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<br /> NOTICE OF DEED : The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive thanCounb/ nsgu|oUona. 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 vvork, they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by |avv` 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. Furtherrnore, if the owner has hired e contractor or contnaotoro, 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, an the owner sign as the
<br /> contractor, that may be an indication that he ia not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATIONUMPACTIUTULUTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply bo the construction of new buUdingo, change of
<br /> use in existing bui|dingo, or expansion of existing bu||dings, as specified in Pasco County Ordinance number 89-07 and
<br /> 80-07. as amended. The undersigned also undonatando, that such feoo, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Faaa rnuod be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. |f the project doeanctinvo|vemcartificoteofocouponoyor
<br /> final power rs|eamo, 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(Chepter713, Florida Statutes, as amended): |f valuation of work is$2.5OU.OUormore, |
<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 of Agriculture and Consumer Affairs. If the applicant is aunoeono
<br /> other than the"owner'. | certify that| have obtained o copy of the above described document and promise in good faith to
<br /> deliver}tto the^mwnmr" prior tocommencement.
<br /> CONTRACTOR'S/OWN EFK`SAFFIDAVXT: | certify that all the information in this application is accurate and that all work
<br /> will be dune in compliance with all applicable |eume regulating conotuunUon, 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 |owo regulating
<br /> conmtnuoUon. County and City codes, zoning regulations, and land development regulations in the jurisdiction. | also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility identify what actions| must take to be in compliance. Such agencies include but are not Un|bsd to:
<br /> - Department ofEnvironmental Protection-Cypress Bmyhogdn. Wetland Areas and Environmentally Sensitive
<br /> Lands,VVotenWaotevvatarTpaotmenL
<br /> ' 8oVUlvveot Florida Water yNonogonnent []iathot-8AaUa. Cypress Bayheodo, Wetland Aneaa, A|bohng
<br /> Watercourses.
<br /> - Army Corps ofEng\nemo+8eavvm|\s. Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Un|t48e||s, VVaetovvabar Treatment,
<br /> Septic Tanks.
<br /> ' US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runwoyo.
<br /> | understand that the following restrictions apply to the use offill:
<br /> - Use of fill |e not allowed in Flood Zone"V~ unless expressly permitted.
<br /> - If the 0| rnoteha| is to be used in Flood Zone ^A", it is understood that o drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed bv the State ofFlorida.
<br /> - If the fill material is to be used in Flood Zone ^/Y' in connection with a permitted building using abann vva||
<br /> construction, | certify that fill will be used only tofiU the area within the stem wall. -
<br /> - If fill nnoteha| is to be used in any area, | certify that use of such fi|| will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent propedies. 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\ onn the AGENT FOR THE OWNER' | 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 /> p|urnbin0, aigna, m/eUs, poo|o, air conditioning, gos, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to boa license to proceed with the work and not aa authority to vio|mba, oancei, a|bor, 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 oonnrnanoad within six months of permit iaauance, 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 naquested, in vvhUng, from the Building CJfhoio| fora period not to exceed ninety (AD) 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 ANOT|CE OF COMMENCEMENT MAY RESULT I0YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OE COMMENCEMENT.
<br /> FLORIDA JURAT(F.S. ;:�V
<br /> OWNER OR AGENT (I L — CONTRACTOR-1w ('4
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirm ed)6e-fo re me this
<br /> Who 0—are—personally known to me or has/have produced Who is/are personally known to me or has/have produced
<br /> as identification. as identification.
<br /> otarvPumm NotaryPumm
<br /> Commission No. Commission No.
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