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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 rasthot�e'than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: |f the owner has hired a contractor or
<br /> contractors
<br /> *tounda�akevvock. they nnaybe required tobnUuenmmdin accordance vv\thstate and local regulations. If the
<br /> contractor is not licensed as.required by iaw, both the owner and contractor may be cited fora misdemeanor violation
<br /> under state |nvv. If the owner or intended contractor are uncertain as to vvhat ||nano|ng 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 oontraotore, 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 an indication that he is not properly.]i censed 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 buildings, or expansion of existing buUdings, as specified in Pasco County Ordinance nunnber8S-O7 and
<br /> 90-07' as amended. The undersigned also undarotunda, that such fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Feea'and Resource Recovery Fees must be paid prior to
<br /> receiving o "certificate of occupancy" or final power release. \f the project doeonotinvo\vaacertifiootenfoocuponcyor
<br /> final power.release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County VVator/Bavvar 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, asanmendad): |f valuation of work ia $2.5UO.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 /> 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 construction, zoning and land development. Application is
<br /> hereby made to obtain e 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 \ovvs regulating
<br /> construction, County and City codes, zoning nego|mbona. 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,
<br /> 'nd that itia
<br /> nny[oaponeibUih/toident�vvvhsdacUons \ nnunt take hobaincompliance. Such agencies include but are not Unnitedto:
<br /> ' Department of Environmental Protection-Cypress Beyheada."VVed|ond Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management D|otriot-WeUa, Cypress Bayheade, Wetland Axmaa' Altering
<br /> VVm±arcouraeo,
<br /> ' Army Corps ofEnginmany-Seavval|s, Docks, Navigable Waterways.
<br /> ' Department of Health & Rehabilitative Servioaa/Envi[onmental Health Unit-We||s, Wastewater Treatment,
<br /> Septic Tanks,
<br /> ' US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Rummeyo.
<br /> | understand that the'foUovviOg restrictions apply to the use offill: '
<br /> - Use of fill io not allowed |n Flood Zone "\y' unless expressly permitted.
<br /> ' |f the fill material is to be used in Flood Zone "A", it is understood that o drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by professional engineer
<br /> licensed by the State of Florida.
<br /> ' If the fill material is to be used in Flo pd Zone "AlliO connection with o permitted building using stem walloona�unbon, | car�fvthotf|||vvi|| beuuedon}ytofiUtheareovith\ntheatennvvoU.
<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 properti8a, the owner may be cited for violating
<br /> the conditions ofthebui|ding permit issued under the attached permit application, for lots |eoa than one /1\
<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 o separate permit may bo required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, 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 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 become invalid
<br /> uO|aas the work authorized by such permit is commenced within-six months of permit |osuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work iscommenced. An extension
<br /> may be requested, in vvrting, from the Building Official for a period not to exceed ninety (QU) days and will demonstrate
<br /> justifiable cau'so for the extension. If work ceases for ninety(90) consecutive days, the job is considered abandoned.
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<br /> WARNING TO OWNER: \'C]UR 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 /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA Ju**/ (F.S 11/u
<br /> CONTRACTOR
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<br /> Subscribed arfd sworn to(or affi4ed)bqfore 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.
<br /> Name of Notary typed,printed or stamped
<br /> 'sState of Florida-Notary Public
<br /> My Commission Expires
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