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<br /> ^ NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may bosubject
<br /> which may ba 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 or
<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 |ew, both the owner and contractor may be cited for 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. Fudhennona, if the owner has hired o 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
<br /> nnntractor, that may been indication that he is not properly licensed and is not entitled hopermitting 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 cf new buildings, change of
<br /> use in existing bui/dinga, or expansion of existing bui|dingo, as specified in Pasco County Ordinance number 8S-O7and
<br /> SO-U7. aoamended. 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 na}eaoa. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees must bepaid prior to permiti Furthermore, if Pasco County Wat r/G Impact
<br /> Protectionfees 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 /> .=".de" prepared by the Florida uepu/u/'e'u of ASncwnu": and Consumer*Affairs. none 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 it to the^ovvner" prior tocommencement.
<br /> CC}NTRACTORVOWNERL`SAFFUDA\DT: | certify that all the information in this application io accurate and that all work
<br /> will be done in compliance with all applicable laws regulating conotruction, zoning and land development. Application is
<br /> hereby made to obtain o 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 |owa regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. | a/ao
<br /> certify that | understand that the regulations of other government agencies may apply to the intended worh, 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 ofEnvironmental Protection-Cypress Bmyhemdo, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida VVaher. Management District-Wells, Cypress Boyheodo, VVmdmnd Anesm, Altering
<br /> Watercourses.
<br /> ' Army Corps cfEngineens-SeawaUo. Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unih4NmUm, Wastewater Treatment,
<br /> Septic Tanks.
<br /> ' U8 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 in not allowed in Flood Zone"\y' unless expressly po,mibad.
<br /> - If the fill material is to be used in Flood Zone ^A". it is understood that o drainage plan addressing a
<br /> ,.compensating volume" will be submitted at time of permitting which is prepared by professional engineer
<br /> licensed by the State nfFlorida.
<br /> - If the. fill material is to be used in Flood Zone "/Y' in connection with a permitted building using stem vva||
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill motaho| is to be used in any area, | certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to odmenao|y affect adjacent propadiem, the owner may be cited for violating
<br /> the conditions of the building pannd issued under the attached permit application, for lots |aoa than one (1) '
<br /> acre which are elevated by fill, on engineered drainage plan iarequired.
<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 requiredfora|ecthca| wmrk.
<br /> p|umbing, signo, weUo, poo|u, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions cf 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 permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension /
<br /> may be nsqueatad, in writing, from the Building Official for o period not to exceed ninety (SU) days andwiU 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 TC]YOUR PROPERTY. |P YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
<br /> NOTICE OF COMMENCEMENT.
<br /> OWNER OR -' -CONTRACTOR
<br /> Subscribed and sworn m(or affirmed)before methis Subscribed and swom
<br /> o is/are personally known to me or has/have produced Who is/are personallyThown to m66r has/have produce'd
<br /> as identification. as identification.
<br /> by by Al�[� 4rh6azel-I
<br /> Notary
<br /> Pvwo Notary Public
<br /> Commission No. com iVn No
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