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<br /> NOTICE 0FDEED RESTRICTIONS: The undersigned understands that this permit may bo subject ho "d ' restrictions",
<br /> which may be more restrictive than County regulations. The undersigned,assumes responsibility for compliance with any
<br /> "pp"^uu/nueeu /esu/cuu//w.
<br /> UNLICENSED CONTRACTORS AND C0NTBACTOF RESPO 0SlElL|T|E�� If the owner has hired a contractor or
<br /> contractors tounde�akevvork. they may be required tnba \icenoedin accordance vvithstate and local regulations. |�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 oontractor 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—Licerising Section at 727-847-
<br /> 8009. Furthm[more, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor B|ock� of this application for which they will be responsible. |fyou, an the owner sign � th�
<br /> contractor, that may be an indication that heie 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 buildings, or expansion of existing bui|d|nga, as specified in Pasco County Ordinance number89-O7 and
<br /> 90-07. as amended. The undersigned also understands, that such fees' as may be due, will be identified a1 the time of
<br /> permitting. hisfurther understood that Transportation Impact Fees and Resource Recovery Foee.must bepaid 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 bap�idphorto permit issuance. Furthermore, if \N P�aco�Countya1e� vv Water/Sewer
<br /> fees are due,they must bepaid i topermit issuance |n accordance with applicable Pasco County ordinances,
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of Work is $2.500.bO 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 ofAgriou|ture.and Consumer Affairs. If the applicant is someone
<br /> other than the"ovvner". | certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"ovvner' prior to connmehcement.
<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,vvorK and installation as indicated. | certify that no work or installation has
<br /> commenced prior to issuance of a pernnitund that all work will be performed to meet standards of all laws regulating
<br /> oonotrUntinn. County and City codas. zoning regulations, and land development regulations in the jurisdiction. | also
<br /> �c� �vthat | undena�/ndthmttheregu|��onoofoth�rgovernmentaQgno)eannay �pp|ytotheintendodvvork. andthat � )a
<br /> my responsibility to identify what actions | must take tobeincompliance. Such agencies include but are not limited to:
<br /> ' Department of Environmental Protection-Cypress Bayheada' Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> Southwest Florida Water Management Diatriut4Wa|\s, Cypress. Bayheade, Wetland Areas, Altering
<br /> VVota,Oouraen.
<br /> ' Army Corps ofEnginearo'Geawa\|a. Doohe. Navigable Waterways. ` '
<br /> ' Department of Health & Rehabilitative 8ervioeo/Environmanto| Health Und-VVeUa^ Wastewater Treatment,
<br /> Septic Tanks,
<br /> ' U8-Environmental Protection AQenoy'Aobe8toaabatement.
<br /> ' Federal Aviation/\uthohty-Runwayn.
<br /> | understand that the following restrictions apply tn the use offill:
<br /> - Use of fill ia not allowed \n Flood Zone Wp unless expressly permitted,
<br /> If the fill material is to be used in F|ood Zone "A". it is understood that a drainage plan addressing a
<br /> "compensating vo|unne" will be submitted at time of permitting which in prepared-by a professional engineer
<br /> ||oanoed by the State ofFlorida.
<br /> ' If the fillmaterial is to be used in Flood Zone "A" in connection with a permitted building using stem vva||
<br /> construction, I certify that fill vvU| bo used only to fill the area within thmsternwall.
<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 properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for lots |eau than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> � | 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 electrical vvorh,
<br /> p)umbing, a\gnai vve||s, pools, air conditioning, gas,,or other installations not specifically included in the application. A
<br /> permit issued shall baconateuedtobea license to proceed with-the work and not ao authority to violate, oance/. alter, or
<br /> set oeide any provisions of the technical codes, nor shall iaeuanoeofapernn� 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 in commenced within six months of permit issuance, or if work authorized by
<br /> the permit issuopendedor abandoned for u period,of six (G) months a�er the time the Work iacommenced. An extension
<br /> may be requested,.in writing, from the Building Official for a period not to exceed ninety (90) 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
<br /> TO OWNER: YOUR FAILURE TO RECORD A NOTICE O COMMENCEMENT MAY RESULT IN Y0OFl.
<br /> PAYING TWICE FOR IMPROVEMENTS T0YOUR PROPERTY IF YOU INTEND TO OBTAIN F[0ANC)KB.000SULTWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT,
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
<br /> by
<br /> Who's~~personally known o.""". .=.u.ev.uuuu:u Who is/are Pprsnnal/yknown oomeo,has/have produced
<br /> identification, as identification. '
<br /> Notary Public
<br /> Commission No. ,,%oy P
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<br /> �Commission No.
<br /> Notary Public -State of Florida
<br /> _- of Notary typed,-'--_- stampedExpires Jul 12,2020
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