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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 with any
<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 law,both the owner and contractor may be cited for a misdemeanor violation
<br /> under state taw. 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 a contractor or Contractors, he Is advised to have the contractor(g) 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 property licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTA71ON IMPACTIUTILITIES 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 8"7 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 priorto
<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,as amended): If valuation of work is$2,600.00 or more,I
<br /> cattily that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Llaw�-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 it to the"owner"prior to commencement.
<br /> CONTRACTOWSIOWNER'S,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 laws regulating construction,zoning and land development. Application is
<br /> hereby 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 wank will be performed to met 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 thet 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 Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Watiand Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers Seawalls,pocks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative ServioesiEnvironmental 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 die use of flit:
<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 /> "compensating volume"will be submitted at time of permitting which Is prepared.by a professional engineer
<br /> licensed 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 stein wall.
<br /> - If fill material is to be used to any area, I certify that use of such fill will not adversely, affect adjacent
<br /> properties. If use of till 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 lats.less than one(1)
<br /> acre which are elevated by fill,an engineered drainage plamis 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,welts, poois,air conditioning,.gas,or other Installations not specifically Included In the application. A
<br /> permit issued shall be constnued to be a license to proceed with the work and not,as authority to violate,,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building.Official frornAhereaffer
<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 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 /> MAYOR LENDER Oft AN AST 'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> Fl RIDAduIT(F.S.f17.03) i
<br /> OWNERORAGENT CONTRACTOR I<f yi,n t 11f��1
<br /> Subscribed and swom to(or otnmed)before me this Subscribed and vnm to(or affirmed)before me this
<br /> Eby -Fiala by
<br /> Who Ware personalty known to me or hasNave produced W o ware personattykn tc me or hasdmave produood
<br /> os.idendflgtion. t�e.rsonalfim f asIdentlflcation.
<br /> Notary Public f AIJV otary Public
<br /> Commission No. Comma n No.
<br /> Name of Notary typed,printed or stamped
<br /> Ai4NiFER LYNN PAPi1AN
<br /> NotaryPubiic State of Florida
<br /> Commission q GG 276210
<br /> •..,•oFr�! '' my Comm.Expires Nov 20,2022
<br /> "'Sanded through National Notary Assn.
<br />
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