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<br /> NOTICE C>F DEED RESTRICTIONS: The undersigned understands that this permit may be subject 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: 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. h�the
<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 work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at727-847-
<br /> 8009. Furthermm[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. Ifyou, ao the owner sign as the
<br /> contractor, that may be 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 Impact Fees and Recourse Recovery Foes may apply tnthe construction of new bu}|d\ngs, change of
<br /> use in existing build{ngS, or expansion of existing buildings, as specified in Pasco County Ordinance number80'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 a "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-County 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 e 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 |s someone
<br /> otherthanthe"oxvner". \ PerUfvthaL| haveobtainodaoopyoftheubovadesohbeddocunnnntandpronn|seinQoodtaithto
<br /> deliver itto the"ovvnar' 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 nnnnp\|anoe with all applicable laws regulating oonstnuction, 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 a permit and that all work will be performed to meet standards of all |axve regulating
<br /> construction, County and City codes,, zoning regulations, and land development regulations. in the jurisdiction. | also
<br /> certify that | understand that the regulations ofothe'r government agencies may apply to the intended vvork, and that it is
<br /> my responsibility to identify what actions | must take tobaincompliance. Such agencies include but are not limited to:
<br /> ' Department ofEnvironmental P rote oL|on-Cypress Bayheado, Wetland Areas and Environmentally Sensitive
<br /> f ands,Water/Wastewater Treatment.
<br /> Southwest Florida VVo1ar Management Distriot-We||s, Cypress BaYheads' Wetland Areas, Altering
<br /> Watercourses. .
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. `
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, yVeotmwo±ar Treatment,.
<br /> Septic Tanks.
<br /> - US-Environmental Protection Agonoy-Asbe8toaabatement.
<br /> - Federal Aviation Authnrky-Runways.
<br /> | understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
<br /> - If the fill nne¢aha| 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 in prepared by a prVfosbiona| 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 vva|\
<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 fi\|'vvi\| 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 |aao than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is reqU|[ed.
<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 separate permit may be required for electrical work,
<br /> plumbing, aigns, wells, poo)a, air oondit|on\ng, 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 v|o|ate, cancel, a|tor, or
<br /> set aside any provisions of the technical codes, nor shall issuanceof a permit prevent the Building Official from thereaft e*r
<br /> requir|ngaoorn*cbonofarvonainp|ane. conatructionorvio)otionaofanycodeo. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit iaauance, 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 requested, in vvriting, from the Building Official for u period not to exceed ninety (80) dayn' and will demonstrate
<br /> � justifiable cause for the extension. |f work ceases for ninety (QO) consecutive days,the job io considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD Jt NOTICE 0
<br /> .F COMMENCEMENT MAY RESULT IN YOUB
<br /> PAYINGTVVlCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINA0��NG, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE 14ECORDING YOUR NOTICE OF COMMENCEMENT:
<br /> FLORIDA JURAT(
<br /> OWNER CONTRACTOR
<br /> Subscribed u sw to(or am Subscribed and sworn to(or affirmed)before me this '
<br /> by
<br /> Who is/are personally known`".""o/ "as'oa"evrouucon Who is/are pemonaxyknown tomeor has/have produced
<br /> as identification. as identification. '
<br /> Notary Public �
<br /> ,vox Public `
<br /> Cnmmission No. Commission
<br /> Name of
<br /> Notary typed,'rinte or stamped_ _- -_--' ,,--,--_- -_m,--
<br /> Nam
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