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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit maybe 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 /> UNL`iCENSED CONTRACTORSiAND--CONTRACTOR RESPONSIBILITIES:-�-`lf-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 law, both the-owner and-contractor-maybe-cited-fora.misdemeanor violation
<br /> under.state_law....If_the._ownecor.intended'Icontractor,,are uncertain as to what-licensing.requirements may apply.forAhe . .
<br /> intended work,they are advised to contact the Pasco County-Bullding Inspection Divislon—L=icensing Sectlon at 727-847-
<br /> 8009. Furthermore,-.If.the. owner has�•hlred:acontractor or contractors, he is advised to have,the.contractar(s).,sign
<br /> portions-of-the--"contractor•-Block":of this.application for which.they will be responsible. 11"you, as the.owner sign as the
<br /> contractor, that may bean indication that he is not properly licensed and is not entitled to-permitting privileges in Pasco
<br /> County. s
<br /> TRANSPORTATION IMPACT/UTILITIES'IMPACT AND:RESOURCE RECOVERYFEES: The undersigned understands
<br /> that Transportation Impact Fees•and•-Recourse Recovery-Fees:may.applyto-the,construction:of new-buildings, change`-of
<br /> use:In existing.buildings, or expansion of existing buildings, as.specified in Pasco"County Ordinance-number 89-07 and
<br /> 90-07i-�as-amended. The undersigned..also..understands,.that-WO,fees, as may be due, will be identified at the.time•of
<br /> permitting. It is further -understood.-that'Transpoddation:lmpact Fees and Resource Recovery Fees must be paid prior. to
<br /> receiving a "certificate of.occupancy" or final power release.. 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,Af`?asco County Water/Sewer Impact
<br /> fees•are.due,_theymust be paid.prior to permit.issuance,in accordancewith applicable,Pasco County ordinances.,..
<br /> CONSTRUCTION-LieN'LAVII(Chapter713;Florida.Statutes,as..amended):-.if valuation of work is$2,5.00.00 or more, 1,
<br /> certify-that i;-the-applican -t-, have-been provided-with.a-.copy.of.the..."Florida-•Construction,'L-ien Law Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and,Consumer Affairs. If the applicant is someone
<br /> otherthan'.the"owner"; I-certify-that1hamobtained a copy-of-the above described�document-and,premise in good'faith'to
<br /> deliver it to the"owner".prior to commencement.. .
<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,`zon..ing_arid.'Iand:development. -Application is
<br /> hereby made to obtain a permit to do workz at d yin''ttallation,as•indicated. I certify that .no work or installation has
<br /> commenced prior to issuance of a permit and.that all work will ;be performed.-to meet-standards of all laws regulating
<br /> construction; County a6d7�City'codes; zoning regulations, and.aand :development regulations.in the jurisdiction:. I oalso
<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'agencles--include,but are not limited to:
<br /> Department of Environmental.Protection-Cypress Bayheads, Wetland Areas and-Environmentally Sensitive
<br /> ...Lands,Water/Wastewater,,Treatment. i
<br /> Southwest Florida Water :Management DistrlctVells,' Cypress Bayheads, Wetland Areas;- Altering
<br /> Watercourses. j
<br /> Army Corps of Engineers-Seawalls,Docks,::NavigabW Waterways.
<br /> Department.of Health & Rehabilitative Settvices/Environmental-Health-•Unit=Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US Environmental=P-,,r..otection.AgencyAsbestos,abatement.
<br /> Federal Aviation Authority-Runways
<br /> 1 understand-that the.following restrictions apply:to the use of fill: ,!Use of_filVis not allowed--ih'�Flood.Zone"V"unless;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.subrAitted•at time of permitting which is prepared by a professional engineer
<br /> licensed by'the State ot'Florida I
<br /> -1f.the fill-.-material is to:be, used.in Flood Zone.°:Jh�connectlon with a permitted building. using stem...wall,
<br /> construction,'I certify;thaVfill will be;usetl onlyto;fillithe-area-within.the stem wall.
<br /> If fill-material is-to be used' in any:area, I certify-that use--of-such fill-WII-not-adversely affect•adjacent
<br /> ,properties.--if use-of fill1s.found ito 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-less-than one (1)
<br /> acre-which:are-elevatedby:fill,.an.engineered drainage-pian;is required.
<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�affidav it.prior to commencing construction. I understand-that'a separate permit.maybe-required,for--electrical work,
<br /> plumbing;:signs;..wells; pools,,air conditioning,.,.gas, or other instaliations-not:.specifically_included .in the:application:•.A
<br /> permit issued shall be construed to be a license to.proceed with jthe-work and'not as authority to,violate,"cancel, alter, or
<br /> set aside any provisions-of-the technical-codesi:-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 commenced within six months of permit issuance, or if'work`authorized bykr
<br /> the:permitls suspended-or abandoned for a-perlodof•six(6ymo6ths7after.-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.(90) days-and will demonstrate
<br /> justifiable cause for the,extension;-Wwork-ceases forninety(66);86nsecutive days,the job is considered abandoned.
<br /> WARNING TO:,OWNER: YOUR FAILURE TO:RECORD.A NOTICE-OF-COMMENCEMENT.MAY RESU.LT.IN YOUR
<br /> PAYING TWICE!FOR=IMPROVEMENTS TO,;YCiUR PROPERT;Y;:'IF.YOU-INTEND,TO,OBTAIN FINANCING;:CONSULT
<br /> WlTH,YOUR LENDER•OR:AN::ATTORNEY�BEFORE,RECORDING.YOUR NOTICE-OF COMMENCEMENT: ,
<br /> FLORID'A,JURAT(F.S'.117.0 )
<br /> OWNER OR;AGENT "�— _ CONTRACTOR
<br /> Subscribed:and-sw. .,to(orF ffirmed)_before:me,this- subscribed an8 s` or fHrm b
<br /> by
<br /> Who this
<br /> �y 'a�, f� ,�.r�=�'r✓
<br /> Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
<br /> as identification. asIdenilfcation. `
<br /> Notary Public Notary:Public
<br /> Commission No. 1.Commiss I ion.No.
<br /> Name of Notary typed,printed or stamped Name oflNotary typed„printed or stamped
<br />
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