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<br /> NOTICE QF DEED RESTRICTIONS: The undersigned understands that this permit may ba subject to "dead"^ ' ns".
<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. |�tha
<br /> contractor in 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�oontnaotor 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 at 727-847-
<br /> 8009. Furthermore. if the owner has hired a contractor or oontroctons, 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 the
<br /> contractor, that may ba an 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 Fees may apply tothe construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number8Q-O7 and
<br /> 80-07. as amended. The undersigned also underetando, 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 '`oar�ficateofuccupanoy'' or�na| povverrelease. |f the pn�ectdoes not involve aoe��ica1eof occupancy or
<br /> final power re\amoe, the fees must be paid prior to permit issuance. Furthermore, if Pasno-CountyVVater/Sower Impact
<br /> fees are due,they must beoaid prior to ' ernn�issuance |n accordance vv�happUoab|ePasco County ordinances.
<br /> K�QNSTRUC�TU��N LIEN ' `Chapter713, Florida Statutes, amanoeoded\: If valuation of Work ia $2'5OO.bO 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/#fuina. 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 itto the"owna/' 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 a permit to do.work and installation as indicated. | certify that no work o/ 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 /> construction, County and {}hxoodes, zoning regulations, and (and development regulations,inthe jurisdiction. ) also
<br /> certify that \ understand that ' e regulations of'other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions | must take tobe |ncompliance. Such agencies include but are not limited tt
<br /> ' Department ofEnvironmental Protection-Cypress Bayheada. VVet|andAreas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> ' Southwest Florida Water Management District-Wells, [|yprneg Boyheads. VVetiand Areas. Altering
<br /> Watercourses. .
<br /> Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> ' Department of Health & Rehabilitative Services/Environmental Health Unit-VVa||s, VVastexvsdar Treatment,'
<br /> Septic Tanks.
<br /> ' US-Environmental Protection Agmncy'Anba8toaabatement.
<br /> ' Federal Aviation Authohty-Flunvvaye.
<br /> | understand that the following restrictions apply to the use nffill:
<br /> - Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
<br /> If the fill material is to be used in -Flood Zone '`/�'` it is understood that a drainage plan addressing a
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<br /> c� peOoa�nQ volume" will be submitted at time of permitting which is prepared by a professional en8\nee'r
<br /> licensed by the State ofFlorida.
<br /> - If the fill material is to be used in Flood Zone "A' in connection wit a permitted building using stem vva|\
<br /> construction, I certifythatfill Will be used onlyto fill the areawithin the stem wall.
<br /> ' If fill nnatoha| is to be used in any anea. | certify that use of such fill will not adversely effect adjacent
<br /> . properties. If use of fill is found to adversely affect adjacent pnopertiee, the owner may be cited for violating
<br /> the nonditionu of the building permit issued under the attached permit application, for lots |eao 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 oornrnanoing oonetnuotion� understand unda �and that a separate permit msy berequlnad for electricalwork,plumbing, signs, wells, pools, air conditioning, gas,,or other installations not specifically included in the application. A
<br /> permit issued shall be consVued to be a license to proceed with-the work and not as authority to violate, cancel, alter, or
<br /> oei aside any provisionsofthetenhnioa| codea. noroho|| iaouanueofapermitpraventthaBui|dingOffiuia| fromthereafter
<br /> requiring aoorreoti' nof errors-in plans, conatnuo�onor violations of any codes. Everypenn�issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit \ssuanoe, 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 requested, in vvriting, from the Building Official for o period not to exceed nihety0O\ deAs� end 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 OF COMMENCEMENT MAY RESULT IN YOUR.
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAN[3NG, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> nWmenon AGENT CONTRACTOR
<br /> Subscribed an'd sw n to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
<br /> by by
<br /> Who is/are personally known mmemhas/have,produced Whoo/are personally known mmomhasihave
<br /> as identification. as identification. '
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<br /> Notary
<br /> Public `
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<br /> ' Commission No.
<br /> S otary Public-State of Florida
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<br /> Name of""�'v�p�" Name of Notary typed,printed or stamped
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