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<br /> NOTICE (3PDEED RESTRICTIONS: The undersigned understands thetth\spennit may ba subject to 'daed" restrictions".
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for oornp|iancowith any"
<br /> applicable deed restrictions. '
<br /> UNLICENSED CONTRACTORS AND C[]NTRACTOR RESPC]m 'S|B|L|T��S� If owner has hired a contractor or
<br /> contractors to und ,dake work, -they may be required to be licensed in accordance with state and-local regulations. |fthe
<br /> contractor is not-licensed as required by |ew, both the owner and contractor maybe 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--Lioehaing Section at727-84T-
<br /> ' 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> potons of the*"contractor Block" of this application for which they Will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to 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 Foes may apply tothe nnnotnuot|un of new bui|dingo, change of '
<br /> use in existing buildings, or expansion of existing buUdinga, as epanMiad in Pasco County Ordinance number 89'07 and
<br /> 80-07. as amended. The undersigned also understands, that such faes, as may be due, willbe identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees,nnust be paid prior to
<br /> receiving a ''cadi�nateof occupancy" nr final power release. |f the project does not involve a.uerh5cateof occupancy or
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<br /> final power re|ese, the fees must be paid prior to permit issuance. Furthermore. if Paaco�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 Statutm�, �marnendmcD: |fvaivadonofvVnrkis$2.500.00or more, |
<br /> certify that | the applicant, � b provided with f the "Florida Construction Lien Law—Homeowner's
<br /> ce ' . e app oan , have been prov a vv � copy o o � �
<br /> Protection Guide" prepared by the Florida Department ofAgricu|ture.end Consumer Affairs, If the applicant is someone
<br /> otherthonthe"ovvner". | Pert)fythat | haveobtoinedaoopyoftheubovedescdbeddocurnen1endpronniss \nQoodfa|thto
<br /> deliver ittu the"ovvner' prior hocommencement. '
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: i certify that all the information in this application is accurate and that all work
<br /> will be done in compliance 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 /> construction, County and City codes,' zoning regulations, and land development regulations,in the jurisdiction. \ also
<br /> uerhfvthat ) undemtand that the regulations ufcthe� governnnent agencies may apply to the intended vvork. and that itis
<br /> my responsibility toidendfvwhat ao�one | must take tobeincompliance, Such agencies include but are not limited to:
<br /> - Department of' Environmental P rote ntion-{}ypreaa Bayheeds' Wetland Areaoand Environmentally sensitive
<br /> ianda.VVato Treatment. '
<br /> - Southwest Florida Water Management Dietrlct-VVeUo, Cypress Bayheada, Wetland Areas, Altering
<br /> . Watercourses. .
<br /> - Army Corps ofEngineers+SeawaUe. Docks, Navigable Waterways,
<br /> - Department of Health & Rehabilitative Services/Environmental Health UnK-VVeUs, Wastewater Tneo1nnent..
<br /> Septic Tanks.
<br /> - US-Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authohty-Runwaya.
<br /> | understand that the following restrictions apply io the use offill:
<br /> - Use of fill ienot allowed in Flood Zone"V" unless expressly permitted.
<br /> - If the f\|\ material is to be used in Flood Zone "/('. it is understood that a drainage plan addressing a
<br /> / "compensating vo|unne" will be submitted at time of permitting which is prepared by'a profesbiona\ engineer
<br /> licensed by the State ofFlorida.
<br /> - If the fillmaterial is to be used in Flood Zone "K in connection with a permitted build\ng using- sternvvoU _
<br /> construotion, l oertifvthat fill Will be used only to fill the area within thostemwall.
<br /> if fill metehai,ia to be used in any area, \ certify that use of such fill will not adversely affect adjacent
<br /> properties. |f use offU| \o found to adversely affect adjacent properdeo. the owner nnayben�edforviolating.
<br /> ' the conditions of the building permit issued under the attached permit application, for lots less than one U\
<br /> acre which are d by fill, an engineered drainage plan is requ\red. _
<br /> if | am the AGENT FOR THE (]VVNEFl, | promise in good faith to inform the owner of the perrnitting conditions set forth in
<br /> this affidavit prior to commencing construction. | understand that a separate permit may be,required for electrical vvo[k,
<br /> p|umbing, signs, we\lo, pools, air conditioning, gaa. or other installations not specifically included in the application. /\ '
<br /> permit issued shall be constfued to'be a license to proceed with-the work and not as authority to violate, cancel, after, or
<br /> aet aside any provisions of the technical oodee, nor shall issuance of a permitpraventthe Building Uffiu|a|from th' rau�ar
<br /> requiring a correction oferromin plans, nonetruoUonor violations of any codes. Every permit issued shall bacorneinvalid
<br /> unless the work authorized by such permit is commenced within nix months of permit.issuance, or if work authorized by
<br /> the pernn�issuapondedorubandonadƒbra period,of six (G) months s�er the�nnethe miorkYsconnmanoed. An extension
<br /> may be requestad, in writing, from the Building.Official for a period not to exceed ninety (80) days and will dannonatrqta
<br /> ` justifiab)ecause for the extension, If work ceases for ninety (90) consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD
<br /> ' NOTICE C)F COMMENCEMENT MAY RESULT l0YOUR.
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. |F YOU lNTEN0 B7A{N FINANQNG, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICt OF COMMENCEMENT.'
<br /> .L"".D"^""". ( .S.117
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<br /> OWNER OR AGEN. CONTRACTOR
<br /> Subscribed and (or affirmed) Subscribed and sworn*o (or affirmed)before methis
<br /> by —by
<br /> Who is/are personally known mmomnaumavopmou000 Who is/are personally known to me mna�naxo
<br /> as identification. � as identification. '
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<br /> \J Notary Public Notary Public
<br /> Commission No. Commission No.
<br /> Name—Notary typed,printed or--_.~--my commips,
<br /> 2022
<br /> AC
<br /> commission#
<br /> on Eypires
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