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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" ~ ctio`s",
<br /> which may ben1ore 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 a contractor or
<br /> contrac1onotoundartakevvnrk. theynVeyberequinadtobeUoensedinaccondancevvdhstatoand {oma| nagu|aUoDs. \�the
<br /> contractor is not-licensed as required by |avv, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended�oontnaotor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division--L|ceho|ng Section at727-O47-
<br /> ' 8009. Furthermore, 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' ao the owner sign as th.e
<br /> contractor, that may ba 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 |rnpunt Fees and Recourse Recovery Fees may apply to the construction of new buUdings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 88-07 and
<br /> 90-07, as amendod. The undersigned also Vnderstando, that such feeo, as may be due, will be identified et the time of
<br /> permitting. It is 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 does not involve 8 certificate of 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 bepaid prior to permit issuance iD accordance with applicable PasooCDuntyord|nances.
<br /> CO0STRUCT11O0 LIEN LAW (Chapter 713` Florida Statutes, as amended): If valuation of Work is $2.500.bU or more. \
<br /> certify that |, the applicant, have been provided with o copy of the "Florida Construction, Lien Leum—'Hnnneovonur'a
<br /> Protection Guide" prepared by the Florida Deportment ofAgriou|ture.und Consumer Affairs. If the applicant is someone
<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 ithu the"ovxner" prior tocommencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is aooure1a and that all work
<br /> will be done in compliance with a|| applicable laws regulating conatruution, zoning and land development. Application is
<br /> hereby made to obtain a pernnd�tn do work and installation as indicated. | certify that no work or installation has
<br /> commenced prior to |aauonca of permit and that all work will be performed to meet standards of all |evve regulating
<br /> construction, County and City codes; zoning regulations, and land development regulations. inthe 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 | must take tobeincompliance. Such agencies include but are not limited to:
<br /> ' Department ofEnvironmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment. '
<br /> Southwest Florida Water Management District-Wells, Cypress. Boyheado, Wetland Areas. Altering
<br /> VVe1arnounaee.
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<br /> ' Army Corps of Engineers-Seawalls, Dooho. Navigable Waterways.
<br /> ' Department of Health 8 Rehabilitative Services/Environmental Health Unit'VVe|ls, Wastewater Treatment,�
<br /> Septic Tanks.
<br /> ' UG-Environmental Protection AQenoy'Anba8toaabatement.
<br /> ' Federal Aviation AuLhorhy-Runvvoye.
<br /> | understand that the following restrictions apply to the use offill:
<br /> - Use of fill ie not allowed in Flood Zone"V~ unless expressly permitted.
<br /> - If the fill material is to be used in Hood Zone "A", it is understood that a drainage plan addressing a
<br /> ''oonnponsoting volume" will be submitted at time of permitting vvh|oh 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 a permitted building using stem wall
<br /> construction, | certify that fill w ill be used only to fill the area within the stem wall.
<br /> ' If fill material is to be used in any area, | certify that use of such fill will not adversely affect adjacent
<br /> . properties. (f use of fill ia found to adversely affect adjacent properties, the ovvnerrnaybnc�ed for vin\adDg
<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, 8n engineered drainage plan iarequ|r6d.
<br /> If I am 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 a separate permit may be.required for electrical work,
<br /> plumbing, aigVs, wells, poola, air conditioning, gas.,or other installations not specifically included in the application. /\
<br /> permit issued shall he consVued to be a license to proceed with-thevvork and not as authority to vim|ota, canoe|, a|ter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thenea�er
<br /> roquidnQaoorreot|?nof errors-in plans, nono�unUnnVr violations of any codes. Every permit issued shall beoonne |nwaUd
<br /> unless-the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the pnOn�iasVspendaUor abandoned for a period,nf six /G\ months after the time the Work iacommenced. An extension
<br /> may be requeated, in wriL|ng, from the Building Official for a period not to exceed ninety (90) daya' and will demonstrate
<br /> � justifiable oousefnrtkeextenaion. If work neeaosfor ninety (AO) consecutive daye.the job ia considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF C{]K8K8ENCE88E0T MAY RESULT IN YOUR-
<br /> PAYIMG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. \F YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA Jun*, (F* ``/ ou)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sworn to(or affirm'gd-)before me this Subscribed and sworn to(or affirmed)before me this
<br /> by by
<br /> C-41-0 is/are per known to me or has/have*produced Who is/are personally known nomeor has/have produced
<br /> identification. .
<br /> Notary Public Notary
<br /> Public `
<br /> `
<br /> �nmmmamn Commission
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<br /> Name of Notary typed,printed or stampedState of Fioride-Notary Public
<br /> q commission # GG 2379755]
<br /> ires
<br /> commission Expires
<br /> My July 12, 2022
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