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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"
<br /> which may be more restrictive than County regulations. The undersigned osaumempeopmnmibi|ityformornp|iancoyvithany
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired m 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 |oxv, both the owner and contractor may be'6it6dfors misdemeanor violation
<br /> under state |mm. If the owner or intended contractor are uncertain as to what |icmn 'ing'nequireme may apply for the
<br /> intended xvork. they are advised to contact the Pasco <�ounh/Building Inspection |�khg|on--L|oansingSection ot727-B47c
<br /> 8009. Furthermore, if the mvonmr has hired a contractor or omntnacdora, 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 cmvnmr sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION U88PACTIUTILUTKESIMPACT AND RESOURCE RECOVERY 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 bu||d|ngm, or expansion of existing buildings, an specified in Pasco County Ordinance nunmber89-D7 and
<br /> 98-O7, omamended, The undersignede|so,undenatands. thadauchfuem. mmnnaybedue. wiUbeidentifiedsdthetirneof
<br /> permitting. It |ofodher' understood that Transportation Impact Fman and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. |f the project doeanotinvo|msacorbfiombeofoncupencyor
<br /> final power ne|aame, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counb/VVoter/Gevvar |nnpmot
<br /> fees are due, they must bepaid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, FYorida Statutes, asennendmd): If valuation uf work io$2.5OD.ODmrmore, |
<br /> certify that 1, the oppUumnt, have been provided with o copy of the "Florida Construction Lien Law—Homeowners
<br /> Protection Guide" prepared bv the Florida Department of Agriculture endConsurn Affairs. |f the app|�antkmsonmmonm
<br /> other than the"mwne�. | ue�H�that| have obtained a copy of the above' d��nribaddocument and promise in good faith ho
<br /> deliver ittm the"mmnor" prior tocommencement.
<br /> CONTRACTOR,SNOWNER'S AFFIDAVIT: 1 certify that all the information in this application is accurate and that all xvod«
<br /> wU| bm done in compliance with all applicable laws regulating nonetnuob on, zoning and land deve|oprnenL Application is
<br /> made�d� to obtain a permit to do ��� and installation as indicated. | certify that no work or inote|sd|mn has
<br /> commenced prior to issuance ofa permit and that all work will be performed to meet standards of all |axma regulating
<br /> nonstruotiun. County and City codes, zoning ro8u|sdions. and land development regulations in the jurisdiction. | also
<br /> certify that I understand that the regulations of other government agencies may apply tolhminbanded work, and that itin
<br /> my responsibility what actions l must take bmbe|ncompliance. Such agencies include but are not limited to:
<br /> - Department ¢fEnvironmental Protection-Cypress Bovheods' Wetland Areas and Environmentally Sensitive
<br /> Lands,VVatenMamtexaterTreatment.
<br /> - Southwest Florida Water K8mnmUennmnt Oimthmt-VVoUo, Cypress BayMeoda, Wetland Areas, /ghehnQ
<br /> VVohen:ounaaa.
<br /> - Army Corps ofEnQineero'SemvmaUa. Ooohs. Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-WmUm, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos ebotemenL
<br /> - Federal Aviation Authohty-Runmayo.
<br /> \ understand that the following restrictions apply to the use offill:
<br /> - Use of fill |s not allowed in Flood Zone"V" unless expressly permitted.
<br /> - If the fill rnabada| is to be used in Rood Zone "Af, it is understood that o drainage plan addressing m
<br /> .9compensating volume" will be submitted ed time of permitting which is prepared by a professional engineer
<br /> licensed bv the State ofFlorida.
<br /> - If the fi|| msder|$| is to Pe used in Flood Zone "A" in connection with a permitted building using stem wallwall�construction. | certify that fill will U
<br /> � m4bouo�don|yto� thaaneavithinthmotemvvoU~ ' ' '/
<br /> - If fill n)atehsd 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 undarUle attached permit application, for lots \mso than one (1)
<br /> acre which are d by fill,an engineered drainage plan iorequired.
<br /> If| amthe AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior bmcommencing construction. | understand that oseparate permit may be required for electrical work,
<br /> o|unobin0, o|gna, vxmUo, pom|a, air conditioning, Qon, or other installations not specifically included in the application. A
<br /> permit ismuodshall bm construed tobeo license to proceed with the work and not as authority bo violate, oancel, 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 o 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 ia suspended or abandoned for o period ofsix(G) months after the time the work kocommenced. An extension
<br /> may be requested, |n writing, from the Building Official for a period not to aoomed ninety (90) days and will dmnnonmtmaha
<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 TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA xuRATVr.a.117.03> —OWNER OR OR AGENT CONTRACTOR
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and swomIRQor affi—rin;d)before me this
<br /> Who is/are personally known to me or has/have produced Who Is nown to me or has/have produced
<br /> as Identification. t�p as identification.
<br /> Notary Public Notary Public
<br /> Commission No. / No.
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