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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "cleed" resthctions".
<br /> which �y be more restrictive than County regulations. The undersigned a�auaa responsibility foroornpUanoevvith any
<br /> applicable deed restrictions.
<br /> UNLICENSEDCONTRACTORS-AND CONTRACTOR HESPO*NSlB|L[�ES: If the owner has hired a contractor or
<br /> con�actonotoundo� wor
<br /> k, regulations. ��the
<br /> contractor is nct1icenoed 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 Building Inspection Division—Licensing Section ot727-847-
<br /> 8009. , FVrthermore, 'if the owner has hired a contractor or contractors, he is advised to have the contractor
<br /> (u\ n|Qn
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign' 'o 1h�
<br /> contnamtOr, 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 Transpo�eton Impact Fees and Recourse Recovery Fees may apply to the oons�uc�onofnevv buildings, change of'
<br /> 1n
<br /> us� existing buildings, or expansion of exlsbnQ-buiidinga, 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. |tis further understood that Transportation Impact Fees and Resource Recovery Fees.must be paid prior io�
<br /> receiving a "certificate ofoccupancy" or final power release. If the project does not involve u certificate of occupancy or
<br /> final power re|ease, 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 tn permit issuance in accordance with applicable Pasco County ond|nanoas.
<br /> CONSTRUCTION LIEN LAW AChaptar713` Florida Statutes, amamnended\: If valuation ofvVorkia $2.S0O.00ormore, /
<br /> certify that |, 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/\gdcU|ture.8nd 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 itLo the "om/ne/' 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 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. | certify that no work or installation has
<br /> commenced prior to issuance of parmitand that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes; zoning regulations, and land de/e|opnnentregu|ationo, inthe ]uriadictiun. | also
<br /> certify that | understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility 10 identify what actions | must take tobeincompliance. Such agencies include but are not limited to':
<br /> Department ofEnvironmental Protection-Cypress Beyheada. Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water KAanaQannnrt O\sthot4We||a, Cypress- Bayheadn, Wetland Areea, Altering
<br /> Watercourses. '
<br /> Army Corps ofEngineem'SeawaUo. Docks, Navigable Waterways. `
<br /> ' Department of Health & Rehabilitative Services/Environmental Health Unit'VVa||u, Wastewater Treatment,�
<br /> Septic Tanks.
<br /> ' UG1Emjnonnnenta| Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runwaye.
<br /> | understand that the following restrictions apply tothe use of fill:
<br /> ' Use of fill is not allowed in Flood Zone "\p unless expressly permitted.
<br /> , If the fill material is to be used in Flood Zone "A", it is understood that u drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which in 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 connectionvvhh a permitted buildingvv ding using stema(|
<br /> construction, | oo�ifvthat fiU��iU U be on|ytofithaareawith|ntho�tennwaU.
<br /> - If fill mo1aha\ 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 adversely affect adjacent propertieo, the owner may be cited for violating
<br /> the oondit\ons of the bul|ding permit issued under the attached permit application, for lots less than one (1)'
<br /> acre which are elevated by fill, an engineered drainage plan \srequired.
<br /> If | 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 e|8oLdca| work,
<br /> plumbing, eigna, wells, pools, air oonditioning, 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 of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> raquiringaconeotionofo[roroinp\ans. constructionorv\o|ationsofanyuodes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is nmmrnonoed within six months of permit iaauanne, 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 requested, in writing, from the Building Official for a period not to exceed ninety /QU\ daya and will demonstrate
<br /> ` justifiable cause for the extension. |f work ceases for ninety /QO\ consecutive days, the 'job is consideredabandonad.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD /k NOTICE OF COMMENCEMENT MAY RESULT IN YOUR..' ' .
<br /> PA
<br /> YING TWICE FOR IMPROVEMENTS TOYOUR PROPERTY. |FYOU INTEND TO OBTAIN.FlNANCJ0G, CON SDLTFLORIDA JURAT WITH YOUR LENDER ORAN ATTORNEY BEFORE RECORDING YOUR 'NOTICE' OF COMMENCEMENT.'
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<br /> OWNER OR AGEN, comTe4oTn Subscib;d an worn to(or affirmed)before me this Subscribed and sworn to '
<br /> ( ) before me this
<br /> by
<br /> i ��|s�� are '
<br /> pprsonally known to me or has/have proKc-ed .
<br /> as identification. as monuUmWon. '
<br /> — - Notary Public Notary Public `
<br /> Commission0.
<br /> Commission
<br /> .
<br /> .
<br /> --_of Notary typed,printed or stamped` '
<br /> commission #
<br /> JACQUELI = .
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