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<br /> NOTICE C]F DEED RESTRICTIONS: The undersigned undenstaDds that this permit may be subject to."dead"naethctione"
<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 oontrnctor 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 |ovv, both the owner and contractor may be cited for a misdemeanor violation
<br /> under abate 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. Fudbernnona' if the owner has hired a contractor or ooOLrnotora, he is advised to have the contractor(s) sign
<br /> portions of the "contractor B|o&' of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may beon indication that ha |s notproper|y]inanoad and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPOR[ATIONlK8PACT8JT]LlT|ES IMPACT AND RESOURCE RECOVERY FEES: The undem(gnedundnr�ando
<br /> that Transportation Impact Fees and RauVuraa Recovery Fees may apply to the construction of new bui|dings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 00-07' as amended. The undersigned also underatandn, that such fees, a's may be due, will be identified et the time of
<br /> permitting. It is further understood that Transportation Impact Feeo'ond Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. (f the project doeonot (nvo|vaaoerUfioateof000upmnoyor
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore. if Pasco CnuntyVVater/Sevver 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, osarnanded): |f valuation of work ia $2.5O8.OUormore, |
<br /> certify that |, the appUuant, have been provided with a 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 is someone
<br /> other than the "mvvnar", | certify that \ have obtained mcupyofthe �bov� described document and promise in good faith to
<br /> dnUveritto the"ovvne� pdort000nlnnenmsnnenL '
<br /> CQNTRACTOR/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 lsmvo regulating uonabuction, zoning and land development. Application is
<br /> hereby made to obtain o 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 laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. | also
<br /> certify that | understand that the regulations of other go'vernment agencies may apply to the intended work,
<br /> "nd that it |m
<br /> n�yreapOna\bU\tyto >dant�vVvhatacUona | rnuat take tobeincompUance. Such agencies indudebut are not Unn\tedto:
<br /> - Department ofEnvironmental Protection-Cypress Bayheodm' VVed|ond Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management [}ietdot4WaUa� Cypress Bayheeda, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps ofEngineens'QeawoUs, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-wells, VVaate*vetor Treatment.
<br /> Septic Tanks.
<br /> - U8 Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation AuthV[ity-Flummaya.
<br /> { understand that the following restrictions apply to the use Vffill:
<br /> ' Use of fill |a not allowed |n Flood Zone"\y' unless expressly permitted.
<br /> - If the fill hnabada) is to be used in Flood Zone "A', it is understood that a drainage plan addressing a
<br /> 11co0penpating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State ofFlorida.
<br /> ' If the fill,material is to be used in Flood Zone "/Y' in connection with a permitted building using stem vva||
<br /> construction, | certify that fill will be used only to fill the area within the stem wall.
<br /> ' If fill nn8bsrin\ 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 |oba |ama than one /1\
<br /> acre which are elevated by fill, on engineered drainage plan iorequired.
<br /> |f | omthe 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 cornrnoDoing construction. i understand that separate permit may be required for electrical vvnrk,
<br /> p|Umbing, oignm, vva||s, pou|a' air conditioninA, gna, 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, no,r 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 [equaatad, in wTdUng, from the Building Official for o period not to exceed ninety /AO\ days and will danlonatrate
<br /> justifiable cou's8 for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> .
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS T0YOUR PROPERTY. IF YOU INTEND T0OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> ovVNERORAaEN CONTRACTORSubscribed a6d sworn to(or affirryd)befor thi Subscribed and sworn to(or affirffed)before me this
<br /> Who is/are personally known to me or has/have prodticed Who is/are personally known to me or has/have produced
<br /> as identification. as identification.
<br /> `^-�-^�~--- -- ^ otaryPub|ic NotaryPub|ic
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<br /> Commission No. Commission No.
<br /> Name of Notary typed—,printed orstamped-�, Name of Notary typed,printed or stamped
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