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<br /> .
<br /> NOTICE QF DEED RESTRICTIONS: The undersigned understandsthUtUl|spe[Ritrn@ybesutjaotto"dead� reuthct�n8C
<br /> which may be more reothc�vethan County ragu|a�ona. The undersigned assumes [eapom�bi| '' for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS 800 CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required tobeUnensed |n0000ndancevithatatoand |oca| n:gu/ationa. |�the
<br /> contractor is not-licensed as required by lae, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended-contractorare uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division--Lioehsing Section ot727-847-
<br /> ` 8008. Fudhermore, if the owner has hired a contractor or oontractom, he is advised to have the contractor(s) oign
<br /> portions of the "contractor B|ook" of this application for which they will be responsible. If you, as the owner sign as th�
<br /> contractor, that may be on 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 Faaa may apply to the construction of new buildings, change of
<br /> Use in existing bui|d|ngs, or expansion of existing bU||dingG, as specified in Pasco County Ordinance number 80-07 and
<br /> 9.0'07. as amended. The undersigned also understands, that such fens, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportation \rnpanl Fees and Resource Recovery Fees must be paid prior to
<br /> receiving e ^cart�oob* ofoccupancy'' or final power release. (f the project does not invok/eaoa�\5cateof occupancy or
<br /> final power re|eoae. the fee� muat be pa|d priorto perm\t ��suanoe. Fudh�rmnny' if Pasoo�CountyVVat���avver |mpoot
<br /> fees are due,they must be paid prior 10 permit issuance |n accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation ofvVork is $2.600.bO or more, |
<br /> certify that i, the applicant, have been provided with a copy of the "Florida Construction, Lien Lov*�-Hnnnaovvner'm
<br /> Protection Guide" prepared by the Florida Department ofAgriou)ture-and Consumer /#haina. If the applicant is someone
<br /> otherthanthe "oxvne/'. \ perbfythat | haxeobtainedacopyoftheabovedesor\beddocunnentandpnorn\seingoodhaithto
<br /> deliver|tto the"ovvner' prior hocommencement.
<br /> CONTFQACTURVC)VVNER'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. l 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 ragu(abono, and land development regulations.in the jurisdiction. | also
<br /> certify that ! 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 include but are not limited to:
<br /> - Department of Environmental Protectiop'{}ypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress. Bayheads, Wetland Areas, Altering Watercourses. ` '
<br /> ' Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. '
<br /> - Department of Health & Rehabilitative Sen/ioes/Envinonmonta\ Health Unit-Wells, Wastewater Treatment,.'.
<br /> Septic Tanks.
<br /> - U8-Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authohty-Runvvays.
<br /> i 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 /> ' If the f||| noa¢ar\a| is to be used in Flood Zone "/Y'. it is understood that e 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 fill material is to be used in Flood Zone ^A. in connection with e permitted bUUU|Og using stem vva|\
<br /> construction, \ certify that fill will be used only to fill the area within the stem wall.
<br /> ' If fill noo1oria| 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 cond|tiona of the bu\|d|ng permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is reqU|red.
<br /> |f \ annthe 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 e|eoLdoa| vvork,
<br /> p|umh\ng, signs, vve||e' poo\a, air condhioning, gao.,or other installations not specifically included in the application. A
<br /> permit issued shall beumnotfuedtobea license to proceed with-the work and not oa authority tn violate, cancel, alter, or
<br /> sot aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from tharaa�er
<br /> requiring aconec�*onofernona�\n plans, nonatnuc�onorvio|a�onsof any codes. Every permit issued shall banonn� invalid
<br /> unless the work authorized by such permit is commenced within e|X months of permit issuance, or if work authorized by
<br /> thep8[nnitiSSUspendadorabendonedfbrepehod.ofa|x (G) nnonthaofterthe time the Work iocommenced. An extension
<br /> may be requosted, in vvrd\ng, from the Building Official for a period not to exceed ninety (AO) days and will demonstrate
<br /> � justifiable cause for the extension. |f work ceases for ninety (BU) consecutive days,the job |o considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE CjF COMMENCEMENT MAY RESULT }0YOUR.
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN Fl0A0CJI0G. CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE 14ECORDING YOUR NOTICE OF COMMENCEMENT.'
<br /> FLORIDA xunAT(pS 1 _
<br /> OWNER OR AGENT CONTRACTOR
<br /> Sub,svrib swgM to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
<br /> by
<br /> vvmrm/am personally known�tKe or has/have,produced Who is/are personally known to me ornaamave produced
<br /> identification.I Xas identification. as ~ ~ '
<br /> .No Public Notary
<br /> Public
<br /> `-~ Commission No.
<br /> `
<br /> Name of Notary typed,printed or~~''r~,
<br /> OF
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