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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 AESFO^S\B1UT|ES: 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 |mm, both the owner and contractor may be cited form misdemeanor violation
<br /> under eioba 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. Furthennore, if the owner has hired o contractor or oontnoubore, 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 /> contnyctor, that may beon indication that he is not properly licensed and is not entitled topermitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATIO14 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 /n existing bui/dingo, or expansion of existing bui|dinQa, as specified in Pasco County Ordinance numberD0-O7 and
<br /> 90'07. as amended. The undersigned also undemfandn, that such h*eo, 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 o "certificate of occupancy" or final power na|oose. If the project does not involve a oedifioota of occupancy or
<br /> final power release, the fees must be paid prior to permit )aouenoa. Fudhonnova. 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, aoammended): |f valuation of work io$2.5UO.00or more, |
<br /> certify that 1. the app|icant, 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 itbn the^mmner'prior tocommencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information io this application io 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. | certify that no work or installation has
<br /> commenced prior to issuance of permit and that all work will be performed to meat standards of all |owa naQu|oUng
<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, and that it is
<br /> my responsibility bo identify what actions| must take tobeincompliance. Such agencies include but are not limited to:
<br /> - Department ofEnvironmental Protection-Cypress Bayheodo, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> ' Southwest Florida Water Management Oiethct-VVeUa, Cypress Bayheadm, VVot|ond Areae, Altering
<br /> VVatanoouraan.
<br /> - Army Corps ofEnQineens-SeevmoUo. Docks, Navigable Waterways.
<br /> ' Department of Health & Rehabilitative Gon/ioeo/Envinonmanba! Health Unit-W*Us, VVoetowehar Treatment,
<br /> Septic Tanks.
<br /> ' UG Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation Authorih/-Runwayo.
<br /> | understand that the following restrictions apply bm the use offill:
<br /> Use of fill io not allowed in Flood Zone W^ unless expressly permitted.
<br /> - If the OU material is to be used in Rood Zone "A^, it is understood that a drainage plan addressing o
<br /> "compensating volume"will be submitted at time of permitting which is prepared by m professional engineer
<br /> licensed by the State ofFlorida.
<br /> - If the fill material is to be used in Flood Zone ^K in connection with o pemodb*d building using stem vvoU
<br /> construction, I 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 pnzpertiee, the owner may be dbnd for violating
<br /> the conditions of the building permit issued under the attached permit application, fnr1oto |eue 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 a separate permit may be required for electrical vwork,
<br /> p|umbing, oigne, vveUo, poo|a, air nonditioning, gaa, or other installations not npacUion\k/ 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 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 imaumnne, 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 naqueobad, in vvhUng, from the Building Official fora 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 ANOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TOYOUR PROPERTY. |F YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> OWNER OR AGENT ;W. !�� CONTRACTOR
<br /> Subscribed and sworn to(or affl lis Subscribed and sworn to(or affirmed)before me this
<br /> by by
<br /> Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
<br /> ,as identification, as identification.
<br /> Notary Publi NotarypuWm
<br /> Commission No. Commission No.
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