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<br /> NOTICE C)FDEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may ba 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 as required by |ovv, 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—Licen sing Section at 727-847-
<br /> 8009. Fudharmon*, if the owner has hired o contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. }f you, ao the owner sign oothe
<br /> contmsotnr, that may bean indication that he io not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORDATYON ]88PACTIQ-0LD|ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new bui|dinga, change of
<br /> use in existing bui|dinQa, or expansion of existing bui|dinga, as specified in Pasco County Ordinance number 89-07 and
<br /> 90'07. an amended. The undersigned also understondm, that such feeo, 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. |f the project does not involve m certificate of occupancy or
<br /> hno| power re|eaae, 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 is $2.5UO.UOormore, |
<br /> certify that |, the app|ioant, have been provided with o 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^omnor"prior bocommencement.
<br /> C0NTRACTOR`S/OWNER`SAPF|0AV[T: | certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws naAu|abn0 oonatrucUon, zoning and land development. Application is
<br /> hereby mode to obtain a permit to do work and installation as indicated, | certify that no work or inobs||ntinn has
<br /> commenced prior to issuance of permit and that all work will be performed to meat standards of all |owo naQu|oUng
<br /> conotruoUun. County and City oodea, 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 wmrk, and that it is
<br /> nny responsibility to identify what actions| must take tobeincompliance. Such agencies include but are not limited to:
<br /> - Department ofEnvironmental Protection-Cypress Bayheado, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida VVabar Management 0edhct-VVeUa, Cypress Boyheadn, VVmt|ond Arean, Altering
<br /> Watercourses.
<br /> - Army Corps ofEngineero-8emvvoUo. Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Gan/icae/Envinonmanta/ Health Unit4&e||a, Wastewater Treatment,
<br /> Septic Tanks.
<br /> ' US Environmental Protection Agency-Asbestos abatement.
<br /> ' Federal Aviation Authority-Runvvayo.
<br /> | understand that the following restrictions apply to the use offill:
<br /> - Use of fill io not allowed in Flood Zone Wp unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone 'A", it is understood that a drainage pion addressing o
<br /> '`compenootinQ volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State ofFlorida.
<br /> - If the fill material is to be used in Flood Zone ^A^ in connection with a permitted building using obam vveU
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material in 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 propertiea, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for |obe less than one (1)
<br /> acre which are elevated by fill, on engineered drainage plan iarequired.
<br /> |f| 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 tocommencing construction. | understand that a separate permit may be required for electrical work,
<br /> p|umbing, oigno, weUa, poo|a, air omnditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a Uoenno to proceed with the work and not aa authority to vio|oba, oanue|, 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 /> un|ama 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 naqueobad, in writiog, from the Building Offiuio| 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 A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TOYOUR PROPERTY. |F YOU INTEND T0 OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> OWNER om AGENT CONTRACTOR
<br /> Subscribed and sworn to(or affirmed)before me this 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 islare personally known to me or has/have produced
<br /> as identification. as identification.
<br /> Notary Public Notary Public
<br /> Commission No. Commission No.
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