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LVOTICE O�DEED RESTRICTION5: The undersigned under.�tands°that this.permit.may.be,subJect to°deed"restrictlons"
<br /> whfch may he:more rest�ictive than County regulations. "Phe undersigned assumes responsibiltty for compliance with any
<br /> applicable de�d restrictions. ,
<br /> UNLICENSED CONTItACTORS AND CONTRAC'PO@Z ItESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be requlred_to be:llcensed In accordance.with stat�.and�local regulatfons. If the
<br /> contractor is not I(censed as required-by law, boQh the owner and contractor may be cited for a misdemeanor violatfon
<br /> under state law. If the owner or Intended°contractor are uncertain as to what Ilcensing.requirements may apply�or the '
<br /> intended work, they are advised 4o contact the Pasco County Bullding Inspectlon Divislor�—Licensing Section at 727-847-
<br /> 8009. Furthermore, If the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign '
<br /> portions of the "contractor Block° of thls appllcatlon for which they wrfll be respo�sible. If you, as.the owner sign as the
<br /> contractor, that tnay be an indication that he ts not.properly licensed and is not entitled to permitting privileges In Pasco
<br /> County.
<br /> 'PRANSPORTATION IMPACT/UTIL{TIES IMPACT ANb RE�OURCE RECOVERY FEES: The undersigned understands
<br /> that Transpor�ation Impact Fees and.Recourse Recove.ry Fees may apply to the construction of new►buiidings, change of
<br /> use in existing buildings, or expansion•of�existing`buildings, as speclfied in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. �he undersigned also understands, that such fees, as may be�.due,.will::be identified at the time of
<br /> permitting. It is further understood that Transportation 0mpact Fees and Resource Recov.ery Fees must be paid prior 40
<br /> receiving a "certificate of occupancy" or flnal.powrec release. :If the project does not involve a certificate of occupancy or
<br /> final-power reVease; t�e fees must be-paid�prtor to"permif f�suance: Furthermore; if Pasoo County Water/Sewer Impact
<br /> fees a�e due, they.must be-p�id prior to permit Issuance-In accordance wlth applicable Pasco County ordinances.
<br /> CONSTRUCTION d.IEN I.AW(Chapter 773� Florlda Statutes,as �mended): If valuatlon of work is$2,500.00 or more, I
<br /> certify that I, the applicant, have.been provided with a copy of the °Florida Constructlon Lien Law—Homeowne�'s
<br /> Protection Guide" prepared by the Florlda Departmenf of Agricuiture and ConsumerAffairs. If the applicant is someone
<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"prioc to commencement:
<br /> CONTRACTOR'S/OWNER'S AFFID�IVIT: I certify that all the Information In this applfcation is accurate and that all work
<br /> will be done in compliance w►ith all applicable laws regulating construction, zoning and:land development. Application is
<br /> hereby made to obta(n .a permit Co do work.and Instailation as indlcated: 'I certify that no wrork or installation has
<br /> commenced prior to fssuance of a permit and that all work will be performed to meet standards of all laws regulating�
<br /> construction, County and City codes, zoning regulations, and land development regulations�in the jurisdict(on. I also
<br /> certify that ! understand that the regulations of other 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:.corr�pliance: Such agencles includ�but are not Ilmited to:
<br /> - Department of Environmental Protection-Cypress Bayheads; Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterMlastewater Treatment.
<br /> - Southwest Florida Water Management Distrlct-VUells, Cypress. Bayheads�, Wetland Areas, Altering
<br />� Watercourses.
<br /> - Army Corps of Engineers-Seawaiis, Docks, Navlgabie Waterways.
<br /> - Department of Health 8 Rehabilitative �ervlces/Environmenfal Health Unit-Welis, Wastev�rater Treatment,
<br /> Septtc Tanks. _
<br /> - US Environmental Protectlon Agency-Asbestos abatement.
<br /> - Federal Avlation Auihority-Runways.
<br /> I understand that the following.restrictions apply to the use of flll:�
<br /> - Use of fill is not allowred in Flood Zone"V"unless�xpressly p�rmltted.
<br /> - Of the fill m�terial is to be used in �Flood Zon� "A", (t. is understood that a drainage plan addressing a
<br /> ucompensatirrg volume" will be submitted at time of permitting wrhich is prepared by a professional engineer
<br /> Iicensed by the St�te of Florlda.
<br /> - If the �II materlal.is to be used in Flood Zone �A" in�connection with_a permitted building using stem wall
<br /> construction, I certify that fill�:will-be used only.to.fill the area uvithin the�stem�wall.
<br /> - If fill materlal is to be used in any area, I certify tha@ use of such'fill wlll not advers�ly ;affect adjacent
<br /> properties. If use of flli is found to adversely:affect adJacent�properties, the owner may be c(ted for violating
<br /> the conditions of the building.permit fssu�d�under the.attached permit application, for lots less than'one (1)
<br /> acre which are elevated by flll, an englneered drainage pla�Is required.
<br /> if I am the AGENT FOR THE OWNER, I;promise tn good faith to inform the owrner of the permitting conditions set forth in
<br /> this affidavit prfor to commencing construction. I understand that a�separate permit may be requtred for electrical work,
<br /> plumbing, signs, wells, pools, afr conditioning, .gas, or other installations not spec�ically included-in.the application. A
<br /> permit issued shall be constcued to be a license to proceed with the work and not as-authority to,violate, cancel, alter, or
<br /> set aside any provis(ons of the technical codes; nor shall Issuance�of a.permit.prevent the �ullding Oiflclal from thereafter
<br /> requfring a correction af errors In.plans, constnaction or vlolations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit�Is-commenced�w(thln sGc months of perreilt issuance, or If work authorized by
<br /> the permit is suspended or.abandoned for a period of six(6) montf�s:after the time the work is commenced. An extension
<br /> may be requested, in writing, from the �uilding,Official for a perfod.not to.exceed ninety(90) days and will demonstrate
<br /> justifiable cause for.the extension. If work ceases.for ninety(90)consecutive days,..th�job�is considered aba�doned.
<br /> V9fAItNING TO OWNER: YOUR.FAILURE�1'O,REC.ORD A. NOTIGE OF�COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYIidG TIRIICE.FOR_IMPPtOVEM�NTS'TO YOUR�PYtOPER°C1F. �IF�YOU�INTEND?�YO'OBTAIIV�FIfdANCING,�CONSULT
<br /> WITH Y UR ENDE O. AN ATTORNEY B FORE�R COR� G:`YOUR' O � C �`OF° ' E CE ENT�
<br /> FLORIDA JURAT(F.S.117.03) '
<br /> OWNER OR A(iENT -GONi'�CTAFt
<br /> Subscribed and swom to(or aflirmed)before me thls 'Subscribed and'�wom to or flirttied)'befare me'PFifs
<br /> b� �bY
<br /> 4�o Is/are personally knovm to.me or has/haye produced Who.ls/are per�onally wn•to me or haslhave produced •
<br /> as Identlflcatlon. as identlflcatlon.
<br /> Notery Public :•r:'';,, J .BACON otary Public
<br /> �M: :k- I
<br /> Commisslon No. Com ssi _No. _:;• �o; Expires June 29,2018
<br /> � q •„o�e�,,. on e �u roy an nsurance
<br /> �.�;.,n„•�.
<br /> Name o/Notary typed,printed or stamped Name oP Nolary typed,printed or stamped
<br /> P-_,
<br />
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