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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject ho "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 ,contractoror
<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 |avv, both the owner and contractor May be cited fora misdemeanor violation
<br /> under atoba 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 at 727-847-
<br /> 8009. Furthermore, if the owner has hired o contractor or coDtroobzns. 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 haio not properly]ioenoed and is not entitled to permitting privileges in Pasco
<br /> OouOh/'
<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 bu||dinga, or expansion of existing bui|dinga, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07` as amended. The undersigned also underatanda, that such faea, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Faea'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, 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, neannended): |f valuation of work|a$2.500.OUormore, |
<br /> certify that |, the app|ioont, 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 than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver itbo the"ovvner" prior tocommencement.
<br /> CC}NTRACTQR'8/OVVNERIS AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable |evvo 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 a permit and that ail work will be performed to meet standards of all |avva regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. | also
<br /> certify that | understand that the regulations of other go*varnroent agencies may apply to the intended work, and that it (a
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department ofEnvironmental Protection-Cypress Beyheade' VVeUand Areas and Environmentally Sensitive
<br /> Lands,VVate[MaetevvetarTreatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheada. Wetland A«aeo' Altering
<br /> Watercourses.
<br /> - Army Corps ofEOginemro'Geovvo||S, Docks, Navigable Waterways.
<br /> - Department of Health Q Rehabilitative Sen/ioea/Environnnanta| Health Unh-Wa||o, Wastewater Treatment.
<br /> Septic Tanks.
<br /> - U6 Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authodtv'Runvvayo.
<br /> | understand that the following restrictions apply bzthe use uffill:
<br /> - Use of fill |o not allowed in Flood Zone'V'un|esa expressly permitted.
<br /> ' |f the fill hnotorie| is to be used in Flood Zone "/Y', it is understood that a drainage plan addressing a
<br /> "compensating vohzrne" vNU be submitted at time of permitting which in prepared by professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fiU'rnete,\a} is to be used in Flood Zone "/Y' in onDnacUoD with o permitted building using atnnn vva\\
<br /> construction, | certify that fill will baused only to fill the area within the stem wall.
<br /> - If fill material in to be used in any area, | certify that use of such fill Will not adversely affect adjacent
<br /> properties, If use of fill is found to adversely affect ad|omaOt properties, the owner may be cited for v(O|oUng
<br /> the conditions of the building permit issued under the attached permit application, for lots \eaa 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. | understand that a separate permit may be required fbr electrical vvork,
<br /> plurnbing, sigOs, vvn|\o, pools, air conditioning, Qaa, 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 violate, cancel, alter, or
<br /> aa{aaideonyprov|eioneoftheteohnioo| oodem. no[ahaUiasuancaofaperDitpreveDtthoBui|dingOff(oio| fronnthereafter
<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 suspended or abandoned for a period of six(6) months after the time the work is commenced, An extension
<br /> may be requested, in vvhting, from the Building Official for a period not to exceed ninety /00\ days and will demonstrate
<br /> justifiable cause for the extension. |f work ceases for ninety(QO) consecutive doyo' the job io considered abandoned.
<br /> .
<br /> VVA0Nl0G TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CC)K8K8ENCEKOGNT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sworn to(or affir d)befor�m�this Subscribed and sworn to(or affirmed)before me this
<br /> Who is/are p or has/have prodtzed Who is/are personally kno\�n to me or has/have produced
<br /> as identification. as Identification.
<br /> "A Notary Public Notary PublicurA —
<br /> Commission No. Commission No.
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