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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
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<br /> applicable deeds 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 law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> j Intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractors) 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,thatimay be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County. __ _
<br /> TRANSPORTATION IMPAU'IIU I ILI I Its IMPA(;I ANU Kt,UUK(;t KE(:UVEKT i tt' 6: I ne undersigned undersiands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to 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 /> 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
<br /> permitting. it is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a°certificate of occupancy"or final pourer 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, 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(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that I, 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 someone
<br /> other thorn the",c:vne?',1 ccrtl that I have obtained a copy of the above deccribed document and promise In good faith to
<br /> deliver it to the 1 owner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the Information in this application is accurate and that all work
<br /> will be done in icompliance with all applicable laws regulating construction,zoning and land development. Application Is
<br /> herby made to obtain a permit to do work and installation 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 and City codes, zoning regulations, and land development regulations in the jurisdiction. I 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 of Environmental Protection-Cypress Bayheada,Weiland Areas and Environmentally Sensitive
<br /> I-ands Water/WastewaterTreatment.
<br /> SoL;thwest Florida Water Management District-Wails, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US;,Environmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use of fill Is not allowed In 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 /> "nmmpnno.dinn vv!ur.e"Innl he cnhm!tted of time of—rrni inn whrnh rc nrenarad h\i n nrnfeccinnai engineer
<br /> liccil by the State of Florida.
<br /> - If the fill material is to be used in;Flood Zone "A" in connection with a 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 material Is to be used in any area, I certify that use of such fill 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 less than one(1)
<br /> acre which are elevated by fill,an engineered drainage plan 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 affidavit prior to commencing construction., I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs,wells, pools, air conditioning,-gas,or other installations not specifically included in the application. A
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<br /> set aside any jirovislons 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 commenced within six months of permit Issuance,or if work authorized by
<br /> the permit is stispended 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(90)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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,.CONSULT
<br /> WITH OUR 6ENDER OR AN ATTORNEY BEFORE RECORDING OUR NOTICE OF COL IIENCEMENT.
<br /> OWNER OR AGE CONTRALTO
<br /> u nh and s,. Mimed)before�mVa this Sill bu d and. efflrmed before me this
<br /> Who Islare` I-onally kno to me or has/have produced Who Istarril ly kn me or ha have produced
<br /> as identll as identification.
<br /> i7
<br /> Notary tibttd Notary Public
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<br /> EXPIRES:February 23,2024
<br /> Bonded Thru Notary Public Underwriters' o:�a� 4;: AMANDA AC
<br /> I(ERSON
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<br /> �; '"y•, '�:' EXPIRES:February 23,2024
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