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<br /> NOTICE CF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may ba more restrictive than Couqtyregulations. The undersigned aoeumeareoponoibi|ityforounnp|ioncevvithany
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired u contractor or
<br /> oontraotora.toundedakevvork` theymoybaraqukedtobe |ioenaedinaouondonoovithotuteand |uoo| ragu|abone. If the
<br /> contractor is not licensed as.required by |ovv, 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 /> intended work, they are advised to contact the Pasco County Building Inspection Div|oion--Licenain{iSeobu� ot727'847-
<br /> 8009. Furthermore, if the owner has hired a ooO1[aoto[ or contractors, he is advised to have the contractor(s) sign
<br /> portiopo of the "contractor 0nok' of this application for which they vvi||be responsible. If you, as the owner sign as the
<br /> contraotor, that may be an indication that he is not prop edy1|oenaed and in not entitled to parnn|tbnQ privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undemignedunderstands
<br /> that Tranmpor�dionImpact Fees and ��ecouraeFleomvoryFees may apply to the oona�uctimnof new buildings, change of
<br /> use in exisdng buUdingo, or expansion of existing buildings, as specified in Pasco County Oniinanoe'nunnber 88-07 and
<br /> 90-07. as amended. The undersigned also- understands, that such fees, as may be due, will be.identified et the time of
<br /> permitting. |tiafurtharunderabbod.thatTiansportotion |rnpactFeeo'andResourueRecoveryFeaanouofbepa|dpriorto
<br /> receiving o "certificate of occupancy" or final power release. If the `ect does not involve auer�fCuteofoocupanoy'pr
<br /> final povverrelease, 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, amernended>: |f valuation of work is $2.5OO.00ormore, |
<br /> certify that |` the eppUcent, have been provided with a copy of the "Florida Construction Lien,Law—Homeowner's
<br /> Protecdon Guide" prepared by the Florida Department of Agriculture and.Consumer Affairs. If the applicant ia someone
<br /> other than the "owner", | certify that | have obtained a copy of the above described document and promise in goodfalth to
<br /> deliver itto the"ovvner"prior tocommencement. '
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: | 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 oonabu:Uon, 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 |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 government agencies may apply to the intended work, *nd that it is
<br /> nl�roaponsibUityboidnnt�/vvhot actions i��uet take bobaiDcompliance. Such agencies indudebut are not|\mitedto:
<br /> Department ufEnvironmental Protection-Cypress Bayhoada, Wetland Areas and Environmentally Sensitive
<br /> LaDds,VVuter/WastgYveierT[eatOnant.
<br /> ' Southwest Florida Water Management D|atr|ot4WeUa' Cypress Bayheada, Wetland Areas, Altering
<br /> Watercourses.
<br /> ' - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health Q Rehabilitative Serv\cea/Envinonmental Health Unit4Wo||s, Wastewater treatment,
<br /> Septic Tanks.
<br /> ' UB Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation AuthorUx-Flunvvayn.
<br /> | understand that the following restrictions apply to the use offill: '
<br /> - Use of fill ia not allowed iO Flood Zona,''V^' unless expressly permitted,
<br /> - If the fill nnabaha| 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 thefiU material is to be used in F|ood ZoOe'"A. in connection with a permitted -bui\diOg using stem vVe||
<br /> construction, | certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material in to be used in any area, i certify that use of such fill-will: not adversely ufh*Pt adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions ofthe bui|ding permit issued under the attached permit application, for'|ota (aes than one (I)--
<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 for electrical vvork,
<br /> p|UrnUiDg, aigDa, vveUe, pools, air conditioning, gas, or other iOabaUot|ono not epecd5on||y included in the application. A
<br /> permit issued shall be construed to be o license to proceed with the work and not as authority to vio|ote, cancel, a\ter, or
<br /> set as ide any provisions of the technical'codes, no*r 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 /> un|aaa the work authorized by such permit is commenced within aix months of permit isauaOoe, 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 o period not to exceed ninety /90\ day and will demonstrate
<br /> justifiable cau'se for the extension. If work ceases for ninety(90) consecutive days, the job is considered abandoned.
<br /> WARNING TO OVVNGFl: YOUR FAILURE TO RECORD /\ NOTICE 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.
<br /> OWNER O `AGENT CONTRACTOR
<br /> Subscribed and sworn to(or affir ed)b for�me this Subscribed and sworn to(or affirmed)before me this
<br /> by
<br /> Wh IJZTSOPMIJ�known to me or has/have produced Who is/are personally kno\�n to me or has/have produced
<br /> as identificaflon. as identification.
<br /> '
<br /> Notary Public Notary
<br /> `
<br /> Public
<br /> Commission No, Commission No.
<br /> '
<br /> Name~Notary yr~~ printed or stamped
<br /> LL
<br /> OLLY
<br /> State of Florida-Notary Public
<br /> My Commission Expires
<br /> July-12, 20227
<br /> ��'��
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