deliver itto the^ovvner' prior tocommencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: | 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 e permit to do,work and inata|lsdon as indicated. | certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes; zoning regu(aUona, and- \and development regu)abnns \ntha 'udmd\otion. | also
<br /> nerUfvthat | unUo�tand that the regulations of'othe� governrnent agencies may apply to the intended work, and that it \s
<br /> |bUhvt identify �uchageno\�s |nu\Udebuta�eOotUnl�edk%
<br /> n]yreoponm ' o ' . .
<br /> - Department OfEnvironmental Protection-Cypress Bayheada. Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida VVo1er Management D\str\ut-We||s, Cypress. Bayhoadn, VVcd\and Areas. Altering
<br /> Watercourses. ' .
<br /> ' Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Sen/ioeo/Environnnenta! Health Un�-VVo\|s, Wastewater Treatment'.
<br /> Septic Tanks.
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<br /> - US-Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authorhy-Runways. .
<br /> | understand that the following restrictions apply to the use of fill:
<br /> - ^ Use of fill io not allowed in Flood Zone"VW" unless expressly pernnittod`
<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" will be submitted at time of permitting vvh|nh is prepared by s professional anginea'r
<br /> licensed by the State ofFlorida. .
<br /> ' If the fill rnoteha\.ia to be used in Flood Zone ^N' in connection xvh a permitted building using o1enn vvGU �
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> ' If Jill material is to be used in any area. \ certify that use of such Ni 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 iarequinad. _
<br /> If \ am the AGENT FOR THE OWNER. \ pnonn\ae in good faith to inform the owner of the permitting conditions Set forth in.'
<br /> this affidavit prior to commencing construction.. | understand that a separate permit may be.required for electrical work,'
<br /> p|urnbing, nigny, vve||s, poo|s, air conditioning' gaa.,or other installations not specifically included in the application. A `
<br /> permit issued shall be uono1fued to be a license to proceed with-thawork and not as authority Loviolate, cancel, a\ter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring aoonect�nof errors-in plans, construction nr violations of any codes. Every permit issued shaUbecome invalid
<br /> un|mao the work authorized by such permit is commenced within six months of permit iosuanne, or if work authorized by
<br /> thap8rnoitiasuspendedorabandonedfbra,Aehud'ofsix (G) nnonthsaftorthe time the Work incommenced. 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 (9b) consecutive days,the job is cQnsidered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO REC[]R0'A NOTICE OF COMMENCEMENTN YOUR.PAY\0��TWICE FOR l8&PR0VEKOENTSTO`fOUB PROPERTY. IF YOU INTEND TO OBTAIN
<br /> FlNANCjNG, CONSULT .
<br /> FLORIDAWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT,*
<br /> ' _ `F_ 117.03) .
<br /> OWNER OR AGENT CONTRACTORG e this Subscribed and sworn to(or affirmed) before me this Who is/are personally known to me or hms1hmm
<br /> identification,. , as identification. '
<br /> otary Public Notary
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<br /> ="....s°m/. Commission
<br /> Name of N
<br /> ' typed,printed or stamped _- of Notary typed,_ --_-_ stamped- `
<br /> 00 P&,Qf
<br /> :NNotary
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