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. . <br /> ` <br /> . <br /> NOTICE 0FDEED RESTRICTIONS: The undersigned understands that this permit may besVb|ectto �dead" resthot�ncC <br /> which may b� more restrictive than County nsgu|at�ma. The undersigned assumes responsibility for oonnpUanuevvbh <br /> applicable deed restrictions.. —` <br /> UNLICENSED CONTRACTORS AND CONTBACTOB'RESPONSIB|LJT|ES: \f the owner has hired a contractor or <br /> contractors to undertake work, they may be required to be licensed d in accordance with state and local regulations. If-the <br /> contractor is not1ioenead as required by \aw, 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 <br /> Building,Inspection Division--Licens|nO Section at727-O4T- <br /> ' 8009. Furthermore, if the owner has hired a contractor or oontrao1oro, 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 /> contractor, that may ba an indication that hais not properly licensed and is not entitled to permitting privileges.in Pasco <br /> uuu/uy. <br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transportation |mpaTt Fees and Recourse Recovery-Fees may apply to the construction of new buildings, change of <br /> use in existing bui|d|ngs. or expansion of existing bui|diuga, as specified in Pasco County Ordinance nummber8Q-O7 and <br /> 80'07. as amended. The undersigned also.understands, 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 Feas must be paid prior to <br /> receiving o "certU5cahe of occupancy" or final power release. If the project does not involve a ne�hhceda of occupancy or <br /> final power ra|eaae' the #aen must be paid prior to permit issuance. Furthermore, if Paaoo-CountyVVater/Gevver Impact <br /> fees are due,they must bepaid priortopermitieauanceina000rdanoowbhapp|icobiePasuoCountyord|nancen. <br /> C[)0STFlUCTUQ0 LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation ofxyorK is$2.500.OU or more, | <br /> certify that |, the app|inunt, have been provided with a copy of the "Florida Construction, Lien Lavv--Honneovvner's <br /> Protection Qu|dn^ 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 ifto the"ownar' prior hocommencement, <br /> CONTRACTOR'S/OVV0ER'S &FF)DAV[T: I certify that all the information in this application is accurate and that all work <br /> will b' done in compliance-with all applicable laws regulating construction, zoning and.land development. &ppUce�onis ` <br /> hereby made to obtain a permit to do work and installation as indicated. | certify that-no work or installation has. <br /> nornmencmd prior to issuance of a permitpermitand that all work will be performed to meet standards of all laws regulating <br /> construction,.`Cunty and City codes,, zoning regu\edons, and land development regulations.in the jurisdiction. \ also <br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it Is <br /> responsibility 8uchagaDc|eoincludabutarenotUnl�edtt <br /> my e�pon� ' ��, . <br /> - Department ofEnvironmental P rote cdon-Cypreae Beyheads, Wetland Areas and Environmentally Sensitive <br /> Lands,Water/Wastewater Treatment. <br /> - Southwest Florida Water Management Disthrt-Wells, Ovonans Bayheods, Wetland Areas, Altering <br /> Watercourses. ' <br /> - Army Corps ofEhgineers-SeavvaUs' Docks, Navigable Waterways. ' ' <br /> ' Department of Health & Rehabilitative Services/Environmental Health Unh-VVe|hs, Wastewater Treatment'. <br /> Septic Tanks. <br /> - US-Environmental Protection Agency-Asbestos abatement. ' ' <br /> - Federal Aviation Authohty-Flunwaye. <br /> | understand that the following restrictions apply to the use offill: <br /> - Use of fill io not allowed in Flood Zone"V" unless expressly pernnitted` <br /> ' |f the f||| 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 which is prepared by a pr0faas|ona| engineei <br /> licensed by the State ofFlorida. <br /> � If the fill nonbahal is to be used in Flood Zone 'Y' in connection with a permitted building using stem wall <br /> construction, \ certify that fill vviUbe used only to fill the area within the stem wall. <br /> ' If fill material is to be used in any ,area. | certify that use of such fill will not adversely affect adjacent <br /> . properties. |f use nf 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 |eao th an one /1\ <br /> acre which are elevated by fill, an engineered drainage plan is required. <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 oonnnmmnoinQ construction. | understand that u Veparate permit may be.required for electrical vvorh, <br /> p|unnbing, signs, m/eUs, poo|a, air uonditioning, gao.,or other installations not specifically included in the application. A <br /> permit issued shall be const�ued to be a license to proceed with-the work and not as authority to violate, cancel, alter, or <br /> ant aside any provisions of the technical ooday, nor shall issuance of a permit prevent the Building Official from thereafter <br /> requiring aoorrecti' n ofernoro-in p\ane, construction or violations of any codes. Every pernoitissued shall become invalidun\easthovvork'authorizadb! suohpennitiso)mmenoadvvithinalxnnonthsufpernn{t |ssuance. orifwbrkautho/|zedbv <br /> the permit is suspended or abandoned for a period,of six (6) months after the time the Work is commenced. Anextension- <br /> may be requaeted, in vvriting, from the Building Official for n period not to oxnaod ninety (90) days and will demonstrate <br /> ` justifiable cause for the extension, |f work D68mes for ninety /9O\ consecutive days,the job |8 considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE 0 <br /> 1 F C[]DO88E0CE88E0T MAY RESULT lN 'YOUR. <br /> PAYING TWICE FOR IMPROVEMENTS TO,YOUR PROPERTY. |F YOU INTEND T0OBTAIN F1NANCjNG. CONSlJLT <br /> ,WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA'_'AT. _ 117—,, ' <br /> OWNER OR AGENT oowTnxcTo <br /> Subscribedand swQQ to(or an/ Subscribed and sworn to(or affirmed)before me this <br /> has/have-produced Who mmm personallymn to <br /> ."=".=wm.. mvmmcatmn. <br /> � � <br /> - Notary_ Public— <br /> ` n <br /> Commission No. ILI Commission ` <br /> . ' . <br /> ' <br /> , mumo e rinted or stamped Name o*Notary typed,printed mstamped ' <br /> 'y NoterY Public state Of Ficlida <br /> M101hell <br /> Expires,12/21/2020 <br />