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<br /> NOTICE 0F DEED RESTRICTIONS: The undersigned understands that this permit may bo subject fo "demd
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility ^
<br /> foroonnp||enmavv�h^ u
<br /> applicable deed restrictions,
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If h hired� e owner has na e contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and-local regulations. \-I 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'
<br /> Building Inspection Division—Licensing Section ot727-847-
<br /> ' 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> podionaof the "contractor Block" of this app|icaUonfor which they vviUberesponsible. |f you,*as the ovvnersign
<br /> — mth�
<br /> contractor, that may bean indication that h* is not properly licensed and is not entitled to permitting privi|egesin paoon
<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 buildings, change of
<br /> use in existing buOd|ngo, or expansion of existing bui|din8s. as specified in Pneom County Ordinance number 89'O7 and
<br /> 90'07, as amended. The undersigned also understanda, that such feea, as may be duo` will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees.must he paid prior to
<br /> receiving a "certificate ofoccupancy" or final power release, If 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 be paid prior to permit|nsdancein accordance with applicable PaSoo [|ountyord|DanneS.
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended)- If valuation of Work is $2.500.bO or nnnre. \
<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 ofAgricu|ture.and Consumer Affairs. If the applicant is someone
<br /> otherthondba"oxvner". | pedifyMhmt | havanbta|nedacopyoftheabovedescdbeddonunnentandprorniaeingoodfaithto
<br /> deliver|tto the"ovvner' 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 |avva regulating uonatruction, zoning and land development. Application is
<br /> hereby made to obtain 8 permit to do work and installation as indicated. | certify that no work or instal otion has
<br /> commenced prior to issuance of e permit and that all work will be performed to meet standards of all lawsregu|8tinq
<br /> oonetruot|on. County and City codes; 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 | must take tobeincompliance. Such agencies include but are not limited to:
<br /> ' Department ofEnvironmental Protection-Cypress Bayhouds. Wetland Areas and Environmentally Sensitive
<br /> Lands,VVa1er/Wastawa1erTnea1ment. '
<br /> ' Southwest Florida Water Management District-Wells, Cypress. Boyh8ads' VVat|and Areas, Altering
<br /> VVstoroouxaea.
<br /> Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. ` '
<br /> ' Department of Health 8' Rehabilitative 8en/\oen/Eov\ronmental Health Unit'VVe\|s, Wastewater Tneo1rnent.�
<br /> Septic Tanks.
<br /> - US-Environmental Protection Agenoy'Aobe8tooabatement.
<br /> ' Federal Aviation Authority-Runways.
<br /> | understand that the following restrictions apply to the use offill:
<br /> - Use of fill ia not allowed in Flood Zone W" unless expressly permitted.
<br /> - \f the fill material is to be used in F|nod Zone "A". it is understood that a drainage plan addressing a
<br /> "compensating volume" will ba.aubnnitted at time of permitting which is prepared by a professional engioeei
<br /> licensed by the State ofFlorida. �
<br /> - If the fill material is to be used in Flood Zone "/Y' in connection vv|th o permitted building Using stem wallconstruction, \ oerdfvthat�U��|U be used only to�\|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 \ooa than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan isr8qu|[ed.
<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 electrical vvork,
<br /> plumbing, signs, wells, poo\a, air conditioning, gee.,or other installations not specifically included in the application, A
<br /> permit issued shal| be construed to be a license to proceed with'thework and not as authority to vio|ato, canoe|, a|ter, or
<br /> set aside any provisions of the technical codes, nor shall issuanceof a permit prevent the Building Official from thereafter
<br /> requiring anorrootipnofernnxo�in plans, construction orvio|etionsofanycoden. Every permit issued shaUbeno[noinvaUd
<br /> unless-the work authorized by such permit is commencedwithin six months of permit issuance, or if work authorized by
<br /> thep8rDit\asUspeOdedorabandonedfbrapor|od.ofa|x (G) rnonthnafterthetinne the Work(acommenced. An extension
<br /> may be requested, in vvriting, from the Building Official for a period not to exceed ninety (QO) daya' and will demonstrate
<br /> � justifiable cause for the extension. |f work ceases for ninety (SO) consecutive days^the job io considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN �OOR.
<br /> �
<br /> �� 0��TWICEFQ�l {88PROVE&8E0TST0Y0UR9R[JPER7Y' \F YOU INTEND TO OBTAIN Fl»lAN��Y�{�. K�00SULT
<br /> WITH YOUR LENDER OR AN ATTORNEY FOREOECORDING YOUR NOTICE OF
<br /> ,uuR`u*uun*/ (Fu o/,`' u ' `
<br /> Subscribed and sw to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
<br /> OWNER OR AGENT- CONTRACTOR
<br /> by
<br /> Who"*is/are personally known mx/"u/ /au"/a"u,produced Who is/are personally known»omepr has/have produced
<br /> as identlifica. as identification. .
<br /> N tary Public Notary
<br /> Public `
<br /> Commiss n No.) U_ Commission No.
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<br /> ---of Notary typed,,''___ __mp--
<br /> -Notary Public
<br /> State of Florida
<br /> My Commission Expires
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