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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may ba subject io "daed" ^ ^ n".
<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 RESPUmS|B|LITiES: If the mvmar has hired ocontractorm
<br /> ��a�s� und��ewm� they may b required � |n ����� w� �� and1mcalmgu|atioDa. If.'the
<br /> contractor is not-licensed 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--L|cenn|n8 Section at727-847-
<br /> 8000. . Furthermorg. if the owner has hired a contractor or contractona, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. |fyou. ao the owner o|Qn a th�
<br /> contractor, that may boan 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 tothe construction of new bui|dinga, change of
<br /> use in existing bui|d|ngs, or expansion of existing buUdinga, as specified in Pasco County Ordinance number 8S'O7 and
<br /> 90-07. as amended. The undersigned also underatands, that such feea, as may be dua, will be identified at the time of
<br /> permitting. It is fudhAr understood that Transportation Impact Fees and Resource Recovery Fees,must be paid prior to
<br /> receiving e "certificate of occupancy" orfinal power release, |f the project doesnot |nvo|ve,anert|f|oa1enfooOVpanoyor
<br /> final power release, the fees must-be paid prior to permit issuance. Furthermore, if Pasco-(�ounty Water/Sewer |mpact
<br /> fees are due,they must bepaid ior1opormit issuance in accordance with applicable Pasco County ordinances,
<br /> CONSTRUCTION LIEN LAW (Chapter 713' Florida Stedutos, as amended): If valuation of Work is $2.500.00 or more. |
<br /> certify that |, the appUnent, have been provided with e copy of the "Florida Construction, Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department ofAgricu|ture.and Consumer Affairs. If the applicant is someone '
<br /> other than the"oxvner". | certify that | have obt�neda copy nf the above described document and promise in good faith to
<br /> deliver itto the"ovvnor' prior tocommencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this'app|iuotion is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating oonatruction, zoning and land development. Application is �
<br /> hereby made to obtain a permit to dV 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 |axva regulating
<br /> construction, CoVhty and City codes; zoning regulations, and land development regulations. in the jurisdiction. | also
<br /> certify that | understand that the regulations Of other government agencies may apply to the intended vvo[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 of Environmental Protection-Cypress Buyhouda, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> ' Southwest Florida Water Management Diotrint4NaUo, Cypress Bayheada, Wetland Areae, Altering
<br /> Watercourses.
<br /> ' Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. `
<br /> ' Department of Health & Rehabilitative 8an/ines/Environmenta| Health UnM-Na|!a, Wastewater Treatment,�
<br /> . Septic Tanks.
<br /> ' US-Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation Authohty-Runwaya.
<br /> | understand that the following restrictions apply to the use of fill:
<br /> - Use of fill ia not allowed in Flood Zone"V" unless expressly permitted.
<br /> ' \f the fill rna¢oha| is to be used in Flood Zone "A'. it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted atJinne of permitting which is prepared byuprofessional anginee'r
<br /> licensed by the State ofFlorida.
<br /> ' If the fill material is to be used in Flood Zone "A" in connection vv|th 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 /> ' |ffi||'metaha| 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 properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application. for lots |eaa than one (1)
<br /> acre which are elevated-by fill, an engineered drainage plan |arequired.
<br /> )f | 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 separate permit m . be. required for electrical work,
<br /> p}umbing. signa, wells, poola, air conditioning, gas, or other installations not opoo�)maU' included in the application. A
<br /> permit issued sha|| be oonatfued to be a license to proceed with-the work and not as authority to vio|a1e, oanue|, o|ier, or
<br /> set aside any provisions mf the technical codes, nor shall iaauanoeof aparrnb.prevent the Building Official fronithereafter
<br /> requidngacornaotipnof errors-in plans, construction urv|o|et ions of any codes. Every permit issued ohaUbecome invalid
<br /> unless the work authorized by such permit is commenced within a|X months of permit iaouunoe, or if work authorized by
<br /> the permit issuspendedVr abandoned for a period,of six (G) months a�ar the time the Work |scommenced. An extension
<br /> may be requested, in writing, from the Building Official fnr a period not to exceed ninety (QO) d�ye' and will demonstrate
<br /> � justifiable cause for the extension. |f work ceases for ninety K}O\ consecutive days,the job �o �one|daredubandoned.
<br /> WARNING TO OWNER: YOUR FA/LURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR.
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO 013TA\N F(NA0CJ0G. CONSULTWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA (F.S. 117.03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and to(or affirmed)before me this Subscribed and swnmm(or affirmed)before me this
<br /> by
<br /> /uvcpmovoov Who is/are personally known oomeo,has/have pmduood
<br /> as identification. Identification. '
<br /> Notary Public Notary
<br /> Public `
<br /> Commission No. Commission No.
<br /> Name of Notary
<br /> typed,printed or stampNowryed typed,—'--_- -_m---
<br /> 067321
<br /> commission GG
<br /> my
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