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<br /> NOTICE OFDEED RESTRICTIONS: The undersigned understands that this permit may bo subject to"deed"restrictions"
<br /> which may be more restrictive than County regu|ationa. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hied o 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 |mw, both the owner and oontnootormay 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. Furtharmono, if the owner has hired a contractor or oonboohoro, he in advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. U you, as'the owner sign anthe
<br /> contractor, that may be on 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 buUdings, or expansion of existing bui|dingu, as specified in Pasco County Ordinance number80-O7 and
<br /> 00-07. as amended. The undersigned also undarstanda, that such heeo, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportation |mpon1 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 a certificate of occupancy or
<br /> Onn| 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, aaamnendmd): |f valuation of work io$2.50U.00or more, |
<br /> certify that |, the appUoant, have been provided with w copy of the "Florida Construction Lien Lamx--Hnmepwna/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 it0m the^owner"prior 1ocommencement.
<br /> CONTRACTOR'S/OWNER'SAFF(DAV|T: | certify that all the information in this application is mucunoba 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 tondo work and installation as indicated. | certify that no work or inobyUoUon has
<br /> commenced prior to issuance of permit and that all work will be performed to meet standards of all |owo regulating
<br /> o»nohuuUon. County and City oodes, zoning maOu|abono. 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 /> my responsibility hm identify what actions| must take toboincompliance. 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 Water Management 0sthciVVaUs. Cypress Bayheadm, Wetland Anaea. Altering
<br /> Watercourses.
<br /> - Army Corps ofEngineera-GemweUa. Docks, Navigable Waterways. '
<br /> ' Department ofHealth & Rehobi||toUve Services/Environmental Health Unit-VVaUs, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - U8 Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authorib+Runwmyo.
<br /> | understand that the following restrictions apply to the use offill:
<br /> - Use cf fill is,not allowed in Flood Zone Wr unless expressly permitted.
<br /> - If the OU material is to be used in Flood Zone ^A", it is understood thato drainage.plan addressing a
<br /> .compensating wduma^ will be submitted at time of permitting which is prepared by pnoh»aaionm| engineer
<br /> licensed by the State ofFlorida.
<br /> - If the 0U nnmtaho| is to be used in Flood Zone "N' in connection with o permitted building using stem mmU
<br /> , construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> , - If fill ma0uhe| is to be used in any area, | certify that use of such 5|| 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 |eoo than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan iorequired.
<br /> |f| om 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 aepansba permit may be required for electrical work,
<br /> ` p|umbing, signs, wells, poo|o, air conditioning, gmm, 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 tnviolate, uance|, a|bar, 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 in 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 /> maybe nequeo0ed, in writing, from the Building Official for period not toexceed ninety (AO) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> '
<br /> WARNING TO OWNER: UR
<br /> FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR I RI I E%NTS TO YOUR PROPERTY. IF YOU INTEX0 TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENDEa%RJ k E RECORDING YOUR NQ1I0E OF COMMENCEMENT.
<br /> OWNEIR OR AGENT
<br /> Subscribed and sworn to(o affirm orelie this Subscribed and s r ffirmed)before me this
<br /> frl
<br /> w.kk
<br /> _?��-LJUL;-/-�Uby Ashl4eelahzft by ee lahan
<br /> Who is/are personally knowAto me or hAM;Ave nmd,ine4 Who is/are personally n wn e or hasAave PFOEIH6
<br /> �'�_A as identification.
<br /> Public Notary Public
<br /> DVssaM.Holleran EliosaM.Holleran
<br />
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