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<br /> NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions",
<br /> which may ba 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 nr
<br /> rontnactonoLoundertahevvork, thoyrnaybenequirodtobeUcensadinacoovdanmavvithototeend |ooe| rogV(atione. If.'dhe
<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�contractor are uncertain as to what licensing requirementsmay apply for the
<br /> intended work, they are advised to contact the Pasco County' Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermoro, if the owner has hired a contractor or uontraotnro, 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. aa the owner sign as tha
<br /> contractor, that may ba an indication that he is not properly licensed and is not entitled tu parmittinQ privileges.in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned.understands
<br /> \hatTnaneportation |mpaItFeenandReooursoReoovoryFeesnnoyappk/tntheconstrucbonofnewbuUdings. nhangaof
<br /> use in existing bui|d|nga, or expansion of existing bu||dings, as specified in Pasco County Ordinance number 89'07 and
<br /> 90'07. as amended. The undersigned also understands, that such feeo, as may be due, will be identified at the time of
<br /> permitting. It is furthAr understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> final power re|ease, the fees must be paid prior to parrnb issuance. Furthermore, if Poaoo�Cnunty Water/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` 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—Homeowner's
<br /> Protection Guide" prepared by the Florida Department ofAgricu|ture.and Consumer Affairs. If the applicant is someone
<br /> other than the "uvvner". | certify that | have obtained a copy ofthe above described document and promise in good faith to
<br /> deliver itto the''ovvner' prior bocommencement.
<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 onnatruotion, zoning and.land development. Application is
<br /> hereby made to obtain 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 all |avva regulating
<br /> construction, County and City codea., zoning regulations, and land development regulations. in the jurisdiction. | also
<br /> certify that | understand that the regulations ofothnir 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 Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> ' Southwest Florida VVedar Management Oiatrict4Ne||a. Cypress Bayheads, Wetland Araaa, Altering
<br /> Watercourses. .
<br /> ' Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. `
<br /> ' Department of Health & Rehabilitative Services/Environmental Health UnU-NaUa, Wastewater Treatment,�
<br /> Septic Tanks.
<br /> ' US-Environmental Protection Agenoy'Aobe8tosabatement.
<br /> ' Federal Aviation Authorhy-Runwayo.
<br /> | understand that the following restrictions apply to the use offill:
<br /> ' Use nf fill is not allowed in Flood Zone"V" unless expressly permitted.
<br /> - If the fill ms¢eho\ is to be used in F|ood Zone "/Y', it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional enginae'r
<br /> licensed by the State nfFlorida. �
<br /> ' If the fill material is to be used in Hood Zone "A" in connection mith a permitted building using stem wall
<br /> oonetnucUnn. | cerbfv that fiU��U| ba used only tn5|l the area vv)th|nthe stem wall.
<br /> - If fill material is to be used in any aree. | 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 |eoe than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is reqUired.
<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 a|ootrina| vvork,
<br /> plumbing, o\gnn' vve||s, pools, air conditioning' gas,-or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with-the work and not as authority to vio|a1e, uonce|, a|tar, or
<br /> set aside any provisions of the technical codes, nor shall issuanceof a permit prevent the Building Official from thereafter
<br /> requiring aonrnaoti' nofarrom-in plans, oonntnucbonor violations of any codes. Every perm� issued ahaUbeconneinvalid
<br /> unless the work authorized by such permit is commenced within six months of permit |oeuanoo, or if work authorized by
<br /> the permit issuspended or abandoned for a period,of six (6) months after the time the Work is commenced. An extension
<br /> may be requaated, in writing, from the Building Official for u period not to exceed ninety (SO) 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 OF COMMENCEMENT MAY RESULT IN YC]UR�
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN F{0A0{]NG, CONSULT
<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 affirmed)before me this Subscribed and sworn to(or affirmed)before me this
<br /> I by
<br /> Who is/are personally known o..."". .=.ux"wvvuceu Who is/are personally known zomnn,has/have produced
<br /> as identification. as identification. '
<br /> Notary
<br /> PublicNotary Public `
<br /> . `
<br /> commission No. Commission
<br /> NotaryName of
<br /> mped
<br /> .'_--_ - --_ 'Name_Notary typed,printed— stamped .
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