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<br />NOTICE OF DEEp RESTRICTIONS: The undersigned understands that this permit may be subject to "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 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 law, both the owner and contractor may be cited for a 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 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 an 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 buildings, or expansion of existing buildings, as specified In Pasco County Ordinance number 89-07 and
<br />90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br />permitting. It Isfllrther understood that Transportation Impact Fees and Resource Recovery Fees mustbe paid prior to
<br />receiving a "certlflca,te 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 WaterlSewer 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 $2,500.00 or more, I
<br />certify that I, the applicant, 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", I certify that I have obtained a copy of the above described document and promise In good faith to
<br />deliver it to the "owner" prior to commencement.
<br />CONTRACTOR'S/OWNER'S AFFIDAVIT: I 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 construction, z(mlng and land development.. Application is
<br />hereby made to obtain a 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 />construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I 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 to Identify what actions I must take to be In compliance. Such agencies include but are not limited to:
<br />. Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, WaterlWastewater Treatment.
<br />Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br />Watercourses.
<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 />US Environmental Protection Agency-Asbestos abatement.
<br />Federal AViation Authority-Runways.
<br />I understand that the following restrictions apply to the use offill:
<br />Use offill is not allowed In Flood Zone "V" unless expressly permitted.
<br />If the fill material is to be used in Flood Zone "A", It is understood that a drainage ,plan addressing a
<br />"compensating volume" will be submitted at time of permitting which is prepared by a. professional englrteer
<br />licensed by the State of Florida.
<br />If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br />construction, I certify that fill will be used only to fill the area within the stem wall. I
<br />If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br />, properties. If use of fill is found to adversely affect adjacent properties, the ow.ner may be cited for violating
<br />the conditions of the building permit issued under the attached permit appllcatron, for lots less than one (1)
<br />. acre which are elevated by fill, an 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 permitting conditions set forth In
<br />.this affidavit prior to commencing construction. I understand that a s.eparate perm~t may ?e required for elect~ica,1 work,
<br />plumbing, signs, wells, pools, air conditioning, gas, 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 a~d not as authority !o. violate, cancel, alter, or
<br />set aside any provisions' of the technical codes, nor shall Issuance of a permit prevent the B~lIdlng Official from thereaft~r
<br />requiring a correction of errors in plans, construction or violations o~ any codes. Every ~ermlt issued. shall become. invalid
<br />unless the work authorized by such permit Is commenced within SIX months o.f permit Issu~nce, or If work authorized. by
<br />the permit /s suspended or abandoned for a period o~ six (6) mo~ths after the trme th~ work IS commenced. An extension
<br />maybe requested, In writing, from the Building OffiCial for a period not t~ exceed mn~ty (90) days and will demonstrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, th~ob Is conSidered abandoned.
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<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 INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN Y R NOTICe EM NT.
<br />FLORIDA JURAT (F,S. 117.03)
<br />
<br />OWNER OR AGENT.
<br />Subscribed and swom to (or affirmed) before me this
<br />. by ,
<br />Who is/are personally known to me or has/have produced
<br />asldenUftcaUon. '
<br />
<br />Notary Public
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<br />Commission No.
<br />
<br />CommIssIon No.
<br />
<br />,. Sozzi
<br />
<br />Name of Notary typed, prlnted or sta, : O!l\:::lSSlOUrt 74
<br />""",.\.,- E:\' '{C,: ;',0'1. 16,2010
<br />BONDED THRU . .\\iIC BONDING CO., INC.
<br />
<br />Name of Notary typed, prlnted or stamped
<br />
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