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<br /> NOTICE OF DEED : The undersigned understands that this permit may be subject bo^dmed"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: If the owner has hired m contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
<br /> oont��otor is not licensed as required by law, both the owner and contractor nnoybm cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are unomdainas to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section sd727-847-
<br /> 8008. Fudhermono, if the owner has hired a contractor or oontneohoro, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br /> oontrootor, that may beon indication that he is not properly |icenaad and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION UMPACT7UTVLKTUESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply bo the construction mf new buildings, change mf
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance nunmbar8S-07 and
<br /> BO-D7. osamended. The undersigned also understands, that such fees, om may be due, will be identified at the time of
<br /> permitting. |tig further understood that Transportation Impact Fees and Resource Recovery Fees must bepaid prior to
<br /> receiving a "certificate of occupancy" or final power release. |f the project does not involve a certificate mf occupancy or
<br /> final power release, 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 bo permit issuance|n accordance with applicable Pe000Countyondinonoaa.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amnemded). 1f valuation of work io$2.5O0.0Oor more, |
<br /> certify that L the applicant, have been provided with a copy mfthe "Florida Construction Lien Law—Homeowner's
<br /> Probooti#nGu|da^ preponadbvtheFlmridoDepadmentofAorimu|tunoendConmummr���ny. K the applicant kasomeone
<br /> other than the^ovxner". | certify that | have obtained a 'copy of the above described document and promise in good faith to
<br /> deliver itbm the^owmer" prior hmcommencement.
<br /> CONl[RACTOR"S/OWNERIS AFFIDAVIT: I 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.inotaUaUon as indicated. | certify that no work or installation has
<br /> commenced prior bo issuance of permit and that all work will be performed to meet standards of all |ovve regulating
<br /> uonmbmotion. County and City codmm, zoning nagu|oUono' and land development regulations in the jurisdiction. | also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but-are not limited to:
<br /> - Department ofEnvironmental Protection-Cypress Bayhmoda, Wetland Areas and Environmentally Sensitive
<br /> Landm.VVobarMambaxaha Treatment.
<br /> - Southwest Florida VVohor Management District-Wells, Cypress Beyheado, Wetland Arema, Altering.
<br /> VVotancouroam.`
<br /> - Army Corps ofEn0ineers-S«maxaUs' Docks, Navigable Waterways.
<br /> ' Department of Health & Rehabilitative Services/Environmental Health Unit-WeUo, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authohty+Runxvaym.
<br /> \ understand that the following restrictions apply to the use of fill:
<br /> ' '
<br /> - Use of fill im not allowed in Flood Zone^V" unless expressly permitted.
<br /> - |f the fill rnotmhm| is to be used in Flood Zone "A^, it is understood that a drainage plan addressing o
<br /> .compensating volume" will be submitted at time of permitting which is prepared by professional engineer
<br /> licensed bythe State ufFlorida.
<br /> - If the fill material is to be used in Flood Zone ^A" in connection with o permitted building using stem vvaU
<br /> construction, |certify that fill will be used only bn fill theorea within the stem wall.
<br /> - If fill mmtmho| is to be used in any area, Y certify that use of such 0/ will not adversely affect adjacent
<br /> properties. If use of fill in found to adversely affect adjacent pnopmdies, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill, on engineered drainage plan inrequired.
<br /> If| amthe 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 wmrh,
<br /> plumbing, signs, wells, pools, air conditioning, gao, 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 violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invaUd
<br /> unless the work authorized by such permit is commenced within m|o months of permit issuance, or if work authorized by
<br /> the permit iasuspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
<br /> may be requested, in writing, from the Building Official fora period not to axumad ninety (QO) days and will demonstrate
<br /> justifiable cause for the mxteneimn. |f work ceases for ninety(9O)consecutive days, the job ia considered abandoned.
<br /> WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICEOF COMM NCEMENT,MAY RESULT IN YOUR
<br /> WITH YOUR LENDER ORAN ATTQAEY-BEFORE RIF-CORDING YOUR NOTICE—O-TPCOMM ENT.
<br /> OWNER OR AGENTV
<br /> CONTRACTOR
<br /> A befoye me this
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN F& CING,CONSULT
<br /> Who is/are per ally known to me or has/have produced Who iis/are"
<br /> personally known to me or has/have produced
<br /> VIU%Wx��� as identification. as identification.
<br /> Notary Public Notary Public
<br /> Com
<br /> Name mNotary
<br />
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