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<br /> / NOTICE OF DEED : The��� u��u���sp�t be subject to�� s"
<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. If the
<br /> contractor is not licensed as required by |aw, both the owner and contractor may be cited fora 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 at 727-847-
<br /> 8009. Fudhermora, if the owner has hired contractor or contneo1orn, 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 /> controobor, that may bean 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 to the construction of new buildings, change of
<br /> use in existing bui|dinQs, or expansion of existing buildings, as specified in Pasco County Ordinance number8Q-O7 and
<br /> 90'07. as amended. The undersigned also undarntonde, that such feen, as may bedue, will be identified mt the time of
<br /> permitting. It in 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. U the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit |aouonoa. Furthermore, if Pasco CountyVVater/Sevvar 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, ammmmemded): |f valuation of work ia$2.5OO.00ormore, |
<br /> certify that |, the app|ioant, have been provided with o copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department ofAgriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", | certify that | have obtained a copy of the above described document and promise in good faith to
<br /> de/|verit0othe"mwner^ priortocnmmennamenL
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I 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 conutruction, zoning and land development. Application is
<br /> hereby made to obtain e permit to do work and inoU*||oUon as indicated. | certify that nowork or installation has
<br /> commenced prio/ hu issuance of permit and that all work will be performed to meet Standards of all lovva regulating
<br /> oonstruntion. County and City codes, zoning regulations, and land development nuQu|oUono in the jurisdiction. | also
<br /> certify that | 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 Protection-Cypress Bayhmadu. Wetland Areas and Environmentally Sensitive
<br /> Lands,VVobar8NaabewnbarTreatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Boyheado, Wetland Arena, Altering
<br /> Watercourses.
<br /> ' Army Corps nfEngineana-GenweUu. Docks, Navigable Waterways.
<br /> ' Department of Health & Rehabilitative Services/Environmental Health UniL-WuUs, VVomb*wnhar Treatment,
<br /> Septic Tanks.
<br /> - UG Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authnhh+Runwayo.
<br /> | understand that the following restrictions apply tothe use offill:
<br /> ' Use nf fill io not allowed |n Flood Zone"V^ unless expressly permitted.
<br /> - If the fill moheho| is to be used in Flood Zone "A". it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by o professional engineer
<br /> licensed by the State ofFlorida.
<br /> - If the 8U material is to be used in Flood Zone ^A" in connection with a permitted building using stem wall
<br /> construction, | certify that fill will be used only tu fill the area within th6 mvvaU.
<br /> - If fill moheho| is to be used in any area, | certify that use of ouc� willnot 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 less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan iorequired.
<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, signo, vveUo' poo|o, air uonditinning, goo. 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 violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction or 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 naquenbed, in writing, from the Building Official for o period not to exceed ninety (QO) 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 A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU TEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU NOTICE OF COMMENCEMENT.
<br /> OWNER OR AGEN I 1#1 _4411A1A_— CONTRACTOR'"/J,6�_
<br /> Subscribed and swom'to 4(ora ir, ed)Wf6ir-e-r-ne this Subscribed and`svlot-6 t,"r`6ffirmed)bek6re—meTr ris
<br /> Who is/are personally known to me or ha6lhave prodUGe4 Who is/are personally known to me or hasilhave pFedue
<br /> as identification. as identification.
<br /> Notary Public
<br /> Notary Public
<br /> Commission No. FF98537 Commission No. FF98537
<br /> 8\ioouM.Holleran IOioouM.Holleran
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