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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired o contractor m
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the,
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for o 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 mcontact the Pasco County Building Inspection Division—Licensing Section atru7-847-
<br /> 8009. Funhormum, if the owner has hired u contractor orcontractors, 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 1
<br /> contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco:,
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
<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 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 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$2,500.00 or more, I
<br /> certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"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
<br /> ood faith to
<br /> do|km ��th "owner" h toon1 -
<br /> CONTRACTOITSIOWNERIS AFFIDAVIT: |certify that all the information mthis 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 a permit to do work and installation as indicated. I 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 regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterMastewater Treatment.
<br /> ' Southwest Florida Water Management Distriot-Welb, Cvpmoo Bayhedo, Wetland Anyas, Altering
<br /> Watercourses.
<br /> ' Army Corps nfEnginoom'GoowmUu.Docks,Navigable Waterways.
<br /> ' Department of Health & Rehabilitative Services/Environmental Health Unit-VVo|o, Wastewater Treatment,
<br /> Septic Tanks.
<br /> ' uG Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation AuthuhtrRu '
<br /> |understand that the following restrictions apply m the use nffill:
<br /> ' Use of fill io not allowed in Flood Zone W"unless expressly permitted.
<br /> ' |f the fiU material is to be used in Flood Zone ^/r. it is understood that drainage la addressing a
<br /> .compensating volume"will be submitted cd time of permitting which is prepared by professional engineer,
<br /> licensed by the State of Florida. �
<br /> ' n the fill material is to be used in Flood Zone ^K in connection with a permitted building using stem wall!
<br /> construction,I certify that fill Will be 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 5U will not adversely affect adjacent|
<br /> properties. If use uf fill w found t adversely affect adjacent |
<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 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/ocommencing construction. |understand that separate permit may be required for electrical work,
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<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A|
<br /> permit issued shallbo construedtob license to proceedwith the work and not as authority /
<br /> set aside any pnmisw m technical provisions nor shall issuance u[e permit prevent8` Bu
<br /> ilding di 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 six months of permit issuance,or if work authorized
<br /> the �� �evo��commenced. An extension
<br /> may be naquoomu. /n writing,from the Building Official for a period notk,oxcanu ninety(oo)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 noOWNER: YOUR FAILURE To RECORD A NOTICE OrCOMMENCEMENT MAY RESULT|mYOUR
<br /> PAYING TWICE FOR IMPROVEMENTS To YOUR PROPERTY. /r YOU INTEND ro OBTAIN FINANCING, mmucT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMWENCEMENT.
<br /> OWNER OR '
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and orn ;_rafft�q6Sp_fo_r—e m.this
<br /> Who is/are personally known to me or hasihave produced Who is/are personally Known to me or has/have produced
<br /> asidentification. as identification.
<br /> Notary Public Notary mmm
<br /> Commission No. Commission No
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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