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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restr|otio ^
<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 FESp�NS)B)L|T|ES� If the owner has hired a contractor or
<br /> contractors tnunde�ake work, they may be required tube |ioenaed |n accordance with state and local regulations. |�the
<br /> contractor is not-licensed as required by |aw, both the owner and contractor may be cited for a miodehneanor,violation
<br /> under state law. If the owner or intended-contractor are uncertain as to vvho1 licensing requirementsmay apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Lice'nsing Section at 727-847-
<br /> ' 8009. Furthermnre, if the owner has hired a contractor or oontraokors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for Which they will be responsible. |f,you. aa the owner sign as
<br /> ' th�
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled tn 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 buildings, change of
<br /> use in existing bu||diDga, or expansion of existing bui|dinQo, as specified in Pasco County Ordinance number 89'07 and
<br /> 90-07. as amended. The undersigned also understands, that such fees, 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 a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> f|nal power re|eenn, the fees must be paid prior to permit issuance. Furthermore, if Pasco-County VVota�5ewer Impact
<br /> feem are due,they must be paid �prior erm|tiaouanoe in accordance with applicable Pasco County ordinances,
<br /> CQ0STBUCT11O0 LIEN LAW (Chapter 713, Florida Statutes, as aromndocU: If valuation of Work is$2.500.00 or more, {
<br /> certify that |, the applicant, have been provided with a copy of the 'Florida Construction, Lien Law—Homeowner's
<br /> Proteotion Guide" prepared by the Florida Department ofAgriou|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|tto the"oxxne/' prior tocommencement. '
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this'
<br /> application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating conatruction, zoning and land development. Application is
<br /> hereby made to obtain u permit to do.work and installation as indicated. | certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all |ovvo regulating
<br /> construction. 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 Bayheads' Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> ' Southwest Florida Water Management Oistrict4Na||s, Cypress. Beyheeda, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps ofEngineano�Gaawa||s. Docks, Navigable Waterways. ` '
<br /> Department of Health & Rehabilitative 8en/ioes/Environmenta| Health Unit'VVe)\a, Wastewater Trootnnert.�
<br /> Septic Tanks.
<br /> ' UG-Environmental Protection Agenuy-Aabe8toaabatement.
<br /> Federal Aviation Authorhy-Runvvsyn.
<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 /> |f the fill material is to be used in Flood Zone "A". it is understood that a drainage plan addressing a
<br /> compensating vo|urne" will be submitted at time of permitting which is prepared by e professional eng|nee'r
<br /> licensed by the State ofFlorida,
<br /> - If the fillmaterial is to be used in Flood Zone "A" in connection with a permitted building using stern vvoU
<br /> construction, } certify that fill will be used only to fill the area within thostomwall.
<br /> ' If fill me1arie| is to be used in any area, | certify that use of such fill will not adversely affect adjacent
<br /> . properties. If use of f\|| is found to adversely affect adjacent properbaa, the owner may be cited for violating
<br /> the conditions of the building permit issued Vnder'tho attached permit application, for lots less than one U\
<br /> acre which are elevated by fill, 8n engineered drainage plan |srequired.
<br /> 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 a separate permit may be required for electrical work,
<br /> plumbing, signs, vvaUs^ poo|e, air conditioning, gaa, or other installations not specifically included in the application. A
<br /> permit issued shall be construed tobea license 10 proceed with-the work and not uaauthoritv to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, norsha|| issuance of apornnit prevent the Building Official from thereafter
<br /> requiring aoorreob'onofen �
<br /> errors Every ilissued ah8Ubenonn 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 is'suspended or abandoned for a period,of six (6) months after the time the Work is commenced. An extension
<br /> may be requested, in vvr|t|ng, from the Building Official for a period not to exceed ninety (90) daye' and will demonstrate
<br /> � justifiable cause for the extension. |f work ceases for ninety (QO) consecutive days,the job�a considered abandoned.
<br /> yVAB0lNG TO OWNER: YOUR FA/LOBE TO RECORD A NOT\CE bF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND T0{3BTAIN FYNA0CJNG, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and swgM to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
<br /> ,.... /wuuceu Who is/are personally known mmeor has/have produced
<br /> as."mm./camvn. as Identification.
<br /> Notary Public Notary Public `
<br /> � Commission No. w ` ,
<br /> �
<br /> .
<br /> Name of Notary
<br /> typed,printed or stamped _- -Notary ,---_- —_`--
<br /> typed,
<br /> 112020
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