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<br /> NOTICE OFDEED : The undersigned understands that this permit may ba subject to^daod^ restrictions"
<br /> which may bn 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 u 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 ia not |inenuad as required by law, both the owner and contractor may be cited fora 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. Furthermore, if the owner has hired a contractor orcontractors, 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 /> oontrodmr, that may boan indication that he is not properly licensed 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|dingo, or expansion of existing bui|dingu, as specified in Pasco County Ordinance number 80'07 and
<br /> 00'07. as amended. The undersigned also understands, that such hsea, 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 nu|aoea. 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 T13. Florida Statutes, aomnnended): |f valuation of work io$2.508.00or more, |
<br /> certify that |, the app|iuont, 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. |f the applicant iasomeone
<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 itho the^owner"prior hocommencement.
<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 oonabooUnn, zoning and land development. Application is
<br /> hereby made to obtain o permit to do work and installation as indicated. I 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 laws regulating
<br /> conn1nuoUnn. County and Qb/ undee, zoning nygu|abnno. 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 ho identify what actions | must take hubaincompliance. Such agencies include but are not limited to:
<br /> ' Department of Environmental Protection-Cypress Bayheado. Wetland Areas and Environmentally Sensitive
<br /> � Treatment.
<br /> Fohdo Water Management EVsthot-VVa|ka, Cypress Bayheodn, Wetland Ansan. Altering
<br /> ' VVobannobieea�
<br /> ' Army Corps ofEnQineers-Seawm||o. Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-VVaUa, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authnrity+Runwayo.
<br /> | understand that the following restrictions apply to the use of fill:
<br /> - Use of fill im not allowed in Flood Zone"tr unless expressly permitted.
<br /> ' If the fi|| material is to be used in Rood Zone "A", it is understood that a drainage plan addressing a
<br /> ^oompenooUng volume" will be submitted at time of permitting which is pnaponod by u professional engineer
<br /> licensed by the State ofFlorida.
<br /> - If the OU material is to be used in Flood Zone 'A' in connection with o permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill nnabaha| is to be used in any area, | certify that use of such O|| will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the 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 iarequired,
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting
<br /> conditions set forth in
<br /> this affidavit prior to commencing construction. \ understand that sepanahs permitmey be required for electrical work,
<br /> plumbing, signs, we||o, pon/o, air conditioning, gao, or other installations not specifically included in the application. A
<br /> permit issued aho|| be construed to be o license to proceed with the work and not as authority to vio|mhe, oonca|, a|tor, 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 iesuanoe, 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 nsqueobad, in writing, from the Building Official for a 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 T0OWNER: YOUR FAILURE TO RECORD ANOT|CE OF COMMENCEMENT MAY RESULT |N YOUR
<br /> PAr|m«w |vx|sE FOR IMP OVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDER ATTORNEY BEFORE RECORDING YOURNOTICE OF COMMENCEMENT.
<br /> - --- OWNER umAGENT Cumr
<br /> Subscribed and sworn o(or afnfe a a this Suoaomao affirmed)before me this
<br /> ers�nally known to me or hasihave pFeduGe4 Who is/are personally known to me or has�have pFeElue
<br /> as identification. as identification.
<br /> Notary Public
<br /> A0 Notary Public
<br /> .Commission No. HHVU04bU Commission No. HHO0046U
<br /> Elima88.Holleran ElimnM.Holleran
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