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<br /> NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may bosubject 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 a .monba6tor 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 Uoanaad as required by |aw, both the o'wnerand contractor may be cited for 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 ot727-847-
<br /> 8009. Fuhhennono, if the owner has hired a contractor or oontrook/ro, 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 /> conbactor, 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|dingo, or expansion of existing bui|dinga, as specified in Pasco County Ordinance numbnr8Q-O7 and
<br /> 90'07. as amended. The undersigned also undermtands, that such hsen, an may be due, will be identified ot the time of
<br /> permitting. it is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving o ^uarbOcote of occupancy" or final power na|eoae. If the project does not involve a certificate of occupancy or
<br /> final power release, the faaa must be paid prior to permit issuance. Furthermore, if Pasco CuuntyVVahur/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(Chapter 713, Florida Statutes, aaonnendmd): |f valuation of work io$2.500.OUor 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 of Agriculture and Consumer Affairs. |f the applicant issomeone
<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 dUo the^cwxner"prior bocommencement.
<br /> CONTRACTOR'S/OWNERySAFF|DAV|T: | certify that all the information in this application io accurate and that all work
<br /> will be done in compliance with all applicable laws naQu/oUn `oonotruobon. zoningano |anddave|opmenL Application is
<br /> hereby mode to obtain a permit to do work and installation as indicated. | n4tif/ 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 |nvva regulating
<br /> conctnmnt|on. County and {]b/ codes, zoning regulations, and land development regulations 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| must take tobeincompliance. Such agencies include but are not limited to:
<br /> - Department ofEnvironmental Protection-Cypress Bayhaedo, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> Southwest- 8outh �st Florida Water' Management District-Wells, Cypress Bnyheado, Wetland Amao, Altering
<br /> Watercourses.
<br /> - Army Corps ofEnginears-SeawoUs. Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-VVeUa, Wastewater Treatment,
<br /> Septic Tanks.
<br /> ' US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authorib+Runvvayn.
<br /> | understand that the following restrictions apply ho the use of fill:
<br /> - Use of fill is not allowed in Flood Zone Wr unless expressly permitted.
<br /> - If the O|| material is to be used in Flood Zone ^A^, it is understood that'a drainage plan addressing o
<br /> "compensating volume" will be submitted at time of permitting which is pneRored by professional engineer
<br /> licensed by the State ofFlorida. `
<br /> - If the 0| moboha| is to be used in Flood Zone ^A' in connection with a permitted building using absm wall
<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 OU 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 |euy than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan inrequired.
<br /> If| am the AGENT FOR THE OWNER, { promise in good faith to inhnnn 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 wmrk,
<br /> p|umbing, signa, wm||o, poo|s, air conditioning, gam, 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 vio|ot*, oanoe|, a|ter, or
<br /> aataoideonypvoviaionscfthatnohnica\cndao. norahoUioauanceofopennitp 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 iosuonma, 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 roquaated, in writing, from the Building Official for o period not to exceed ninety (AO) 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 AA ROVE NTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LEN6EkOR ANAUORNEY BEFORE RECORDING YOU NOTICE OffdOMMENCEMENT.
<br /> OWNER OR AGEN Jkj libi'l CONTRACTO
<br /> S�������"d"w"." Subscribed and '
<br /> iTVho is/are pe�s�nally known to me or hai;Aave PFQdUG Who is/are personally known to me or has/have pizedue
<br /> as identification. as identification,
<br /> Notary Public Notary Public
<br /> Commission wv FF985637 Commission No. FF985637
<br /> Bimoa&{.Holleran 8limoaM.BuDomu
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