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<br /> ' NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive than County regulations. The undersigned anoumesreoponyibi/kvfovnnmp|ianoovvitheny
<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 |mw, both the owner and contractor may be cited foiro misdemeanor violation
<br /> under state law. If the owner or intended oontnyobnr 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. Fudhennons, 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. |f you, ao the owner sign aathe
<br /> onntnactor, that may baan indication that he in not properly licensed and is not entitled hopermitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION VR0PACTIUTULITIEB 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 underotando, that such fees, as may be due, will be identified sd the time of
<br /> permitting, It is further understood that Transportation Impact Foao and Resource Recovery Fees must be paid prior to
<br /> recakhnQa ^oedU5oeteof occupancy" or final povm*rrelease. |f the p 'octdoeonot |nvn|veaue�U§oeteofnncuponcyor
<br /> final power re|eaaa, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must bapaid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statmitem, as amended): If valuation cf work io$2.50U.OUormore, |
<br /> certify that |, the applicant, have been provided with a copy of the "Florida Construction Lien Law--Homomwnara
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicanti000meone
<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 itto the^m*ner"prior hocommencement.
<br /> CONTRACTOR'S/OVVNER'SAFF[DAV|T: | certify that all the information in this application im accurate and that all work
<br /> will be done in compliance with all applicable |avvenogu|otingconsdrucUon. zoningand |onddeve|opment. Application is
<br /> hereby made to obtain o permit to do work and installation as indicated. | certify that ,no vvodh or installation has
<br /> commenced prior to issuance of permit and that all work will be pedbnnod to meet standards of all laws nagu|edinQ
<br /> construction, County and City codes, zoning regulations, and land development regulations |n the jurisdiction, { also
<br /> certify that | understand that the regulations of other government agencies may applyto the intended k 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 Boyheado, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management []iothnt-Wa|ks' Cypress Boyheodo, Wetland Anaae, Altering
<br /> VVatarnounoae.
<br /> ' Army Corps ofEnginoers-8eawmUn. Docks, Navigable Waterways.
<br /> ' Department of Health & Rehabilitative Services/Environmental Health Unit-NeUa, Wastewater Treatment,
<br /> Septic Tanks.
<br /> ' UG Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation AuUlority-Runwaya.
<br /> | understand that the following restrictions apply to the use wffill:
<br /> - Use of fill io not allowed in Flood Zone"V~unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone ^A", it is understood that a drainage plan addressing a
<br /> "coompenaebng volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State ofFlorida.
<br /> ' If the 5U material is to be used in Flood Zone �f in connection with e permitted building using stem vvaU
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> ' If fill material in 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 properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for |cte /aoo than one (1)
<br /> acre which are elevated by fill, en engineered drainage plan iorequired.
<br /> |f| am the AGENT FOR THE OWNE��. | promise in good faith to inform the owner of the per permitting ndiUonsset fmdh |n
<br /> this affidavit prior to commencing construction. | understand that o separate permit may be naqu|nad for electrical work,
<br /> p)umbing, oiQno, wells, poo|n, 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 /> 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 ionuanoe, 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 nequeotod, in vvriting, from the Building Official for a period not to exceed ninety (80) days and will demonstrate
<br /> justifiable cause for the extension. |f work ceases for ninety(SO)consecutive days,the job |s considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A0OT|CE OF COMMENCEMENT MAY RESULT INYOUR
<br /> PAYING TWICE FOR IMPROVEMENTSLT
<br /> WITH YOUR LENDER OR AN ATTORREf—BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> OWNER OR AGENT Z/` CONTRACTOR
<br /> Subscribed and sworn to(or a )-before me this Subscribed and sworn to(or affirmed)-before me this
<br /> Who is/are personalIv knovA tdme or hasihave pFedLIG Who is/are personally known to me or has—ye ff-d-
<br /> _-47 as—Pbentification. as identification.
<br /> Notary Public Notary Public
<br /> Commission No. FF98537 Commission No. FF98537
<br /> Elissa M.Bollerao Llissa M.Holleran
<br /> Name of Notar.v tvped,printed or stamped Name of Notary typed,printed or stamped
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