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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may baoubiactto'de' -n*nth�tun��
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<br /> which aybn more resthot�ethan County nagu|at�na. Theundonaignedaamunnes ^responsibility for nornp|a ca - - �
<br /> oppUueb/edeed restrictions.
<br /> � — —`UNLICENSED CONTRACTORS AND CONTRACTOR*RESP * `N�|B[L|T|��� If owner has hired a n�e��r or
<br /> contractors toundehokevvorh. they may bo required tobe /ioansedin accordance vv�hstate and |ooa| regulsdons. |�the
<br /> contractor is not-licensed as required by |sum, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or Intended-contractorone uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section mt727-847-
<br /> ' 8009. Furthormore, if the owner has hired a contractor or oontra:tons, he is advised to have the contractor(s) eign
<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 ba an indication that he is not properly licensed and is not entitled to permitting privileges.in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation |nnpa:ct Fees and Recourse Recovery Fees may apply to the construction of new buUdings, change of '
<br /> use in aX|at|ng bui|dingo, or expansion of existing buildings,*as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07. as amended. The undersigned also.undorotands, that such feen, 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 occupancy" or final power release. if the project does not involve a certificate of occupancy mr
<br /> final power re>mose, the fees must be paid prior to permit issuance. Furthermore, if Pasco.CountyVVater/Gevvmr Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN L4VV (Chapter 713, Florida Statutes, as amended): If valuation of Work is $2.500.00 or more, |
<br /> certify that |, the appUoant, have been provided with a copy of the 'Florida Construction, Lien Law—Honneovvner'o,
<br /> Protection Guide" prepared by the Florida Department ofAgricu|tura.and Consumer Affairs. If the applicant is someone `
<br /> utharthontho "ovvner". \ cerbfythot | haxnoLda|nedacopyofdieabovadoschbaddocunnentandpnonnise |ngoVdfaithto
<br /> deliver itbz the"mwoe/' 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 oonstruntion, zoning and-land development. Application is `
<br /> hereby made to obtain a permit to do work and installation as indicated. | certify that no work or installation has
<br /> commenced prior to issuance of permit and that all work will be performed to meet standards of all laws regulating
<br /> oonotruotion. County and City codes,' zoning regulations, and land development regulations, \nthe 'Vr\ed\obon. | also
<br /> certify that lunderstand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> a| identify h i | k to Such agencies indudebut are not Unl|ted�z
<br /> myreapon oouyzo / �n �
<br /> Department ' Environmental Protection-Cypress Bayheads' Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management D|ntrict4Ne||n, Cypress. Bayheada, Wetland Areao, Altering
<br /> VVe1anooursea. .
<br /> ' Army Corps ofEngineers-SeawaUe. Docks, Navigable Waterways.
<br /> ' Department of Health & Rehabilitative 8arxicas/Env\romrnenta| Health Unb-VVe!|s, Wastewater Treatnnant..�
<br /> Septic Tanks.
<br /> ' US-Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation Authority-Runways.
<br /> � \ understand that the following restrictions apply to the use offill:
<br /> - Use of fill is not allowed in Flood Zone "V" unless expressly parrnitted`
<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\uh is prepared by a prVfass|nna\ engineer
<br /> licensed by the State ofFlorida.
<br /> - If the fillmaterial is to be used in Flood Zone ^A" in connection with a permitted building Uo\Dg stem vvaU
<br /> construction, | certify that fill wU\ 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 |eeo than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan |arequired.
<br /> |f | om the AGENT FOR THE OWNER, I promise 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 /> plumbing, signs, m/e||n, pmo|s, air conditioning, gam.,or other installations not specifically included \n the application. A
<br /> shall issued �h� be construed to be a license to proceed with-the work and not as authority to violate, canoe|, alter',
<br /> or
<br /> set aside any provisions of the technical codes, nor shall issuance .of a permit prevent the Building Official from thereafter
<br /> requiring aconecti' nof errors-in plans, construction or violations of any codes. Every permit issued ahaUbeoonneinvalid
<br /> un|aoa the work authorized by such permit is commenced within six months of permit \oeuanca, or if work authorized by
<br /> the permit|n suspended Or abandoned for o period,,of six (8) months after the time the Work )acommenced. An extension
<br /> may be requeoted, in vvrit|ng, 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 /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR.
<br /> PAYING TWICE FOR IMPROVEMENTS T0YOUR PROPERTY. (F YOU INTEND TO OBTAIN FlNA0CJI0G,CONS DLT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.*
<br /> FLORIDA (F." 117.03) ' �
<br /> OWNER OR
<br /> Subscribed and swW to(or affirmed)before me this Subscribed and sworn»m(or affirmed)before me this=. Who is/are pprsona: known to me or has/have
<br /> identification.as identification. .
<br /> Notary Public
<br /> Notary Public
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<br /> Commission Nn Commission No.
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<br /> Name of Notary
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<br /> typed,� _me ofNotary typed,_ ----- stamped_00 Py# Notary Public State of Florida
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