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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions".
<br /> which may bm more restrictive than County regulations. The undersigned assumes responsibility for oodnp|iance with any
<br /> applicable deed restrictions. .
<br /> UNLICENSED CONTRACTORS AND C00TRACTOR RESPDNS|B|LD|ES: If the ovvn�rhaa hired aoon�a�qror
<br /> contractors to undertake work, they may be requiredto be licensed in accordance vidl state and-local regulations. /f'the
<br /> contractor is not-licensed as required by law, 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 Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. |fyou. an the owner sign as the
<br /> contractor, that may be an indication that he is not properly ||nnnond and is not entitled to pernnitting 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 tothe construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing bu||dingo, as specified in Pasco County Ordinance nunnbor8Q'O7 and
<br /> 90'07. as amended. The undersigned also understands, that such fooa, 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 of occupancy" or final power release. If the project dnna not involve a certificate of occupancy Or
<br /> final power rg|ease, the faaa must be paid prior to permit issuance. Furthermore, if Pasco-County Water/Sewer Impact
<br /> fees are due,tho. must bao�id prior toerrn|t issuance |n accordance vv�happUoab\ePasco County ordinances.
<br /> CONSTRUCTION
<br /> LIEN ' 8Chapter713. Florida Statutes, as amended): If valuation ofv�/rkia $2.5OU.0O ornnore'l
<br /> certify that (, the applicant, have been provided with a copy of the "Florida (�onatruction' Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone
<br /> otherthanthe"ovvner", \ parUfvthat | havaobtainodaoopyoftheabovedesoribeddoounnentandpnornisa \ngoodfaithto
<br /> deliver itto the"ovxner' prior hncommencement.
<br /> CONTRACTOR'S/OWNER'SAFFIDAVIT: | certify that all the information in this application is eouuruta and that a|| work
<br /> will be done in compliance with all applicable laws regulating conatruction, 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 |evvo regu)at)nq
<br /> construction, County and Ohxcndea, zon\ng rogu|aUona, and land development regulations. \n the judod|oUon, \ also
<br /> oe�dv that | understand that ' e regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility
<br /> ponaibi|itytoident\fvvvhet actions | rnust take tobeinconnp|ianoe. Such agencies include but are not Unn|tadtcx
<br /> ' Department of' Environmental P rote otion-Cypress 8ayheado, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> ' Southwest Florida Water Management District-Wells, Cypress. Bayhoado' VVet\and Areas, Altering
<br /> Watercourses. _
<br /> ' Army Corps ofEngineana'GeawaUe. Docks, Navigable Waterways. `
<br /> Department of Health & Rehabilitative Services/Environmental Health Unit-VVe||s, Wastewater Treatment.'
<br /> Septic Tanks.
<br /> ' US-Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Author\ty-Runways.
<br /> ) understand that the following restrictions apply to the use offill: '
<br /> - Use of fill iu not allowed in Flood Zone"\y' 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 /> "nompanaat|ng volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State ofFlorida.
<br /> - If the fill nnateho| is to be used in Flood Zone "/Y' in connection with a permitted building using stem vva{|
<br /> construction, \ certify that fill��U\ be used only to fill the area within the stem wall.
<br /> ' If fill medaha\ 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 buUding permit issued under the attached permit application, for lots |aaa than one (1)
<br /> acre which are elevated byfill, an engineered drainage plan is required.
<br /> |f \ 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 permitmay be.required for electrical work,
<br /> signs, wells, poo|e, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued'shall be constfued to be a license to proceed with-the work and not as authority to violate, cancel, alter, or
<br /> aei aside any roviaionsofthetechniou| uodea, noroha|| isaVanoe0fapermitpreventthaBui|ding (]ffioia| frqmth' resfter
<br /> requiring aoonenbonof errors-in plans, construction or violations of any codes. Every permit issued ahaUbecomainvalid
<br /> unless the work authorized by such permit is commenced within six months of permit |esuance, 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 requeotod, in vVrit\ng, from the Building Official for a period not to exceed ninety (BU) dqye' and will demonstrate
<br /> ` justifiable couseforthe �x1nn�ion. |fwork ceases for ninety (AO) consecutive days,the job ia considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOOB
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. \F YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JunAT(F.S 117.03}
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed an.dsw to
<br /> (or aff—irmed)before me this Subscribed and sworn to(or affirmed)before me this
<br /> by
<br /> Who Who is/are personally known m me or has/have
<br /> identification,as ~ as identification.—
<br /> Public `
<br /> ��. Public
<br /> Co�m�s�nNn ' Commission
<br /> Name mNotary typed,printed mstamped f ed,printed° stampedMy MI 57 1
<br /> e A NoUry Public State of Florida
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