'
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understandsthat this permit may basubject to"deed" 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: |f the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and |noa| regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for o 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 xvork. they aneodv�edto contact the Pasco (�auntyBuilding Inspection Diviaion--LicenoingSection at727'847'
<br /> 8000. Fu� ��h�rm6, if--'the owner has hired o contractor orcontractors, 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 /> conhaotor, that may baun 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 Jmpact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in existing buiNingo, or expansion of existing bui|dingn, as specified in Pasco County Ordinance numbar80'O7 and
<br /> 90-07' an amended. The undersigned also undenetandm, 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 "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 Pasco CountyVVater/Gevver 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, aaarnmnded): |f valuation of work ie $2.5U0.UOnr more, |
<br /> certify that |, the app|icant, have been provided with a 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", | certify that | have obtained o copy of the above described document and promise in good faith to
<br /> deliver itho the^owDer" prior bJcommencement.
<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 o 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 |mwm regulating
<br /> construction, 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 itio
<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 Boyhaoda. Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida VVotar Management District-Wells, Cypress Baybeods' VVfd|und Areao, Altering
<br /> Watercourses.
<br /> ' Army Corps ofEnginemna-SeavveUs. Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit4Ne||s, Wastewater Treatment'
<br /> Septic Tanks.
<br /> - U8 Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation Authorib+Runvvoyn.
<br /> / understand that the following restrictions apply tn the use offill:
<br /> - Use offill in not allowed in Flood Zone"\y' unless expressly permitted.
<br /> - I the � material is to be used in Flood Zone ^A", it is understood that a drainage plan addressing m
<br /> " fill
<br /> volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State nfFlorida.
<br /> ' If the fill material is to be used in Flood Zone "Af in connection 'with a permitted building using abann vvaU
<br /> construction, | certify that fill will be used only tofill the area within the ahem vva||.
<br /> ' If fill material is to 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 pnnpertieo, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for lots /eSn than one (1�
<br /> acre which are elevated by0|' an engineered drainage plan iorequired.
<br /> ' �
<br /> |[| 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 xvork,
<br /> plumbing, signa, vve||o, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be license to proceed with the work and not as authority boviolate, cancel, a|bar' or
<br /> set aside any provisions of the technical undao, nor shall issuance of permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction nr 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 noqueahod, in writing, from the Building Official fora period not to exceed ninety (9U) days and will demonstrate
<br /> justifiable cause for the extension. |f work ceases for ninety(0O) consecutive days, the job�o consideredobandmnad.
<br /> WARNING TOOWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING 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 /> OWNER OR AGENTi� 1 CONTRACTOR:gA_0LAA)(L
<br /> Subscribed and sw6rn to(or affirmed)before me As Subscribed and sworn to(or affirmed)before me this
<br /> Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
<br /> _*P_(S0K" -as identification. VeCS0rqX1U as identification.
<br /> Notary Publio Notary public
<br /> Commission No Commission No.
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