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<br /> NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may be subject� "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 RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors
<br /> 'to undertake work, they rnoybe required tobeUcansedin accordance with state and local regu(sUona, If the
<br /> contractor is not ||mansad as.required by \avv, both the owner and contractor may be cited for o misdemeanor violation
<br /> under state law. if the owner orintended 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., Furthernnore, if the owner has hired a contractor or oontraotoro, he is advised LO have the contractor(s) sign
<br /> portions of the "contractor B\ud�' of this application for which they will be responsible. If you, as the owner sign.as the
<br /> oontractor, that may be an indication that he is not propedv]\oenead 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 tothe construction of new bui|dinga, change of
<br /> use in existing bui)dinga, or expansion of existing bui)dingm, as specified in Pasco CoVnty Ordinance number 89-�07 and
<br /> 90-07' as amended. The undersigned also undaretanda. that such fees, as may be due` will be identified at the tinna of
<br /> permitting. It is further understood that Transportation |hnpact Fmea'and Resource Recovery Fees must be paid prior to
<br /> receiving e "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 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, as amended): If valuation of work ia $2'GOO.00ormore, |
<br /> certify that |, the app|icont, have been provided with a copy of the "Florida Construction Lien -Law—Homeowner's
<br /> Protection -Guide" prepared by the Florida Deportment of Agriculture and.Consumer Affairs. 'if the applicant is aornaonB
<br /> other than the"owner",,l certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver itto the"cwvner"prior tocommencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application in accurate,and that all work
<br /> will be done in compliance with all applicable )evvo regulating conatnuot\on, 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 meet standards of.all laws 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, '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 of EnvironmentalProtection-Cypress Bayhaado. Wetland Areas and Environmentally Sensitive
<br /> Treatment.,
<br /> Water Management District-Wells,
<br /> Boyhaoda, Wetland Areas, Altering
<br /> � Wate
<br /> ' Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - lJB Environmental Protection Agency-Asbestos abatement.
<br /> ` Federal Aviation Authority-Runways.
<br /> | understand that the following restrictions apply to the use of fill: '
<br /> - Use of fill |a not allowed \n Flood Zone "V"'un|eae expressly pernnittad.
<br /> "
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that o drainage plan addressing o
<br /> compensating volume"will be submitted at time of permitting vvh|oh is prepared by e professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "/Y' in connection with e permitted building using ' teOO vva\|
<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, i certify that use of such fill vNU' 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 ofthe building pernnitissued under the attached pernnitapp|ioaUnn. for lots less than one (1)
<br /> aurevvhiohena elevated by fill, on, 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 permittingnoOditonosetforthiO
<br /> this affidavit prior to commencing construction. | understand that separate permit may be required for electrical work,
<br /> p\urobing, signs, vve||o' poo|o, air conditioninQ, gas, or other installations not specifically included in the application. A
<br /> per rn|tissued shall be construed to be license to proceed with the work and not as authority toviolate, cance|, 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 iaeued.oha|| become invalid
<br /> un|aau 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 requested, in writing, from the Building Official for o period not to exceed ninety (QU) 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 /\ NOTICE OF C
<br /> --P/&�NG-TVVCE-FOR IMPROVEMENTS T0 YOUR PROPERTY. -IF YOU_INtE0D TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> OWNER OmAGENT uum/xxC/u '
<br /> ~.~ Subscribed and sworn o(or affirmed)before".=this
<br /> Who�/x/are Who is/are personally known to me or has/have produced
<br /> identification.as — —' as identification.—'
<br /> Notary
<br /> Public Notary Public
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<br /> CommisnionNo Commission No.
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<br /> PGV
<br /> Name of Notary typed,printed or stamped Name of Notary typedi printed or stamped
<br /> Of I'Drid,
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<br /> ~ °a= Fly
<br /> .112,020
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