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<br /> NOTICE OF 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 vvithany
<br /> applicable deed restrictions,
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor 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 e misdemeanor violation
<br /> under state law. If the nvvnor or intended contractor are uncertain an 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. Furthernnore, if the owner has hired o contractor or contractors, 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 /> contractor, that may bean indication that hoio not propedy]|uenaed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IK8pACT8JTlLlT\EG 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 buUd|nQa, or expansion of existing buildings, as specified in Pasco County Ordinance nunnber8S-U7 and
<br /> 90-07' as amended. The undersigned also undaratonda, that such feoa, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Feaa'and Resource Recovery Fees must be paid prior to
<br /> receiving o "certificate of occupancy" or final power na|eeae. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore' if Pasco CountyVVatar/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, aeanmended\: If valuation of work is $3.5OO.00ormore, \
<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
<br /> '(�onounner/#fairs. If the applicant is someoneotharthanthe"ovvnor". | oertifythnt | hsweobto|nedacopyoftheabovedescribeddocurnentandpronniae |ngoodfaith.to
<br /> deliver itto the"ovvnar" prior tncommencement.
<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 work and installation as indicated. | certify that no work or installation has
<br /> commenced prior to issuance of o permit and that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning nngV\ntiono. 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 to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department cfEnvironmental Protection-Cypress Bayhoode, Wetland Areas and Environmentally Sensitive
<br /> Lands.VVate[8lVonteYvoterTraotnOont.
<br /> ' Southwest Florida Water Management Diethot-WeUe, Cypress Bayheada, Wetland A,eaa, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Sorvicea/Environmental Health Unit-Ne||o, Wastewater Treatment,
<br /> Septic Tanks.
<br /> ' UG Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation Authnr\ty-Rumwoya.
<br /> \ understand that the following restrictions apply tO the use offill: '
<br /> ' Use of fill is not allowed in Flood Zone "\/` un|oao expressly permitted.
<br /> ' If the fill material is to be used in Flood Zone 'A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by h of Florida.
<br /> ' |f the fill material i8tobeused in Flood Zone "Y' iO connection with o permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill nlabar(a) is to be used in any area, { certify that use of such fill will. not adversely offaot adjacent
<br /> properties. If use of fill is found to adversely affect adjacent propertieo, the'ovvne[ may be cited for violating
<br /> the conditions ofthe 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 isrequired.
<br /> If I 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 o separate permit may be required for electrical vvork,
<br /> plumbing, oigna, vveUo, pools, air conditioning, gas, or other installations not spoud]oa||y included in the application. A
<br /> permit issued ahnU be construed to be o license to proceed with the work and not aa authority toviolate, oance|, o|ter, or
<br /> set aside any provisions of the technic@ I'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 /> un|aae the work authorized by such permit is commenced vvithin'aix months of permit |sauoOoe' 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 writing, from the Building Official for a period not to exceed ninety (00) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
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<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR ANATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed arfd sworn to(or affir ed)b for�me this Subscribed and sworn to(or affirmed)before me this
<br /> Who' own to me or has/have produc Who is/are personally knov�n to me or has/have produced
<br /> as identification. as identification.
<br /> Notary Public Notary Public
<br /> Commission No. Commission No.
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<br /> N d Name of Notary typed,printed or stamped
<br /> ' gr,�,State of p
<br /> My Commission Expires
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