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<br /> NOTICE 0F DEED RESTRICTIONS: The undersigned understands that this permit may besub]kttu"deed" restrictions".
<br /> which may be more restrictive than County regulations. The undersigned aaaurneorespnnnibUityfornunnpUencevvithany
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they rnoy be required to be licensed in accordance with state and local regulations. [ythe
<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 intendad�oontraotor are uncertain as to what licensing requirements may apply for the
<br /> intended vvork, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at727-847-
<br /> ` OUDQ. Furthermo[e, 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. If you,*as the owner sign as the
<br /> oontn8[tor, that may be an indication that he is not properly licensed and is not entitled to perm|tt|ng privileges.in Pasco
<br /> County. '
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned.understands
<br /> that Transportation Impa:ct Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing bui|dings, as specified in Pasco County Ordinance number8A'O7 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 further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving e "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pa000�County Water/Sewer Impact
<br /> fees are due,they must be paid prior tb permit issuance |n accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW (Chmptor713. Florida Statutes, as amended): If valuation of Work is$2.500.00 or more, |
<br /> certify that |, the applicant, have been provided with a copy of the "Florida Construction- Lien Law—Homeowners
<br /> Protection Guide" prepared by the Florida Department of Agriculture-andConsumer Affairs, If the applicant is aonnaona
<br /> ctherthantha °ovvner". \ perbfvthot | haveobta|nedaoopyoftheabovodesoribeddoounnantandpromiseingoodfaithto
<br /> deliver itto the ^ovvner' prior tocommencement.
<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 with all applicable laws regulating construction, zoning and. land development. Application is
<br /> hereby made to obtain e 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 laws regulating
<br /> oonotruntion. County and City codes, zoning regulations, 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 of Environmental Protection-Cypress Bayheada' Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> ' Southwest Florida Water Management Dintr\ut-We||a, Cypress Buyheada` Wetland Areas, Altering
<br /> Watercourses. .
<br /> ' Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. '
<br /> - Department of Health 8k Rehabilitative Sen/ines/Envinonnnenta\ Health UnU-NaUa. Wastewater Treatment,..
<br /> Septic Tanks.
<br /> ' US-Environmental Protection Aganuy-Aobe8toaabatement.
<br /> - Federal Aviation Authorhl+Runvvayo.
<br /> | understand that the following restrictions apply kzthe use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V~ unless expressly permitted.
<br /> - If the fill material is to be used in F|ood Zone "A'. it is understood that a drainage plan addressing a
<br /> "oonopanaeting 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 vvith a permitted building using stem wall
<br /> construction, Ico�Uv that�U\�iUbe used only toh||the area vv�hinthe stem wall.
<br /> ' If fill material is to be used in any araa. | 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 lots less than one /1\
<br /> enro which are elevated by fill, an engineered drainage plan is reqUinad.
<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 vvork,
<br /> p}umbing, signn, vve||a' pools, air conditioning, gas. orothorinataUaUnno not specifically included in the application. A
<br /> permit issued �haU be construed to be a license to proceed with-the work and not as authority to violate, oanna|, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> - requiringaconeodonofennnainp\ana. construut(onorvioia1{onoufanyoodaa. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within mix months of permit issuance, or ifwbrk 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 requeutad, in writ|ng,from the Building Official for a 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 0
<br /> .F COMMENCEMENT MAY RESULT IN YQOB�
<br /> PAYING TWICE FOR IMPROVEMENTS T0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANK�NG, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.'
<br /> - --_�-
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed an*d sw to(or affirmed)before,me thi`Z__
<br /> s Subscribed and sworn to(or affirmed)before me this
<br /> _95 by
<br /> Who is/are personally known mmevrxa*ouvvproouoeo Who is/are ppmonal/y known nomep,has/have produced
<br /> as identification, as identification. '
<br /> Notary PublicNotary Public `
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<br /> ' Commissmn No. Commission No.
<br /> Nam
<br /> _- of Notary typed,_ '-_--_ stamped _--N-_r,typed,printed or stamped
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