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<br /> NOTICE QFDEED RESTRICTIONS: The undersigned understands that this permit may be subject t8�d restrictions",
<br /> which may bo 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 a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. (�thn
<br /> contractor is not-licensed as required by |aw, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended-contractor are uncertain as to what licensing requirements may apply for the
<br /> intended wo[k, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at727-847'
<br /> ' 8009. Furthermore, if the owner has hired a contractor or oontruotona, 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 /> contractor, that may be an indication that he is not properly licensed and is not entitled to perm|tting 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 tothe construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing bui|dinga, as specified in Pasco County Ordinance number 89'07 and
<br /> 9,0'07. 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 o "cert|�oate 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 Pasco-Counb/ VVater/Sevvar Impact
<br /> fees are due,they must ba paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of Work is $2.500.00 or more. |
<br /> certify that |, the applicant, have been provided with o copy of the "Florida Construction, Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and 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 itho the"oxvnar' prior tocommencement.
<br /> CO0TR\CTQR`S/OWWEFl`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 oonatruo1ion, zoning and.land development. Application is
<br /> hereby made to obtain a permit to do.vvork and installation as indicated. | 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 /> conotruction. County and City nodao. 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 ofEnvironmental P rote ction-Cypreoo 8ayhmmde. Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> ' Southwest Florida Water Management Dio1rict-VVe||a, Cypress Bayheuds, Wetland Areaa, Altering
<br /> Watercourses. _
<br /> ' Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> Department of Health & Rehabilitative 8en/ineslEnv\runmnmnta| Health Unit-Wells, Wastewater Treatment,,.
<br /> Septic Tanks.
<br /> ' US-Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authorhl+Runwaya.
<br /> | understand that the following restrictions apply to the use offill:
<br /> - Use of fill is not allowed \n Flood Zone"V" unless expressly permitted.
<br /> - If the fill ms¢eho| is to be used in Flood Zone "/('^ it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by o profeabiona| engineer
<br /> licensed by the State of Florida.
<br /> - If the f||| material is to be used in Flood Zone ''A' in connection vv|th a permitted building using stem wall
<br /> construction, I certify that fill Will be used only to fill the area within thestem wall.
<br /> ' If fill material is to be used in any area, | 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 \aua than one /1\
<br /> acre which are elevated by fill, on engineered drainage plan is reqU|r�d.
<br /> Ifianl 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 /> plumbing, a|gnn, vvaUo, pools, air conditioning, gas,,or other installations not specifically included in the application. A
<br /> permit issued shall be constfuad to be a license to proceed with-the work and not as authority to vio|sde, oance|, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuanceof a permit prevent the Building Official from thereafter
<br /> requiring a correct!
<br /> ' nof errors-in plans, constnuc�onor violations of any codes. Every ponn� issued shall beconneinvalid
<br /> unless the work authorized by such permit is commenced within six months of permit iosuenoe, or ifwbrk authorized by
<br /> thepermit\Gsuopandadorabandnnedf8[apehod.nfaix (S) rnontheaterthebnoethemiork \000nnnnencod. An extension
<br /> may be requested, in vvriting, 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 /\ NOTICE 0
<br /> .F COMMENCEMENT MAY RESULT IN YOOR�
<br /> PAYING TWICE FOR IMPROVEMENTS T0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN Fl0AN��NG, CQ0GD[T
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and swq;Q to(or affirmedy-before me this Subscribed and sworn to(or affirmed)before me this
<br /> by by
<br /> Who is/are personally known wx`uoroa*na,epmouuoo Who is/are ppnmnm/y known nomeo,has/have produced
<br /> as identification. as identification. '
<br /> Notary
<br /> PublicNotary Public
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<br /> Commission No. Commission No.
<br /> Nam__— __-' ,,--,—'_-- -_m,-- ___.—_., ,,-- printed~ stamped
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