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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands thatthis permit may be subject to"deed"restrictions"
<br /> which may ba more restrictive than County regulations. The undersigned oaaumeareaponsib||ityforcomp|ianoevvithany
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has k|reU a rontractor 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 |avv, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state |ovv. If the nvvnar 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. FUrthar0o[e, if the owner has hired a 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. If you, as the owner sign as the
<br /> contractor, that may be on indication that he |e not propody]Ynenaed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TR4NSPDRT/ T|C3NlK8pACTIUTlLlT\ESlK8PACTA@DBESOOFlCERECOVERYFEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply tothe construction of new bui|dingo, change of
<br /> use in existing buUdings, or expansion of existing buildings, as specified in Pasco County Ordinance nunnbar80'O7 and
<br /> 90-07' as amended. The undersigned also underetanda, that such feea, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportation |nnpoot Fees'and Resource Recovery Fees must be paid prior to
<br /> receiving o "certificate 0f occupancy" or final power release. |f the project doeenot )nvo|veaoertificateofoccupanoyor
<br /> final power,release, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVotar/SeVvar Impact
<br /> fees are due,they mustbe paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713. Florida Statutes, ae amended): If valuation of work |a $2.5OU.OD or more, |
<br /> marbfv that |, the oppUcant, 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", | certify that | have obtained a copy of the above described document and promise in good faith to
<br /> deliver itto the"ownar"prior bmcommencement.
<br /> CONTRACTOR'S/OVVNEFl/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 construct\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 m permit and that all work will be performed to rnoat standards of all \axva regulating
<br /> construction, County and City codes, zoning regulations, and |BRd development regulations in the jurisdiction. | also
<br /> certify that | understand that the regulations of other government agencies may apply to the intended vvork, 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 ofEnvironmental Protection-Cypress 8ayheado, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water K4onoAernant District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps ofEOginee[a-GeavmaUe, Docks, Navigable VVeterwayA.
<br /> - Department of Health 8 Rehabilitative Sen/icea/Envinonmental Health Unit-VVe||o, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation AuthVritv'RV0ways.
<br /> | understand that the following restrictions apply to the use of fill:
<br /> - Use of fill |s not allowed |n Flood Zone "\y' unless expressly permitted.
<br /> - If the fill rnohehal is to be used in Flood Zone "A", it is understood that o drainage plan addressing a
<br /> "compeneating vol u0e" vvi|| be submitted at time ofpermi�ingvvhioh is prepared by professional engineer
<br /> UoeDeedby the StabeOfFlorida.
<br /> - If the fill,material is to be used in Flood Zone "N' in connection with a permitted building using stem 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, ( C8difv that use of such fill will Oct 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 |eea than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If \ am the AGENT FOR THE OWNER, | 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 separate permit may be required for e|enthu8| vvnrh,
<br /> p|urnbing, signs, wells, pools, air conditioning, gao, 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 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 iaaUonne' 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 requuohed, in writing, from the Building Official for a period not to exceed ninety (00) days and will demonstrate
<br /> justifiable oau'ae 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 TO YOUR PROPERTY. IF YOU \NTG00 TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER;OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEN-CEMENT.
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed anJd sworn to(or affir d)befor 9 this Subscribed and sworn to(or affirmed)before me this
<br /> Who is/are or has/have pro0ced Who is/are personally known to me or has/have produced
<br /> as identification. as identification,
<br /> ,-"4 A Notary Public
<br /> 'I IX-2 Notary Public
<br /> Commission No. Commission No.
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