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<br /> �OTIC�OF DEED RESTRICTIC�NS: The undersig ed understands that this permit may be subject to"deed"restricfions"
<br /> which may be more restrictive than County regulati ns. The undersigned assumes responsibility for campliance with any
<br /> applicable desd restrictions. j
<br /> UNLICENSED CON1'RACTORS AND CONTRAC OR RESPONSIBILITIES: tf the awner has hired a contractor or
<br /> cantractors to undertake work, they may be require to be licensed in accordance with state and local regulations. If the
<br /> contractar is not (icensed as required by law, both the awner and contractar may be cited for a misdemeanor vialation
<br /> under state law. If the owner or intended cantract r are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pas a Caunt�r Bu'slding Inspection Division—Licensing 5ectian at 727-847-
<br /> 8009. Furthermore, if the owner has hired a co tractor or contractors, he is advised to have the contractor(s) sign
<br /> portians of the "contractor B(ack" of this applicatio for which they wil! be responsib(e. {f you, as the owner sign as the
<br /> cantractor, that may be an indication that he is not properly (icensed and is not entitied to permitting privileges in Pasco
<br /> County.
<br /> TRANSPdRTAT[flN IMPAGTIUTI�1TtES [MFACT ND RErSOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Re very Fees may apply to the construction af new buildings, change af
<br /> use in existing buildirtgs, or expansion of existing uitdingsj as specifted in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also unders ands, that such fees, as may be due, will be identified at the time of
<br /> permitting. ft is further understood that Transporta ion lmpact Fees and Resource Recovery �ees must be paid prior to
<br /> receiving a "certificate of occupancy" or final powe re(ease�. if the praject does not inva(ve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Caunty Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issu nce in accordance with applicabte Pasca County ardinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Flori a Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br /> certify that 1, the applicant, have been pravided v+rith a copy of the "Florida Constructian Lien Law—Homeawner's
<br /> Protectian Guiden prepared by the Florida Depart ent of A�griculture and Cansumer Affairs. If the applicant is someone
<br /> other than the"awner", 1 cer'tify that ! have obtained a copy of the above described document and promise in good faith ta
<br /> deliver it ta the"owner"priar ta cornmencemant.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certi that all the information in this application is accurate and that all work
<br /> will be done in compEiance with all applicable laws regulatir�g construction, zoning and land develapment. Application is
<br /> hereby made to obtain a permit to da work and installation as indicated. I certify that na work or installation has
<br /> commenced prior to issuance of a permit and th all wor�k will be performed ta rneet standards of all laws regulating
<br /> construction, County and City cades, zoning reg tations, and land deve(opment regulations in fhe jurisdiction. I also
<br /> certify that l understand that the regulations af oth r government agencies may apply to the intended work, and that it is
<br /> rr�y responsibi]it}r to identi€y what actions I must tak to be inf compliance. Such agencies include but are nat lirnited to:
<br /> - Department of Environmental Protecti n-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
<br /> Lands,Wa#erlWastewater Treatment.
<br /> - Sauthwest Flarida Water Manage ent District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Arrny Carps of Engineers-Seawalls, D cks, Na�iga6le Waterways.
<br /> - Department of Health & Rehabilitativ Servic s/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic TanEcs.
<br /> - US Environmental Pratection Agency- sbestas abatement.
<br /> - Federal Aviation Autharity-Runways.
<br /> 1 understand that the following restrictions apply fo he use of fill:
<br /> - Use of fill is not allowed in Flood Zone`V" unless expressly permitted.
<br /> - If the frll material is ta be used in loat{ Zo�te "A", it is understood that a drainage plan addressing a
<br /> "campensating volume" will be submi d at ti�e of permitting which is prepared by a prafessional engineer
<br /> licensed by the State af Fforida.
<br /> - If the fill material is ta be used in FI od Zone "A" in connectian with a permitted building using stem wall
<br /> construction, !certify that fill wi(l be use only to fil!the area within the stem wafl.
<br /> - 1fi fiil material is to be used in any rea, I certify that use of such fill wil( not adversely affect adjacent
<br /> properties. If use of fill is found to ad ersely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permit i sued un�der the attached pe�mit application, for lots ]ess than one {'1)
<br /> acre which are elevated by fill, an engi eered d�-ainage plan is required.
<br /> If I am the AGENT FC?R THE OWNER, 1 promise i good faith to infarm the owner of the permitting conditions set for�h in
<br /> this affidavit prior to commencing construction. t ndersta�d that a separate permit may be required for electrical work,
<br /> plumbing, signs, weQs, pools, air conditioning, ga , or other installatians nat specificalfy included in the a�plication. A
<br /> permit issued sha(( be construed to be a license t praceec�with the work and nat as authority to vialate, cancel, aEter, ar
<br /> set aside any provisions of the technical codes, no shall issuance of a permit prevent the Building OfFicial from thereafter
<br /> regui�ing a correction af errors in plans, constructi n or vialations of any codes. Every permit issued shall become invalid
<br /> unless the work autharized by such permit is com enced �ithin six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6}months after the time the work is commenced. An extension
<br /> I may 6e requested, in writing, from the Building O iciat for a period not to exceed ninety (90) days and wi11 demanstrate
<br /> justifiable cause for the extension. If wark ceases r ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO R CORD A NOTICE OF GOMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWlCE FOR IMPRQVEMENTS TO YOU PRQPERTY. tF YOU INTEND TO OBTAIN F[NANCING, CCINSU�T
<br /> WITH YOUR LENDE R AN ATTORNEY BEFO E RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.11 .Q � � �������
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<br /> OWNER 4R AGENT __�1�"'� CQNTRACTOR �ij', �
<br /> Subscribed and sworn to(ar a(i ed�befare me this Subscribed and swom t or affirmedj befare me this
<br /> by by
<br /> Who is/are personally known to me or has/have produced WHo is/are persanally known to me or has/have produced
<br /> as identification. � as identification.
<br /> ���;, f � Notary Public ' � / Notary Pub[ic
<br /> Commission N . �E '�3//.5",J Col mission No �F ��l/�l
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<br /> Name of Nota ed�Doittartt�dn q E E 83 t t 5 t Name of Notary typed '+,�a •
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