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<br /> NOTICE OFDEED 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 with any
<br /> applicable deed-restrictions.
<br /> UNLICENSED CONTRACTORS AND`-CONTRACTOR RESPONSI61LITIES: - if-the*owner-�has�chiee l a-:contractor=or
<br /> contractors-to undertake work, they maybe-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.intende&contractor.are uncertain as to what-licensing requirements may apply,for. the .
<br /> intended work, they are advised to contact the Pasco CountyBuilding-Inspection Division--Licensing Section at 727-847-
<br /> 8009. Furthermore_if the owner has,ahired�a-Lcontractor 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 be"an 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,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: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,,iffPosco County.Water/Sewer Impact
<br /> fee&are.due,_they.must be paid-prior to permit:issuance in accordancewith applicable Pasco County ordinances..:
<br /> CONSTRUCTION"LIEN-LAW(Chapter 713, Florida.Statutes,as-,amended): If valuation of work is$2,5.00.00.or more,I
<br /> certify that 1,�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 tharrthe"owner". I t ertify-that-I have obtained a copy,of-the above described document and-promise'in good'faith'to
<br /> deliver it to the"owner":prior commencement..
<br /> CONTRACTOR'S/OWNER'S,'AFFIDAVIT:'.I,certify,that all the-information-in.this application-is accurate and that-ail-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 wbrk,4ndsin6taIfatIon°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'Citycodes,-zoning regulations, and 1and!Aevelopment regulations in the jurisdiction., I talso:
<br /> certifythat"1 understand that the regulations of other:government agencies may apply to the intended work, and than 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 Bayheads, Wetland Areas and-Environmentally Sensitive
<br /> -Lands,Water/Wastewateffreatment. a
<br /> Southwest Florida Water 1Vlanagemenf District-Wells, Cypress Bayheads, Wetland Areas;. Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls;Docks,:Navigable Waterways.
<br /> Department of Health & Rehabilitative Services/Environmental- Health-:-UnitlWells, Wastewater Treatment,
<br /> Septic Tanks. ,
<br /> - US;Environmental:P.rotection.Agency!Asbestos;abatement..
<br /> Federal Aviation Authority�Runways:,
<br /> I understand that the-following restrictions apply tathe use of fill:-.
<br /> Use of fill is not allowed in1Flood.Zone"V"dnless: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 enginser
<br /> licensed by the State of'Florida.
<br /> If-the fili..material is:to:be used .in Flood Zone T"X:in-connection with a permitted building using stem..•wall .
<br /> construction,1 certify;thatfill will be,:used only tafill,the:area�within the stem wall.
<br /> if fill material is.to be used in any, area, l certify-that use�of-'sach 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 faith1d,informethe.owner-of the permitting,conditions set forth.in
<br /> this affldavit.prior to commencing construction. I understand*that-a separate permit may'be-required-forelectrical work,
<br /> plumbing;:-signs,:wells;pools,,-.air.con di'
<br /> titining,,,gas, or other-installations-.not.specifically. included in the:appiicatlon. :A
<br /> permit issued shall be construed to be a license;to proceed with the work and hot as authority to violate, cancel; alter, or
<br /> set aside anyprovisions-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 4
<br /> the permit-is suspended-or abandoned#or-a-period-of•s.ix(6y 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 forthe'extension. if:work-ceases*for:ninety(90}'consecutive days,the job is considered abandoned.
<br /> WARMING TO-.OWNER: YOUR FAILURE TO':RECORD.A NOTICE-OF COMMENCEMENT.MAY RESULT:IN YOUR
<br /> PAYING TWICE-FOR�IMPROVEMENTS�TO,YO.UR PROPERTY.;:IF!YOU::INTEND.TO OBTA'IN"FINANCING;.CO_NSULT
<br /> --Wi'!'H'YOUR L-ENDER,OR AN; TTO EY FORE RECORDING.YOUR:N TICE.OF-C MMENCEMENT.
<br /> FLORIDA:JURAT(F.S:117.0 -- — - `_�_ _ '
<br /> OWNER ORAGENT% � CONTRACTOR ' ~
<br /> S scribed and:i o ffi ed): pre: e,this, S,u scnbe_d:ari d (or affirin ybef e m this
<br /> h /are personal y known t me or has/have produced Who Is/are'pe o y'known tome or has/have produced
<br /> .►�r�tc`o2aS� as identification. �rr1�+- as identification.
<br /> 4u�A 46) _ Notary Public{ ,
<br /> Notary,Public
<br /> C I )-
<br /> m 'sio No Cam sion N
<br /> Name of Notary typed,printed or stamped Name of Notary typed,:printed or stamped
<br />
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