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<br /> NOTICE OF DEED : The undersignedunderstands that this permit may be subject e^
<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 o contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by |avv, both the owner and contractor may be cited for o misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain on to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009, Furtharmore, if the owner has hired o contractor or oontnyotone, 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 /> cnntnaotor, that may bean indication that heio not properly|icenoed and is not entitled tV 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 bui|dinga, or expansion of existing bui|dingo, as specified in Pasco County Ordinance number 89-07 and
<br /> 90'07. as emended. The undersigned also understands, that such feen, as may be duo, will be identified sd the time of
<br /> permitting. It |o further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. |f the project doeonmtinvolm* ocertifinedeofocoupannyor
<br /> final power re|ease, the fees must be paid prior to permit issuance. Furthermore, if Pasco COUnhyVVoter/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, amomnended): |fya|uotionofvvo/kio $2.5OO.00ormore, |
<br /> certify that |, the applicant, have been provided with m copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. |f the applicant |osomeone
<br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver ittn the"mwner"prior tocommencement.
<br /> CONTRACTQRy0/OVVNER'SAFF/DAV|T: | certify that all the information in this application ie 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 toobtain 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'oU laws regulating
<br /> oonotnuotion. County and City codes, zoning regulations, and land development regulations in the jurisdiction. | also
<br /> certify that ( understand that the nagu|oUono of other government agencies may apply to the intended vvork, and that it is
<br /> rny responsibility to identify what actions| must take tobe in compliance, Such agencies include but are not limited to:
<br /> ' Department mfEnvironmental Protection-Cypress Boyhaedo. Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida VVotnr Management Uiothnt4WeUo, Cypress Bayheadu, VVat|mOd Anamo, Altering
<br /> Watercourses.
<br /> - Army Corps ofEnginears+GeowaUn. Docks, Navigable Waterways.
<br /> ' Department of Health & Rehabilitative Gervinen/Environmenta{,Hea|th Unit-VVaUe, Wastewater Tnacdmant.
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation AuLhority-Runwayo.
<br /> | understand that the following restrictions apply to the use offill:
<br /> - Use of fill io not allowed in Flood Zone Wr unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it in understood that o drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a pnah*ooiona| engineer
<br /> licensed by the State ofFlorida.
<br /> - |f the fill material in to be used in Flood Zone ^A" in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material ioto 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 conditions of the building permit issued under the attached permit application, for lots |eon than one (1)
<br /> acre which are elevated hy fill, an engineered drainage plan iorequired. '
<br /> |f( om 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 separate permit may be required for electrical work,
<br /> p|umbing, mgna, vveUo, pools, air conditioning, gmo, or other installations not apeoU5oaUy included in the application. A
<br /> permit issued shall be construed to be license to proceed with the work and not as authority toviolate, oaooe|, o|ter, 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 invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
<br /> may be raquemtad, in writing, from the Building Official for m period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension, If work ceases for ninety(90)consecutive days,the job is 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 TOOBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT,
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sworn to(or affirmed)beyl me this Subscribed and swor before me this
<br /> /I(or affirmed
<br /> WEo islare personally known to Who is/are personalWknown to me or IhAvp RFRFI. P.
<br /> I tea ion.
<br /> ,n�Kat- Ea:sid:entI>, n.
<br /> Notary Public Notary Public
<br /> Commission No. FF98537 Commission No. FF98537
<br /> Elioma&{.Holleran 2DisouM.Holleran
<br /> Name of Notary tvped,printed or stamped Name of Notary typed,printed or stamped
<br /> MR-
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