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<br /> NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may be subject'to "~~~~' restrictions"
<br /> which may ba more res�iodvgthan {�ountynegu|abonn. The undersigned assumes reoponaibi| ''� forcompliance
<br /> ' ,''~ oevvhhany
<br /> applicable deed nestdoUons. -
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: |f the owner has hired a contractoror
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. |�tho
<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 Building Inspection Division--Lioenaing Section at727-847- �
<br /> ` 8809. FUrthermore, if the owner has hired a contractor or cmntractons, he is advised to have the contractor(s) sign
<br /> portions of the "contractor B|oo�' of this application for which they will be responsible. If you, as the owner sign
<br /> ` 's the
<br /> contractor, that may baan indication that heio not properly licensed and is not entitled to permitting privileges.in Pasco
<br /> County.
<br /> TRANSPORTATION I&0PACT7UT|L|T|ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned.understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buUdings, change of `
<br /> Use in existing buUdings, or expansion of existing bui|d|ngo, as specified in Pasco County Ordinance |nence number and
<br /> 90-07. as amended. The undersigned also
<br /> 'understands, that such faen, as may be due, will be identified at the time of
<br /> permitting. \tis ƒu�her understood that TranoportatonImpact Fees and Resource Recovery Fees must be paid prior no
<br /> receiving a "certificate of occupancy" or final power release. |f the project does not involve a certificate of occupancy or
<br /> , final power ra|easa, 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 713' Florida Statutes, aaumnendad): |f valuation ofvVorkis $2.5UO.UOormore, /
<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 of/\grinu|ture.und Consumer Affairs. If the applicant is someone `
<br /> other than the "owner", | certify that | have obtained a copy of the above described document and promise in good faith to
<br /> deliver itho the"ovvno/' 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 a permit.and that all work will be performed to meet standards of all laws regulating
<br /> cohotruution. County and City oodae' zoning regulations, and land development regulations, in the jurisdiction. | also
<br /> oadifv that | understand that the regulations of other government agencies may apply to the intended work, and that it is `
<br /> my responsibility 1m identify what actions l must take tobaincompliance. Such agencies include but are not limited to:
<br /> ' Department of Environmental Protection-Cypress Bayheada, Wetland Arens and EnvironnnentaUyGens)tiVa
<br /> Lands,Water/Wastewater Treatment.
<br /> Southwest Florida Water Management D\striot-WaUs, Cypress Bayheada' Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps ofEngineens'GeavvaUn. Docks, Navigable Waterways. ` '
<br /> Department of Health & Rehabilitative Services/Environmental Health Unit'VVa||s, Wastewater Treatment,.*.
<br /> Septic Tanks.
<br /> ' U8-Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation Authority-Bunvvaya.
<br /> | understand that the following restrictions apply tnthe use of fill: �
<br /> ' Use of fill ie not allowed in Flood Zone"V" unless expressly permitted. �
<br /> , lf the fill nnutehol is to be used in Flood Zone "A^. 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 engineer
<br /> licensed by the State ofFlorida.
<br /> ' If the fillmaterial is to be used in Flood Zone 'IN' in connectionwith a permitted building using stem' wall
<br /> construction, | certify that fill will be used only to fill the area within the stem wall.
<br /> ' If fill nna1aha\ is to be used in any area, | certify that use of such f||| will not adversely effoot 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 \ean than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is requir'ed.
<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 permit may be.required for electrical vvork,
<br /> p|umbing, oigns, we||s, pou|o, air conditioning, gas, or other installations 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 vio|ate, cancel,'alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance ofa permit prevent the Building Official from th' �r�� �r
<br /> requiring aoorreotion of errors-in plans, construction or violations of any uodea. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit iaauanoe, or if work authorized by
<br /> thepennit|asuspendedorabandonadfbraperiod.ofuix (8) monthsafterthatinne1hemiorkiouomnoenced. AnextenSiun
<br /> may be requested, in vvriting, from the Building Official for a period not to oxooad ninety (BO\ days* and will demonstrate
<br /> ` usdfiab\ecause for the extension. |fvvork ceases for ninety A]O\ nonnecut�o days,the job�a 'onsidenedabando`ed.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE UF COMMENCEMENT MAY RESULT IN YOUR-.'
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CSOLTWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEME�NT.
<br /> F_-R'_—_'.T(—. . ..~~ .
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<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed u sw to(or affirmed)before me this Suuaoh^vu and owmm to(or affirmed)lbefore
<br /> Who is/are personally known nomomnawnove*nmouoao Who is/are p�� � m un �xnownmoo,ha�havo produced
<br /> as identification. identification. '
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<br /> -- Notary Public Notary Public `
<br /> Commission_
<br /> Commission '
<br /> Name of
<br /> Notary typed,'--_ _ stamped_res
<br /> my Commission EXPI
<br /> 4"1"111 ilk,
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