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<br /> NOTICE K]FDEED RESTRICTIONS: The undersigned understands that this permit may bo subject to "deed^ ne", '
<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 K_001 RACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> oontranbonotoundertakemmrk. theymaybanaquiredtobe |icansedinacnordannewithsta1eand |oms| regu\atione. 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-contractorare requirements as to what licensing requir� enta may apply for the
<br /> intended work, they are advised to contact the Pasco County'
<br /> Building Inspection Division—Licensing Section at72T-847'
<br /> ` 8008. Furthermore, if the owner has hired a contractor or oontramtons, he is advised to have the contractor(s) sign
<br /> portions of the "controctor B\onK' of this application for which they l be responsible. If you,*as the owner sign as the
<br /> y
<br /> contractor, that mabe an indication that he is not properly licensed and is not entitled to parmitting privileges.in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned.understands
<br /> that Transportation lmpa:ct Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in existing bui|dings, or expansion of existing buildings, as specified in Pasco County Ordinance number8Q'O7 and
<br /> QO-O7. aoamended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br /> permitting. it in further understood that Transportation Impact Fees and Resource Recovery Fees,must be 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 re|eosa, 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 issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW (Chapter?13, Florida Statutes, omammeodecH: |f valuation of Work io $2.5OO.08or more, |
<br /> omrdfv that |, the app|ioant, have been provided with � oopy of the "Florida Construction- Lien Law—Homeowner's Protection Guide" prepared by the Florida Department ofAghcu|ture.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 itto the"oxvner" 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 laws regulating construction, zoning and land 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 /> commenced prior to issuance of permit and that all work will be performed to meet standards of all laws regulating
<br /> nonotruCdion. 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 tobgincompliance. Such agencies include but are not limited to:
<br /> ' Department of Environmental Prntection-(�ypreas Bayhaads. VVe�andAreas and Environmentally Sensitive
<br /> Lands.VVa1eV�Jastewo1erTreo1nnent. ' '
<br /> ' Southwest Florida VVotnr Management Diotriot4Wo||o, Cypress. Bayheada, Wetland Areas. Altering
<br /> VVetarnounaea.
<br /> ' Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> ' Department of Health & Rehabilitative Services/Environmental Health Und-Na)\a' Wastewater Treatment,
<br /> Septic Tanks.
<br /> ' UG-Environmental Protection Agency'Aabe8hoaabatement.
<br /> - Federal Aviation Authohty-F\unwsya.
<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 Hood Zone "/Y'. it is understood that a drainage plan addressing a
<br /> compensating volume" will be submitted at time of permitting which is prepared by a professional ang|oee'r
<br /> licensed by the State ofFlorida.
<br /> ' If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem vvaU
<br /> construction, | certify that fill w ill be used only to fill the area within the stem wall. .
<br /> ' M fill material 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 per?nit issued under the attached permit application, for lots |aso than one (1)
<br /> 8n[e which are elevated by fill, an engineered drainage plan is required.
<br /> \f | 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 to commencing construction, | understand that a separate permit may be.required for electrical vvork,
<br /> p|unnb)ng, aiOna, vvo\|a, pools, air nonditioning, gas,,or other inata||ed|ane not specifically included in the application. A
<br /> pe[mit issued shall be conatfuod to be a license to proceed vvith-thevvork and not as authority to vio|o1e, oanoe|, a|ter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> r*quiringaoonaotionofernnnoinp|ans. nonstnurhonorvio|sUoneofmnyoodas. Every permit issued shall become invalid
<br /> un|eas,the work authorized by such permit is commenced within six months of permit iaauanoa, or if work authorized by
<br /> the pe[[O\t|ssVnpHOdedo[abandoned for 8 period,of six (S) months after the time the Work |acommenced. An extension
<br /> may be requestad, in writing, from the Building Official for a period not to exceed ninety (QO) dayo' and will demonstrate
<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 [�F COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TQ OBTAIN FYNA0Cj0G, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA^un*/ (Fo ``' u)
<br /> _C\NNER OR AGENT CONTRACTO*R
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed). _before—e this
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<br /> is/are personally known tomi�or has/have,produced Who isiam personallyxn to me or has/have
<br /> identification. -
<br /> Notary Public Notary 4is/ar,e
<br /> Public `
<br /> Commission No.
<br /> Name of Notary typed,printed or stampedState of Florida-Notary Public
<br /> ;k My Commission Expires
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