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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may ba subject tu "deed"od"
<br /> which may ben�orerestho1�e than County reAu|a�ono. The undersigned assumes raoponaibi|�yfor
<br /> ' �ian"�=�~~ ``�"u/m'
<br /> appUoab|edeed [eathcbone. ~`^'r '^" ='x
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If h hired
<br /> � e owner has ra a contractor or
<br /> contractors to unde�akevvoMk` they m b q �inadto ba |�cons d in accordance �t state and '- - u|a1|0Da �the
<br /> contractor � not-licensed as required by law, both the owner and contractor may be cited for a-localmisde� regulations.
<br /> '�o|adon
<br /> under state law. � the owner or intended,contractor are uncertain as to what licensing requirements �'- applyviolation
<br /> under
<br /> intended vvnrk, they are advised to contact the Pasco County Building Inspection Division--Liu'nai-' Section at 27-847'
<br /> ` 8OOS. Furthermore, if the ovvnw[ has hired e contractor 'r contractom, he is advised to have `=e '-~~raoto'[(a) aign
<br /> portions of the "contractor Block" of this application for which they vviU be responsible. If ynu 'ao the --'-r sign as th�
<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 IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned.understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new bui|dings, change of
<br /> use in existing buUdiOga. Or expansion Of existing buildings, as specified in Pasco County Ordinance number 89'07 and
<br /> 90-07, as amended. The undersigned also Understendo, that such faes, 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 o "certificate of occupancy" or final power release. |f the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore. if Pasco-County Water/Sewer Impact
<br /> fees are due,they must bepaid priorto perm|tiasuannnina000rdancevvithappUoab|ePascoCountyondinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of Work is $2.500.00 or more, \
<br /> certify that i, the applicant, have been provided with a copy of the "Florida Construction- Lien Law—Homeowner's
<br /> Protection Guide" p?spared by the Florida Department of Agriculture-and 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"nvvner" 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 |am/a regulating conotruction, zoning and (and 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 /> oonnnnonned prior to issuance of a permit and that all work will be performed to meet standards of all |euwa regulating
<br /> nonstruCi|on. County and City oodea., zoning regulations, and land development regulations. in the jurisdiction, | also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions i must take tobeincompliance. Such agencies include but are not limited to:
<br /> ' Department of Environmental Protection-Cypress Bayheads. Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> ' Southwest Florida Water Management D|atrici'VVe||s. Cypress Bayheado, Wetland Areas, Altering
<br /> Watercourses.
<br /> ' Army Corps of Engineers-Seawalls, Dmoka. Navigable Waterways. ` '
<br /> Department of Health @ Rehabilitative Gen/ioes/Environnnenta| Health Unit-Wells, Wastewater Treatment'.
<br /> Septic Tanks,
<br /> ' US-Environmental Protection Agenoy-Aaba8toaabatement.
<br /> Federal Aviation Authohty-Runvveya. '
<br /> | understand that the,following restrictions apply to the use offill:
<br /> - Use of fill ia 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 /> '.compensating vo|unne" will be submitted at time of permitting which is prepared by o professional engineer
<br /> licensed by the State ofFlorida.
<br /> - If the fill material is to be used in Flood Zone "/Y' in connection with a permitted building using abann vVaU
<br /> construction, \ certify that fill\�U\ be used only to fill the area within the stem wall.
<br /> ' If fill material is to be used in any area, | certify that use of such f\|| 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 less than one /1\
<br /> acre which are elevated by fill, an engineered drainage plan ieraquir i ed.
<br /> If I 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 may be. required for electrical vvork,
<br /> p|umb|ng, oiQne, xveUa, poo|o, air conditioning, gas,'or other \neta\|e1\ona 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 issuanceof a permit prevent the Building Official from th.ereaft e*r
<br /> requiring oconeoti?nof errors-in plans, construction or violations of any codes. Every permit U issued shall
<br /> unless-the work authorized by such permit in 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 iscommenced. An extension
<br /> may be [equested, in writing, from the Building Official for a period not to exceed ninety (90) daya' end will demonstrate
<br /> � justifiable cause for the extension. |f work ceases for ninety /QCA consecutive doya.the job \a considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT /N YOUR-
<br /> PAYING TWICE FOR UK8PFl0VEK8E0TS TO YOUR PROPERTY' IF YOU INTEND TO OBTAIN F\NANCJNG, CONSULTWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> ,","."°^"m,/ (,S / /703)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and swo-rn to(or affirmed)before me'this Subscribed and sworn to ' )before me this
<br /> by by
<br /> s/are personally known to m as1have pro,
<br /> Who is/are v� nuvm known to m pr
<br /> oduced
<br /> as Identification. '
<br /> ^ tary Public Notary Publicommissio `
<br /> `
<br /> -0. Commission_ _
<br /> er&
<br /> J�cuo Nam___N__r, ,,__ printed_ _stamped
<br /> _,st6te of Fiorida-Notary Public
<br /> commission wuuz3/von
<br /> '
<br /> � jujy
<br /> �. ' __
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