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<br /> NOTiCE dF DEEO RESTRtCTIf3NS: The undersigned unde stands that this permit may be subject to"deed"restrictions"
<br /> ' � which may be more restrictive than County regulations. The ndersigned assumes respansibility for compliance with any
<br /> appiicable deed resUictions.
<br /> UNLtCENSED COHTRACTORS AND COHTRACTOFF RE PdNSIBiLITiES: ff the owner has hired a contractor ar
<br /> contractors to undertake work,they may be required to be fic nsed in eccordance with state and local regulations. If the
<br /> contrac2or is not licensed as required by law, both the own r and contractor may be oifed for a misdemeanar vialation
<br /> under state taw. If the owner or intended cantractor are un ertain 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. Furthermare, if the owner has hired a eontractor o contractors, he is advised to have the contractor(s} sign
<br /> partions af tYre"confractor Block"of this application for whic they wilt be responsible. If you,as the awner sign as tfie
<br /> contractor,that may be an indication that he is not prope�ly I censed and is not entiUed to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILETlES IMPACT AND RE URCE RECOVERY FEES: The undersigned undersfands
<br /> that Transportation Impact Fees and Recourse f2ecovery Fe s may apply to the construction of new buildings,change of
<br /> use in existing buildings,or expansion of existing buildings, s specified in Pasco County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned aisa understands,th such fees,as may he due,will be ident�ed a#the time af
<br /> permitting. It is further understaod that Transpartation Impa t Fees and Resource Recavery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"ar final pawer release. If the project does not involve a cerk�cate af occupancy or
<br /> final power reEease,the fees.must he paid prior to permit is uance. Farthermore, if Pasca Gounty WaterlSewer tmpact
<br /> fees are due,they must be paid prior to permit issuance in ac ordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statute ,as amended): If valuatian of work is$2,500.00 or more,I
<br /> certiiy thaf I, the applicant, have been provided with a py of fhe "Flarida Construotian �ien Caw—FfomeawnePs
<br /> Protection Guide"prepared by the Florida Department of Ag"culture and Consumer Affairs. If the applicant is someone
<br /> other than the"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to fhe"owner"pr'tor to cammencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that ail th informatian in this application is accurate and that all work
<br /> will be done in campliance with all applicable laws regulatin construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and instalfati n as indicated. l certify that no work or insfaliation has
<br /> commenced prior to issuance of a permit and that afl work will be performed to rneet standards of all laws reguiating
<br /> construction, County and City codes, zoning regulations, a d lend development regulations in the jurisdiction. I also
<br /> certify that t understand that the regulations of other goveen ent agencies may apply to the intended work,and thaf it is
<br /> my responsibility to identify wha#actions 1 must take to be in c mpliance. Such agencies inciude bu#are nof timited to:
<br /> - Department of Environmentel Protection-Cypres Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Watee/Wastewater Treatment.
<br /> - Southwest Florida Water MartagemenE Dist ct-WeIIs, Cypress Bayheads, Wettand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawa!!s,Docks,Navig b!e Waterways.
<br /> - Depertment af Health & 32ehabititative Service Environmental Health Un3t-Wells, Wastewafer Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos a atemeni.
<br /> - Federal Aviafion Authorify-Runways.
<br /> I understand that the following restrictions apply ta the use of ill:
<br /> - Use of fill is not allowed in Flood Zone"V°unless xpressly permitted.
<br /> - If the fill material is to ba used irt Ftood Zon "A", it is understood that a drainage plan addressing a
<br /> "compensating volume"wiil be submitted at time of permitting which is prepared�by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone° "in cannectran wifh a perrr:itted buiiding using stem watl
<br /> construction,I certify that fiii will be used only to fi�the area within the stem wall.
<br /> - If fill material is to be used in any area, I ce ify that use of such fill will not adversely affect adjacent
<br /> properties. tf use af fil!is found to adversely aff ct adjacent properties,the awner may be cifed far vialating
<br /> the conditions of the building permit issued und r the atfached permit application,far lots tess than one (1)
<br /> acre which are elevated by fill,an engineered dra nage plan is required.
<br /> !f 1 am the A6EN7 F4ft THE OWNEft,i promise in gaod fait to infarm the owner ef the permitting conditians set forth in
<br /> this affidavit prior to.commencing construction. 1 understand that a separate permit may be required for electrical 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 ith the wotk and not as authority to violate,cancel,alfer,or
<br /> ' set aside any provisians of the teehnical cades,nor shall issu nce of a permit prevent the Building Officia(from thereafter
<br /> � requiring a corcection of eROrs in plans,canstruction or violati ns of any codes. Every permit issued shall become invalid
<br /> ' unless the work authorized by sueh permit is commenced wi hin six months of permit issuance,or if wark autharized by
<br /> the permit is suspended ar abandoned Eor a period af six(fi} onths after fhe fime the work is comrnenced. An e�ttension
<br /> may be requested, in writing,fram the Building Clfficial for a period not#a exceed ninety(90)days and will demanstrate
<br /> � justtfiable cause for the e�etension. !f work ceases for ninety( 0)consecutive days,the job is considered abandoned.
<br /> � WARNING TO OWNER: YOUR FAILURE Tp RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> � PAYING TWICE FOR IMPROVEMENTS TO YQUR PRdpE TY. IF YOU INTEND TO 4BTAlN FINANCING,CQNSULT
<br /> II WITH YOUR LENDER O}2 AM ATTdRNEY BEFORE RECO DING YOUR NOTICE OF CdMMENCEMENT.
<br /> FLORIDA JURAT(F.S.'117 )--�
<br /> OWNERORAGENT \S"' �� � CON RACTOR
<br /> Su6scribed and swom to{or affimted}6efore me fhis Sabs ribed and swom to(ar affirmed)before me this
<br /> by by
<br /> Who is/aro personally known ta me or has/have produced Who i/are personally known ta me or has/have produced
<br /> as ident�cation. as identifccaUon.
<br /> ....... .......... ......_
<br /> uu'y' ��
<br /> Natary P lic Notary Public
<br /> �o `,; o.:*; Cammisslan#FF 137d73 Com ission No.
<br /> ; a.
<br /> �'�'i.J��+;,°,;O' 9«deaTnnirroyFaU,lns�r;meeeoaaas.
<br /> , Nam of NoTary typed,printed ar stamped
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