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NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"
<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 on required by |aw, both the owner and contractor may be cited for 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 Division—Licensing Section at 727-847-
<br /> 8009, Furthermora, if the owner has hired a contractor or oontuaotono, 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 /> ounbantnr' that may beon indication that he in not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IKAPACTYUl0Ul0ES |KOpACT 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|dingm, or expansion of existing bui|dingo, as specified in Pasco County Ordinance numberD0'U7 and
<br /> 0O-U7' ooamended. 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 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 CountyVVotor/Smwer 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,emomnemdeg): |f valuation of work io$2.5O0.00ormore, |
<br /> certify that |. the app|icant, have been provided with a copy of the "Florida Construction Lion Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. |f the applicant iosomeone
<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''owner" priorto commencement.
<br /> CONTRACTOF1'S/OWNERySAFF|DAV)T: I certify that all the information in this application is accurate and that all work
<br /> will he done in compliance with all applicable laws regulating oonntruction, zoning and land development. Application is
<br /> hereby mode to obtain o permit to do work and installation as indicated. | certify that no,wmrk or installation has
<br /> commenced prior to issuance of permit and that all work will be performed to meet standards of all \mwa regulating
<br /> construction, County and City ondes, zoning regulations, and land development regulations in the jurisdiction. | also
<br /> certify that I understand that 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 ofEnvironmental Protection-Cypress Bayheoda, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida VVabar Management District-Wells, Cypress Bayheado, Wetland Anyoo, Altering
<br /> Watercourses.
<br /> - Army Corps ofEnginaera-GoawmUo. Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authnhb+Runwayu.
<br /> | understand that the following restrictions apply hn the use uf fill:
<br /> - Use cd fill iu not allowed in Flood Zone"V"unless expressly permitted.
<br /> ' I the fill material is to be used in Hood Zone "A", it is understood that e drainage | addressing o
<br /> "nompennaUng volume" will be submitted at time mf permitting which is prepared by professional engineer
<br /> licensed by the State ofFlorida.
<br /> - If the 0U mmhaha| is to be used in Flood Zone ^A" /n connection with e permitted building using ob»m wm||
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fi|( mobaha| is to be used in any area, | certify that use of such h|| will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely offaot adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for |nho |aoa than one (1)
<br /> acre which are elevated by fill, on engineered drainage plan iorequired.
<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 separate permit may be required for electrical work,
<br /> p|umbing, signn, vye||n, poo|o, air nond|Uon|ng, gas' 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 /> set aside any provisions of the technical codes, nor shall issuance of a permit preventthe 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
<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 nequeahnd, in writing, from the Building Official for a period not to exceed ninety (QO) 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 YOUR
<br /> Per|mm TWICE F�� CONSULT
<br /> WITH YOUR LENDEVOR AN ATTORNEY BEFORE RECORDING YOUR/WTICE OF
<br /> OWNER OR AGENT Opp CONTRACT
<br /> Subscribed and sworn t affirmed)bef®rg me this Subscribed and It ined) a this
<br /> 3, #0
<br /> if
<br /> pna a d)I s
<br /> Ila
<br /> ho is/are personally known to me or' Who is/are personally known to me or has/have pFedweed
<br /> identification. as identification.
<br /> Notary Public Notary Public
<br /> Commission No.— FF985637 Commission No.
<br /> IOiouM.Holleran Elisov&8.Holleran
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