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<br /> NOTICE 0F DEED RESTRICTIONS: The undersigned understands that this permit maybe subject to "deed" restrictions".
<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'RESPONSIBILITIES: |f the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. i�Ule
<br /> contractor is not-licensed as required by |evv, both the owner and contractor may be cited for u misdemeanor violation
<br /> under state law. If the owner or intended contnaokor are uncertain as to what UcanninQ�requirernenta may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-84.7-
<br /> 8009. Furthermnre, 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. us the owner sign � th�
<br /> contractor, that may bean indication that he in not properly licensed and is not entitled tu 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 UuUd|ngs, or expansion of existing buildings, 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 furthAr understood that Transportation Impact Fees and Resource Recovery Fees.must be paid prior to
<br /> receiving a "certificate ofoccupancy" or final power ro|eoaa. If the project does Oct involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Posuo�County Water/Sewer |nnpaoL
<br /> fees are due,they must bapaid priorto *ernlitissuenoe }OaouOrdanoewithapp||oab|ePascoC|ountyord|nancea.
<br /> CONSTRUCTION LIEN LAW (Chapter 713. Florida Statutes, asonmendeU\: |f valuation of Work is $2.5OO.00or more, |
<br /> certify that |, the app|ioant, have been provided with o copy of the "Florida Construction, Lien Levv--Honnaovvnm/e
<br /> Protection Guide" prepared by the Florida Department ofAgriou|ture.and Consumer Affairs. If the applicant is someone '
<br /> utharthonthe"oxvner". | perUfvthnt | hm/eobto)ned000pyof1haabovedeschbeddoournentandpronn}seingoodfaithto
<br /> deliver ittu the ''ovvner' prior tncommencement.
<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 all applicable laws regulating oonotruution, zoning and {and development. Application is �
<br /> hereby mode 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 iovvs 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 othe'r government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions | must take tobeincompliance. Such agencies in�ude but are not limited to:
<br /> Department of Environmental Protection-Cypress Buyheada. VVet|and Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> ' Southwest Florida VVate, Management District-Wells, Cypress. Boyheada, Wetland Areaa, Altering
<br /> Watercourses.
<br /> ' Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. ` '
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit'VVe})m' Wastewater Treatment,'.
<br /> Septic Tanks.
<br /> ' U8-Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation/\uthority-Runwayo.
<br /> \ understand that the following restrictions apply to the use of fill:
<br /> - Use nf fill ie not allowed in Flood Zone"V" unless expressly permitted.
<br /> - If the fill rns¢ehe\ 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 byaprofessional engineer
<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 vva||
<br /> construction, | certify that fill\�U| ba used only tn fill the area within the stem wall.
<br /> ' If fill material is to be used in any area, | certify that use of such f||| 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 permit issued under the attached permit application, for |uta |uso than one (1)
<br /> acre which are elevated-by fill, en engineered drainage plan |arequ|red.
<br /> |f | amtheAGENT 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 m separate permit may be. required for electrical vvork,
<br /> plumbing, a|gno, vxe\\s' poo\a, air conditioning, gaa.,or other installations not specifically included in the application. /\
<br /> permit issued shall be construed to be a license to proceed with-the work and not as authority to v|o|a1o, ounce|, 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 /> requir|ngacmroactlonnfernoo; inp|ana. conatruotionorvio|stionaofanyumdes. Every permitissued shall become invalid
<br /> unless the work authorized by such permit is commencedwithin six months of permit issuance, or /f work authorized'by
<br /> thepormdissusp8ndodO[abaDUonedf8rapedod.ofs|x (G) nnonthasfterthot|rnathSwiork \suornrnenood. An extension
<br /> may be requeotad, in writing, from the Building Official for a period not to exceed ninety /90\ days' and will demonstrate
<br /> ` justifiable cause for the extension. |f work ceases for ninety (9O) consecutive days,the job 'e considered abandoned.
<br /> WARNING TO OWNER- YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR.
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIYJANCJI0G, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY FORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA Jun4T(p.a.11r,m� � �
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sw to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
<br /> by
<br /> `~~ ucvv Who is/are personally known tumeorhas/have producedas identification.
<br /> as identification.~ -
<br /> ~ Notary Public Notary pumm `
<br /> Commission No. Commission N
<br /> Name of . `
<br /> Notary typed,printed or st Notary- typed,,'---- stampedAAV 11 Notary Pubft State of Florida
<br /> fwwj�
<br /> ;op Expires 1212112020
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