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<br /> NOTICE QFDEED RESTRICTIONS: The undersigned understands that this permit may ba subject ho ' " restri
<br /> `ntiona"
<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, |f the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. l�the
<br /> contractor is not-licensed as required by |avv, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state |eum. 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--Licons|ng Section at727'847-
<br /> 8009. Furthermore' 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.a
<br /> oontraotor, that may be 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 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 numbar89'O7 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 rnVnt be paid prior to permit issuance. Furthermore, ifo�
<br /> PasoCounty Water/Sewer Impactfueaaredua.the/ must bepaid prior to perm|tissuance |n accordance with applicable Pasco County ordinances,
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, asammeodecU: |f valuation of Work \s $2.5OU.00or more, |
<br /> certify that |, the app|icant, have been provided with a copy of the "Florida Construction, Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department ofAgrinu|ture.ond Consumer Affairs. If the applicant is someone '
<br /> uiharthanthe`uvxner". | pertifythat | hoveobtainedaoopyoftheebovedeschbeddoounnentandpnorn|ee |nOoodfaithto
<br /> deliver i1to 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 all applicable laws regulating oonotruotion, 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 /> cnnetruotion. County and City codes; zoning regulations, 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 /> 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 /> [ands.VVotor/Naetewete[Treo1ment.
<br /> Southwest Florida Water Management District-Wells, Cypress. Bayhmado` Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> ' Department of Health & Rehabilitative 8en/ices/Env)nonrnenja} Health UnU-We|}o' Wastewater Treatment,�
<br /> Septic Tanks.
<br /> ' UB-Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation Authohty-Runwsyo.
<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 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 vvhi ch is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> ' If the fill material is to be used in Flood Zone "/Y' in connection vv|ih a permitted building using stem vvoU
<br /> construction, I certify that fill w ill be used only to fill the area within the'stem wall.
<br /> ' If 0| material is to be used in any area, | certify that use of such fill will not adversely affect adjacent
<br /> . properties. If use of fill ia found toadversely affect adjacent properties, the owner may ba 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 |orequired.
<br /> |f | annthe 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 wnrk,
<br /> p|umb}ng, signs, wells, pon|s, air conditioning,* gas, or other installations not specifically included in the application. Apermit issued sha|| be oonoVued to be a license to proceed with-the work and not as authority to v|o|ate, uanoe|, alter' or
<br /> sei aside 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 six months of permit issuance, or if work authorized by
<br /> the penn�}ssuspendedor abandoned for 8 period,of six (G) months after the time the Work iscommenced. An extension
<br /> may be requested. in vvdt|ng' from the Building Official for a period not to exceed ninety (QO) dave' and will demonstrate
<br /> � justifiable cause for the extension,- If work ceases for ninety (90) consecutive days,the job is on��donadabandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR.
<br /> PAYING TWICE FOR IMPROVEMENTS TQYOUR PROPERTY. IF YOU INTEND TO OBTAIN F\NANCjYJG, CONSULTWITH YOUR LENDER OR AN ATTORNEY BEFORE -14ECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.-117.03)
<br /> OWNER OR AGENT cnwTnAnTo
<br /> Subscribed and sw95 to(or—affirmed)before me this Subscribed and
<br /> sworn to(or affirmed)before me this
<br /> by
<br /> umuuvu Who is/are personally known mmeor has/have produced
<br /> as identification. as identification. ~
<br /> Publ
<br /> ic '
<br /> ' Notary uuu Public `
<br /> CommissionCommission No,
<br /> Name of Notary typed,printed or stamped _me of Notary typed,printed or stamped
<br /> 0 P& Notary Public State of Florida
<br /> A; My Commission GG 057321
<br /> Expires IPJ2112020
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