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NOTICE [�F DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<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 o contractor or
<br /> contractors
<br /> 'to undertake vvork, they nneyba required tobe licensed \n accordance xvithstate and local regulations. If the
<br /> contractor is not licensed as.required by iavv, both the owner and contractor may be cited for o misdemeanor violation
<br /> under state law. If the uvvnar 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. Furthermore, if the ovvOe[ has hired o contractor or contractors, he is advised to have'thb 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 /> contractor, that may baan indication that heio notpropady]|cenaed 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 buUdinge, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also undaratands, that such fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Feea*mnd Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" nr final power release. |f the project does not involve a certificate of occupancy or
<br /> final povverre|enoe. the fees must be paid prior to permit issuance. Furthermore. if Pasco CountyVVater/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, aoannended): |f valuation of work ia $2.5OO.00or more, \
<br /> certify that |, the applicant, have been provided with o copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture andConnu[ner Affairs. 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|tto the"ovvner" prior tocommencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information N 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 |natoUoUoD on indicated, | certify that no work or |neto||gUnn has
<br /> commenced prior to issuance of permit and that all work will be performed to meet standards of all !swvo regulating
<br /> conatruction,-Countyond City codes, zoning regulations, and land development regulations in the jurisdiction, | also
<br /> certify that | understand that the regulations of other go*vernmentagencies may apply to the intended work, 'nd that it is
<br /> nny responsibility tn |dont�vvvhadonUona | must take tobeinoompUanoa. Such agencies indudebut are not)}nn|hadto:
<br /> ' Department ofEnvironmental Protection-Cypress Bayhemda, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management Diatrict4NeUa, Cypress Bayheada. Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps ofEngiDoera-Geavva||a. Docks, Navigable Waterways.
<br /> ' Department of Health & Rehabilitative Servicaa/Env|ronmental Health Unit4We||m, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - OS Environmental Protection Agency-Asbestos abatement,
<br /> - Federal Aviation Author|ty-Runvvaya.
<br /> ( understand that the following restrictions apply hm the use offill: ~
<br /> ' Use of fill iu not allowed in Flood Zone"\y' unless expressly permitted.
<br /> ' |f the fill nnabaha| in to be used in Flood Zone 'YY'. it is understood that a drainage p|oO addressing a
<br /> "oomp8neoting volume" will be submitted at time of permitting which is prepared by o professional engineer
<br /> licensed by the State ofFlorida. �
<br /> ' If the 0| material is to be used in Flood Zone "Y' in connection with o permitted building using stem vva||
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, | certify that use of such fill will: not adversely affect acU000nt
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions ofthebui)d\ng permit issued under the attached ponn)t application, for lots |eoe than one (1)
<br /> acre which are elevated by fill, on engineered drainage plan iarequired.
<br /> |f | 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 b] commencing construction. I understand that a separate permit may be required for electrical work,
<br /> p|umbing, oigOs, vve||n, pools, air cnDditinning, gas' or other installations not specifically included in the application. A
<br /> permit issued shall be construed tobaa licaDnetoprooeedwiUhtbevvorkandnotaoaothbritvtovlo|ate' oanws\. a|ter. or
<br /> set aside any provisions of the technicalbodes, 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 /> un|aao the work authorized by such permit is commenced within-six months of permit imsuonoe, 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 vvht|ng, from the Building Official for period not to exceed ninety (AO) days and will demonstrate
<br /> justifiable c8u'sa for the extension. |f work ceases for ninety(9O) consecutive days, the job is considered abandoned.
<br /> .
<br /> WARNING T0OWNER: YOUR FAILURE TO RECORD AN[JTyCEOFCOMMENCEMENT MAY RESULT \N YOUR
<br /> —PAYING TWICE FOR-IMPROVEMENTS TO YOUR PROPERTY. lF YOU-INTEND TQ0BTA)NF\NANC1N{y,lO0SULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sworn to(or affl ed)b �me this Subscribed and sworn to(or affirmed)before me this
<br /> by _DtedN\rtR t11%\1rT110r1L\,k by
<br /> Who is/are personal] nown Me or has/have produced Who is/are personally kno\�n to me or has/have produced
<br /> Notary Public Notary Public
<br /> Commission No. Commission No.
<br /> .
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