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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive#han County regulations. The unders�gned assutnes responsib9lity foc complianae with any
<br /> appticabie desd restrictions.
<br /> UNLlCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a cantractor or
<br /> contractors ta undertake work, they may be required to be licensed in aacordance with state.and local regula#ions. #f 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 #o what iicensing requirements may apply for the
<br /> intended work, they are advised to contac#the Pasco Counfy Building (nspection Division—Licensing Sec#ion a#727-847-
<br /> 8009. Furthermoret if khe owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> partions of the °contractor B1ock" of thls appllcatian for wh€ch they will ae responsibte. if yau, as the awner sign as fhe
<br /> contractor, .that may be an indication that he is not praperly licensed and is not entitled to permitting privileges in Pasco
<br /> Gounty. "
<br /> TRANSPORTATION IMPACT/UTILITiES IMPACT AND RESOURCE REGOVERY FEES: The undersigned understands
<br /> that T�anspartation lmpact Fees and Recourse Recavery Fees may apply to the construction of new buildings, change af
<br /> us�-�rr,�;.istirog-bu6ldings,-or--expansio�e-of-ex6sfin�-b�ildings, as_specifled._in_Pasca_County__t3cdinance_nctmbe�.89-U7_�nd_.�,__._
<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. lt is further und$rstood that Transportatian Impact Fees and Resource Recovery Fees rr�ust be paid prlor to
<br /> receiving a "certificate af occupancy" or flnal power release. If the projec# does not involve a ce�tificate of occupancy or
<br /> frnal power release, the fees must be paid prlor #o permit issuance. Fu�thermare, if Pasca County WatedSewer lmpact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasca County ordinances.
<br /> , CONSTRUCTION LIEN L.AW(Chapte�713, Fl�rlda Statutes,as amended): If valuation of work is $2,5q0.00 or more, I
<br /> certify that 1, the appticant, have been provfded writh a copy of the °Florida Const�uction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Deparkment of Agriculture and Consumer Affairs. If the applicant is someone
<br /> ather than the"awner", 1 cert�fy that 1 have obtained a copy af the above described cfocument and promise in gaod faith to
<br /> deliver it to the"owner"prior ta commencement. �
<br /> CONTRACTOR'SK�WNER'S AFFIDAYlT: 1 csrtify that all the information in this applicatlon is accurate and that aN work
<br /> witi�be done in compliance wifh ati applicabte laws reguiating construcfion, zoning and land devebpment. Applicatian is
<br /> hereby made to obtain a permit to do work and installatian as indicated. I certify that no work or installation has
<br /> commenced prior to �ssuance af a permit and that a11 work w�ll be perf'ormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulatians, and land development regulatians in khe jurisdictian. ( also
<br /> certify that i understand that the regulations o#ottier 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 campliance. 5uch agencies include but are not limited ta:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wasfewater Treatmenf. �
<br /> - 5outhwesE Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Wafercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of. Health & Rehabili#ative ServiceslEnvironmental Health Unit-Wefis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental P,rotection Agency-Asbestos abatement.
<br /> - Federal Aviatian�Au#horit}r-Runways.
<br /> I,understand that#he following restrictions apply to the use of flll:� �
<br /> , - Use of fill ls nat allawec3 in Fbod Zone"V°unless expressfy permitted.
<br /> - If the fitl ma#erial is to be used in Ftood Zone °A", it is understood that a drainage plan addressing a
<br /> "compensaking volume" wil! be submitted at time of permitting which is prepared by a professional engineer
<br /> (icensed by#he State of Florirfa.
<br /> - If th� �II material is to be used in Flood Zone "A° in connection with a permitted building using stem wall
<br /> constructio�, l cer#ify ti��t fill will be used anly to fill the area wlthin t�e s#em waH.
<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 adverseiy affect adjacent properties, the awner may be cited for violating
<br /> the conditions of fhe building,permit issued under the attached permit application, for iots Isss than one (1}
<br /> acre which are elevated by flll, an englneered drainage plan is required.
<br /> If 1 am the AGENT FOR THE OWNER, 1 promtse In good faith to inform#he awner of the permitting conditions set farth in
<br /> this affidavit prior to commencing canstruction. I understand that a separate permit may be required for electrical wark,
<br /> plumbing, signs, we11s, poafis, air aonditioning, gas, ar other instailations not specifically irtciud�d En the application. A
<br /> permik issued shall�be construed to be a license to proceed with the work and not as authori#y to.vioiate, cancel, aiter, o�
<br /> set aside any provisians of the technical cades, nor shall issuance of a permit prevent the Bulidi►ig Official from thereafter
<br /> requiring a�correction of errors in plans, canstructian or violations of any codes. Every perm�t issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, ar if work authorized by
<br /> the perrnit is suspencled ar abandvned for a period of six{6}monfhs after the time the work ts commenced. An exfension
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> jusfifabie cause for the extension. if wark ceases foc ninety(9Q}consecutive days,the��ob is considered abandaned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOi1R
<br /> PAYiNG TWICE FiJR IMPRCIVEMENTS TU YCiUR PROPERTY. 1F YOU INTEND Tt)OBTAIN FINANCING�CQNSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N0710E OF COMMENCEMENT.
<br /> F�ORIDA JURAT{F.S.117.03)
<br /> OWNER OR ACiENT CONTRACTOR
<br /> 5u6scrfbed and swom to(or aiY3rmed)before me this Subscribed and swom to(or afflrmedj before me this
<br /> by bY
<br /> Who is/are personally known to me or has/have produced Who Is/are personally known to me ar has/t7ave produced
<br /> as Identifica�on. as ldentificatian.
<br /> Notary Public Notary Publie
<br /> CommissEon No. Commisslon No.
<br /> tVar�e of Notaty typed,pdnted or stamped Name of Notary typed,pdnted or stamped
<br /> .. G �.
<br /> _ 5.
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