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<br /> NOTICE (]FDEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed"restrictions"
<br /> which may be more restrictive than County regulations. The undersigned eaaunnaaresponsibi|ityforcon7p||encevvithany
<br /> applicable deed restrictions. '
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired o 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 \avv, both the owner and contractor n?�ybe cited fora nn\ad�rneanorviolation
<br /> under state 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 a contractor or contractoce, he is advised to have thb 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 on indication that heio notproperly]\oeneed 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 bui|d\ngs, or expansion of existing buildings, as specified in Pasco County Ordinance number 88'87 and
<br /> 00-07. as amended. The undersigned also understands, that such feeo, as may be due, will be identified ot the time of
<br /> permitting. It is further understood that Transportation Impact Fees'and Resource Recovery Fees must be paid prior to
<br /> receiving u "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, noaruendod>: \f valuation of work iaQ2.5OO.00or more, \
<br /> certify that |. the appUcant, 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 itto the"ovvner" prior tocommencement.
<br /> CQNTRACTOR'S/[)WNEF{`S AFFIDAVIT: | certify that all the information in this application in accurate and that all work '
<br /> will be done in compliance with all applicable lovva nagu|cd|ng oonebucUon, 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 all work will be performed to meet standards of all \ewa regulating �N
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<br /> construction, County and City codes, zoning regulations, and |oDd development regulations iO the jurisdiction. | also
<br /> certify that | understand that the regulations of other government agencies may apply to the intended work, 'and that it is
<br /> n�y responsibility toidmnt�yvvhat actions | rnust take tobeincompUonoe. S agendee |ndudebut are not\irn\tadto:
<br /> - Department ofEnvironmental Protection-Cypress Boyheodo, Wetland Areas and Environmentally Sensitive
<br /> Lands,VVatec8Waat6materTreatment.
<br /> - Southwest Florida Water Management Diatrict4NeUa, Cypress Bayheads, Wetland Areae, Altering
<br /> Watercourses.
<br /> - Army Corps ofEngin8ero-GeGKwo{|8. Docks, Navigable Waterways.
<br /> - Department of Health 8 Rehabilitative Serv\cea/Environmental Health Unit-We||a, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - U8 Environmental Protection Agency-Asbestos abatement. '
<br /> ~ Federal Aviation Authorit+Runvvoys.
<br /> | understand that the following restrictions apply to the use of fill: '
<br /> - Use of fill \a not allowed in Flood Zone"V"� unless expressly permitted.
<br /> - If the fill material is to be used in Flood ZODo "A', it is understood that e drainage plan addressing o
<br /> "conlponoatinQ volume" will be submitted at time of permitting which is prepared by o professional engineer
<br /> licensed by the State ofFlorida.
<br /> - If the fill material is to be used in Flood Zone "/Y' in connection with a permitted building using oLenn vva||
<br /> construction, | 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, \ 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 ovvOar may be cited for violating
<br /> the conditions Oftho building permit issued under the attached permit application, for lots |eao than one /1\
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> \f \ arn 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. l understand that a separate permit may be required for electrical vvork,
<br /> p\urnbinQ, aigne, vve||a' poo\s, air nondit|oDing, gas, or other installations not specifically included in the application. /\
<br /> permit issued ahoU be construed to be a (\uanee to proceed,with the work and not as authority to vio|ate, cancel, e\tar' or
<br /> set aside any provisions of the technical bodes, 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 beconneiOvoUd
<br /> unless the vvorkauthorized by such permit is commenced vvithin-e|xrnontha ofporrnitissuance, orif work authorized. by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work\scommenced. An extension
<br /> may be requested, in YvhtiOQ' from the Building Official for a period not to exceed ninety (SO) 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 NOT[ E OF COMMENCEMENT 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-
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<br /> FLORIDA JURATL(F.S.-I 1-7 03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sworn to(or affi�ped)b�fore me this Subscribed and sworn to(or affirmed)before me this
<br /> Who is/are personally known to me or has/have produced Who is/are personally knov�n to me or has/have produced
<br /> as identification. as identification.
<br /> Notary Public Notary Public
<br /> Commission No. Commission No.
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