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I�OTICE OF pEED RES7RICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions'
<br /> which may be mors resfrict3ve fhan Caunty regu(ations. The undersigned assnmes responsibility for compliance with any
<br /> applicable deed restrictions. ; ,.
<br /> UkLICEPdSED CON7RACTORS A.IdD COMTRP�CTOR RESPONSI91U71ES: If the owner has hired a contractor or
<br /> contracfors ta under#ake v�+ork,fhey may be required to be lieensed in accotdance wlfh s#ate and Ioca1 regutat(ons. tf#he
<br /> contractor is not licensed as required by�aw, both the owner and contractor may be ctted for a misdemeanor vialation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended wark,they are advised#o contact the Pasco County Building Irtspeo#ion Divislart--Licensing Sectiora at 72T-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised ta have the confractor(s) sign
<br /> portians of the"contractor Block"of this application for whiah they will be responslble. If you, as the owner sign as the
<br /> contractor,thaf may be an indication that he Is not ptoperly licensed and is not ent3fied to permltting privileges in Pasco
<br /> County.
<br /> TRAMSPORTATION IAAPP.CTlUTILITIES ChflPACT�MD RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transpa�tatian lmpacf Fees and Recourse Recovery Fees may appfy to the construction of new buiidings,change of
<br /> use in exisfing buildings, or expansion of existing buildings,as spec�ed 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 idenfrfied at the time of
<br /> parmitting. ft is further understood that Transportation lmpaat�ees and Resource i2ecovery Fees must be paid prior Eo
<br /> recefving a"certificate of occupancy"or final power reiease, tf the project daes not involve a certiflcete 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 rraust be pald priar to permit issuance in accordance with appficable Pasco County ordinances.
<br /> CONSTiFUCTlaht LtEld LAKd(Chapter 713,Ftorida Statutes,as amended); tf valuation oi work is$2,50QA0 or more,I
<br /> certify that l, the applicant, have been prov(ded with a capy of the "Florida Construction Lien Law—Homeowner's
<br /> Pratectian Guide"prepared by the�lorida Department of Rgricufiure and Consumer Affairs. If the applicant is someone
<br /> other than the°owner",i cerfify that 1 have obtained a aopy of the abave descrtbed document and promise in good fa3#h to
<br /> deliver it to the"owner"prior to commencement.
<br /> COtd'TRP+CTOR'SlG1Wl�ER'S AFFIDAYIT: I certify that all the informatton 3n this application is accurate and that a!I work
<br /> � will'be done 3n cotnpliance with a1i applicable laws regulating consfrucfion,xoning and land developmenf. Application is
<br /> hereby made to obtein a permit to do wark and installation as indicated. I certrFy that no work or installation has
<br /> commenced prior ta issuance of a permit and that all work wlll be performed to meet standards of all laws regulating
<br /> construcfion, Caunty ancf Qi#y cades, zonfng regul�fions, and land develapment regnlafions in the jurisdiction. 1 al"so
<br /> certify that I understand that the regulations of otfier govemment agencies may apply to the intended work, and that it is
<br /> my responslb3lity to identity what actions I must take to be in compliance_ Such agencies include but are not limited to:
<br /> - Llepar#ment ofi Environmental Protecfian-Cypress Bayheads, l+Yetland Areas and Envirortmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - 5outhwest Florida Water BAanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses. '
<br /> - Army Carps of Engineers-Seawalls,Dooks,Navigable Watervuays.
<br /> - Department of Health & Rehabllitetive Services/Environmental Nealth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Enviranmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> 1 understand that the fallawing resfrlctions apply ta ihe use of fitl:
<br /> - Use of flll is not ellowed in Flood 2one°V"unless expressly permitked.
<br /> - If the flll mateMal is to be used in Fload Zone 'A", it is understood that a drainage plan addreseing a
<br /> "compensating volums"wiil be submitfed af time of petmltting which is prspared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone"A" in cannection with a permitted building using stem wa11
<br /> canstruction,1 cer#ify fhat fill will be used only fo fiSl the area with3n the stem wat3.
<br /> - If flll material is to be used in any area, i certify that use af such fill wiii nof adversely afFect adjacent
<br /> properties. If use of flll is found to adversely affect adjaaent properties,the owner may be clted for violating
<br /> the conditions af#he buitding perm9t Issaed under the attached permit applica#ion,for lots less than one(1}
<br /> acre which are elevated by fiit,an engineered drainage pian is required.
<br /> if I am the AGENT FOR TF7E OWNER,I promise in good faith to inform the owner of the permifling conditions set farth in
<br /> fh9s a�davit priar ta commenc(ng aansfruction. t undersNand that a segarate permit may be required for electrica!work,
<br /> pfumbing, signs, wells, poois, air cpndi6oning, gas, or other instatlations nat specfficatiy inciuded in the applicafian A
<br /> permit issued shail be construed to 6e a license to proceed with the work and not as authority to vialate,cancel,alter,or
<br /> set astde any provlsions of the technfcai codes,nor shalt issuance ot'a permlt prevent the Bufldirig Official trom thereafter
<br /> requiring a correcfion of errors in pla�s,construction or violatians of any codes. Every permtt issued shail became invaltd
<br /> uniess the work authorized by such permit is commenced w(thin six months of permit issuance,or if work authorized by
<br /> the permit is suspended or abandoned far a periad of si�c(8)months after the time the work is commenced. An extenslon
<br /> may be requested, in writing,trom the Building Ofticial far a period not to exceed nine#y(9d}days and wiil demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the Job is considered abandoned.
<br /> WARNItdG Td OWtdER: YdUR FAfLURE TO RECORD A iddTICE OF CONfMEt�CEM�tdT�AY RESU�T tN YOUR
<br /> PAYING TWICE FOR IIWPftOVENA�fdTS TO YOUR PROPEF4TY. IF YOU INTEtdD TO OBTAIW FINANCI1dG,COMSULT ,
<br /> WiTH YOUR LE[dDER Oit AN ATTdRNEY BEFOl2E 1�ECORDlNG YOUR NOTlCE OF COMMENC�fiAENT
<br /> FLORtDA JURAT(F:S.12T.03}
<br /> OYYNER OR ACiENT COIdTRACTdR
<br /> Subscrfbed and swom fo{or aifirmed}beEore ma t}ris Subsaibed and swnm to(ar affirmed)6etore me this
<br /> by �Y
<br /> Who Is/are pe�onally knawn to me or haslFiave produced Who Islare personally known to me or has/have produced
<br /> as identlfiption. as IdendfiqUon.
<br /> Notary Pubiic Notary Pu611c
<br /> Commission Np, Commission No.
<br /> Name of Flofary typed,gt�nted or stamped �Hame of Natary typed,printed ar stamped
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