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<br /> NOi`ICE OF DEED RESTRIGi'tQNS: The undersigned unde sEands fhaf this permit may be subject to"deed"resfrictions"
<br /> , ` which may be more restrictive than County regulations. The ndersigned assumes responsibility for compliance with any
<br /> . applicable deed restrictions.
<br /> UNLiGENSED CONTRAGTQE2S A[YD CONTRACTOR RE PONSIBI�ITIES: Ef the owner has hired a contractar or
<br /> contractors to undertake work,they may be required to be li nsed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the own r and contractor may be cited for a misdemeanor violation
<br /> under state law If the owner or intended cantractar are un rtain as to what licensirtg requirements rnay 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 contractar o contractors, he is advised to have the Contractor(s) sign
<br /> portians af the"contractor Block"of tFris app[icatian far whic they will be responsible. lf yau, as the owner sign as the
<br /> contractar,that may be an indication that he is not properly i censed and is not entitied to permitting privileges in Pasco
<br /> County
<br /> iRANSPQRTATlQN 1MPACTlUTILITlES IiVlPACT AND RE OURCE RECOVERY FEES: The undersigned undersfands
<br /> that Transportation Impact Fees and Recourse Recovery Fe s may apply to the construction of new buiidings,change af
<br /> use in existing buildings, or expansion of existing buildings, s specified in Pasco County Ordinance number 89-07 and
<br /> 94-Q7,as amended. The undersigned also understands,th such fees,as may be due,will be identified at the time af
<br /> permiffing. 1f is further understood fhat Transportation Impa t Fees and F2esource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy ar
<br /> fina!power release,the fees must be paid prior to permit is uance. Furthermore, if Pasco County WateriSewer impact
<br /> fees are due,they must be paid prior to permit issuance in ac rdance with app(icable Pasco County ardinances.
<br /> CON5TF2UCTION LIEN LAW(Chapter 713,Florida Statute ,as amended): If valuation of wark is$2,500.00 ar more,I
<br /> certify that I, the applicant, have been provided with a c py of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide°prepared by the F(orida Department of Ag iculfure and Consumer Affairs. If the applicant is someane
<br /> other than the"owner',I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to cammencement.
<br /> CONT}2AGTOt2'SIQWR[EE2'S AFFIDAVIT. 1 certify that al!th information in this applicatian is accurate and thaf a(!wark
<br /> wili be done in compliance with aIl applicable laws regulating constructian,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installatio as indicated. I certify that no work or instailation has
<br /> cammenced ppor fo issuance af a permit and that all work ili be perfarmed to meet standards of all laws regulating
<br /> construction, Caunty and City codes, zoning regu�ations, a d land development regulations in the jurisdiction. I aiso
<br /> certify that I understand that the regulations of other govern ent agencies may apply to the intended work,and that it is
<br /> my responsibility to identify what actions i must take to be in c mpliance. Such agenciss include hut are not[imited fo:
<br /> - Deparfinent of Environmental Protection-Cypres Bayheads,Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterNVastewater Treatment.
<br /> - Southwest Florida Water Managernent Distri t-We!(s, Cypress Bayheads, Wet�and Aress, Altering
<br /> Wa#ercourses.
<br /> - Army Corps of Engineers-5eawalls,Docks,Navig ble Waterways.
<br /> - Department of Nealth & Ftehabilitative Services Environme�ta! Heaith Unit-We31s, Wasiewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos a atement.
<br /> - F$deral Aviation Authority-Runways.
<br /> E understand that the fo3lowing restrictions apply to the use af Il:
<br /> - Use of fill is not allowed in Flood Zone"V"unless xpressly 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#ime af permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If#he fill material is to be used in Flood Zone " " in connection with a permitted building using stem wall
<br /> construcfion,l certify that fill will be used only to fi1 the area within the sfem wall.
<br /> - lf fili material is to be used in any area, I certfy that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affe t adjacent properties,the owner may be cited for violating
<br /> the canditions of the building permit issued unde the attached permit app(ication,for iots less than one{1}
<br /> acre which are elevated by fill,an engineered drai age p(an is required.
<br /> If I am the AGENT FOR.THE OWNER, I promise in good fait to inform the owner of the permitting conditions set forth in
<br /> this a�davit prior to commencing canstruction. 1 understand hat a separate permit may be required far electrica3 work,
<br /> plumbing, signs,weIls, pools, air canditioning, gas, or other insta0ations not specifical(y incivded in the application. A
<br /> permit issued shall be construed to be a license to proceed th the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of the technica!codes,nor sha!!issu nce of a perrnit prevent the Bui(ding Official from ihereafter
<br /> requiring a correctian of errors in plans,oonstruction or vioiati ns af any codes. Every permit issued sMa((become'snvalid
<br /> unless the work authorized by such permit is commenced wi in six months of permit issuance, or if wprk autharized by
<br /> the permit is suspended or abandoned for a periad of six(6) onths after the time the work is commenced. An s�ctension
<br /> may 6e requested, in writing,from fhe Building O�cial far a eriod nof to exceed ninety(90}days and wi(1 damonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(9 )consecutive days,the job is considered abandoned.
<br /> WARNIIVG TO OWNE12: YOUFt FAtLUFtE TO E2EGORD A OTICE OF COMNIEPIGENlENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YQUR PRQPER . 1F YOU INTEND TO OBTAIM FINANCING,CQNSUL7
<br /> WITH YC?UR LENDER OR AN ATTORNEY BEFORE F2EC0 DING YOUR NOTICE OF COMMENCEMENT.
<br /> FLQRIDA JURAT{F.S.197.63)
<br /> :
<br /> OWNER pR AGEN7 CON C70R
<br /> Subscribed and swom to(or affirmed)before me this Su sc ibed and swor t or a e bef r thi
<br /> by �`l by
<br /> Wno istare personally knawn to me or hasfiave prod�ced ' are p onalIy k�now�y�to me or has/have produced
<br /> as identification. UvC,!Ci G'Q� as identificalion.
<br /> NotaryPublic � 1 [N' o Public
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<br /> Cammission No. Cam ssi N
<br /> �_}� '�*= Commission#EE 040520
<br /> Name of Notary typed,printed or stamped Name f Nota y{µ�;l �r ��'@$ �
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