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<br /> NOTICE OFDEED : The undersigned understands that this permit may besubject
<br /> which may be more restrictive thonCnunty-regukationo. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.UNLICENSED CONTRACTORS ANDAND �QCONTRACTOR ��RESPONSIBILITIES: |fthe' owner ha.a hired a contractor or
<br /> oontnaotoruto'undertakevvork. thoymoybnraqu\nadtobe |icnnoedinacuordmnoevvithebataond |nca| regu\ediono. If the
<br /> c�ntractor is not licensed eo required by |mw, 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 requirements 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. Fudhennone, if the owner hom hired o 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 the
<br /> oontnactor, that may be.an indication that hmio not properly licensed and is not entitled topermitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION lK0PAC77UT7L]T/ES |R0P��CT��N[� F�2S(�OROE ��E��OVERYFEES: The undersigned unden�onds
<br /> that TmonepodaUonImpact F6�b and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> uoein existing bVi|dinga, or expansion of existing bui|dingu, as specified in Pasco County Ordinance number 80-07 and
<br /> 00'07, as amended. The undersigned also undee*tands, that such fees, as may be due, will be identified st the time qf
<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" nr final power release. |f the project does not involve a certificate of occupancy or
<br /> hno| power re|eame, the fees must be paid prior to permit issuance. Furthermore, if Pomco County Water/Sewer Impact
<br /> feamanadue. thaynnuatbepaidphortopermbiaouonoeinaccondanoewitheppUcob|mPeauoCnunb/ordinmncem.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, memnmeodod): |f valuation of work io $2.GDO.00or more, |
<br /> certify that |' the opp|imard, have boan provided with o copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. |f the applicant imsomeone
<br /> other than the^mwnar". | certify that Ihave obtained a copy of the above described docurnentand promise in good faith to
<br /> da|�er�to the"mwne�phort000mmen�ement.
<br /> C0NTRACTOR'S/OVV0EPk'SJ4FF|D&V|T: I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable |ovvo nsgU|sding construction, zoning and land development. Application is
<br /> heneby,nnode to obtain a permit to do work and installation as indicated. I -certify that no work or installation has
<br /> commenced prior to ioouano - ofa permit and that all work will be performed to meet standards of all laws regulating
<br /> oonetructiqn. Courty and City codes, zoning nagu|aUpnn. and land development regulations in the jurisdiction. | also
<br /> certify that | understand that the regulations nf other government agencies may apply to the intended work, and that it is
<br /> nly responsibility to identify what actions | must take tobe in compliance. Such agencies include but are not limited to:
<br /> - Department ofEnvirohmenta| Protection-Cypress Bayheadn. Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida VVober Management Diuthct48e|ka, Cypress Bayheodo, Wetland Ansao, Altering
<br /> Watercourses.
<br /> ' - Army Corps ofEnginoene-SeawaUa. Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-VVeUo, Wastewater Treatment,
<br /> Septic Tanks, -
<br /> ' UQEnvironmehla) Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation AutloritY-Runwmyo.
<br /> | understand that the following restrictions apply to the use offill:
<br /> - Use of fill io not allowed in Flood Zone"V° unless expressly permitted.
<br /> ' |f the fill motaho| is to be used in Flood Zone "A", it in understood that e drainage plan addressing m
<br /> "compenaaUng volume" will be submitted at time of permitting which is prepared by a pnzfenm(nna| engineer
<br /> licensed by the State ofFlorida.
<br /> - |f the fill material is to be used in Flood Zone "K in connection with o permitted building using stem wall
<br /> construction, | certify that fill will be used only to fill the area within the stem wail.
<br /> - |ffiU,moteda| is to be used in any area, | oadJv that use of such 5U will not odwaroo|y 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 bv fill, an engineered drainage plan inrequired.
<br /> If I am 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 /> p|unlbing, signu, vveUo, pon|s, air conditioning, gmn, or other installations not specifically included in the application. A
<br /> permit issued oho|| be construed to be n license to proceed with the work and not an authority to vio|oto, cancel, a|ter, or
<br /> set asid*e any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official 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 nix months of permit issuance, or if work authorized by
<br /> the-permit is suspended or abandoned for o periodof six(G) months after the time the work iocommenced. An extension
<br /> may be requonted, in writing, from the Building Official for o 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 TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> OWNER OR AGENT ZZ CONTRACTOR
<br /> Subscribed and sworn to(or affirintgbefore me this Subscribed and sworn to(ff affirmed his
<br /> WEo is/are personally known to me or-h 81have pFeduGed Who is/are personally known to me c
<br /> asidentification. as identification.
<br /> ___Notary Public _____Notary Public
<br /> Commission No. FF98537 Commission= No. FF98537
<br /> EliouM.Holleran 8lisouM.Holleran
<br /> Name v,Notary mnoo.printed mommvv"` - Name m Notary typed,printed or stamped `
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