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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned under.stands:.that this,p�rmit.may.be,subJect to"deed"resUictions"
<br /> which may be:more-r.estr(ctive than County regulatlons: �The undersigned assumes responsibillty for compliance with any
<br /> applicable deed restricttons. �
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required..to be�Ilcensed In accordance.w(th state.and•local regulations. If the
<br /> contractor ts not Itcensed as requlred`by law, bo4h the owner and contractor-may be cited for a misdemeanor violatton
<br /> under state law. If the owner or Intended�contractor are uncertaln as to what Iicensing requlrements may apply•for the
<br /> intended work, they are advised to contact the Pasco County Bullding Inspect(on Dlvlston—Licensing Section at 727-847-
<br /> 8009. Furthermore, tf the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for whtch they wiil be responsible. If you, as.the owner sign as the
<br /> contractor, that�may be an indication that he Is not.properly Iicensed and is not entitled to permittfng privileges in Pasco
<br /> County. �
<br />- 'PRAF��Pm�TA�'tON-[MP-:�CT/U3'lLITlES IMPAC'Q'AND RESOURCE RECOV_ERY'FEES: The undersigned understands
<br /> that Transportatlon Impact Fees and.Recourse Recove.ry.Fees may��apply�to the construction of new bulidings,change of- -
<br /> use in existing buildtngs, or•expansion-of�ezisting'�buildings, as specffied.in Pascq County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also undePStands, thaE such fees,-.as�may be�.due,:.wlll be tdentlfied at the time of
<br /> permitting. tt Is further understood that T�a�sportation Impact Fees and Resource Recovery Fees must be pald prior to
<br /> receiving a "certificate of occupancy" or flnal pow�r release. :If the project does not Involve,a certiflcate of occupancy, or
<br /> final power release, the fees must be paid prior t� permit Issuance. Ft��hermore;if:Pasco�County INater/Sewer Impact
<br /> fees are due, they�must be�paid prior to permit-Issuance-In accordance with�applicable Pasca�County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713� FlorJda Statutes�as amended): If valuation 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 Florida Department of Agric.ulture and Consumer�Affairs. If the appl(cant is someone
<br /> other than the"owner", I certify that I have�.obtained�a copy.of the abvve..described docurr�ent°and.promise in,good falth to
<br /> deliver it to the°ownec"�prior to•commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I cectify that all the Inf.ormation In thl� appitcatlon is accurate.and that all work
<br /> wlll�be done in compliance with all.applicable laws regulating construc8on, zoning and�land development. Application (s
<br /> hereby made to obtain .a permit Co do wock..and installation as Indlcefed..� °I certifjr that no work or Installatlon has
<br /> commenced prior to Issuance of a permlt and that.all work will be pertormed to meet standards of all laws regulating-
<br /> construction, County and City codes, zoning regulatlQns, and land development tegulations�in the-jurisd(ction. ( also
<br /> certify that I 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.corrlpliance: Such agencles_include but are.not Iimtted to:
<br /> - Department of E�vironmental Protection-Cypress.Bayheads, Wetland Areas and Envfronmentally Sensittve
<br /> Lands,WateNWastewater Treatment.
<br /> - Southwest Fiorida Water Management .District-Wells, Cypress. Bayheads•, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Englneers-Seawalis, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Seniices/Environmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks. � .
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federel Aviatton,Authority-Runways.
<br /> I understand that the following.rest�ictions apply to the use of flll:�
<br /> - Use of fill is not aliowed in Flood Zone"V"unless expressly permitted.
<br /> - If the flll material is to be used In �Flood Zone. "A", It. is understood that a drainage plan addressing a
<br /> °compensat(ng volume" will be subm(tted at time of permitting wh(ch is prepared by a professfonal engineer
<br /> Iicensed by the State of Florida.
<br /> - If ihe fill material.is to be used in Flood Zone °A° (n�connec�ion�with.a �ecmitted building using stem wall
<br /> construction, I ce�tify that fill:w111=•b.e used only.to.fill the area within the�stem�wall.
<br /> - If flll materlal is to be used fn any �re�, I� certify that .use. of such flll will not adversely affect adjacent
<br /> properties. If use of flll is found to adversely:�ffect adJaEent�properties, the owne� may be cited for violating
<br /> the condltions of the buildfng-.permit Issued under the.�attached�permit applicatlon, for:lots less than one (1)
<br /> acre which are elevated�byflil,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I;:promtse in good fatth to Inform the owner of°the.permitting condftlons seYforth tn
<br /> this affidavit-prior to commencing constructlon. I understand that a�separate permit may be required for electrical work,
<br /> plumbing,,signs, welis, pools, air conditioning, .gas, or ott�er installattons not speclfically included�in.the application. .A
<br /> permit lssued shall be construed to be a`Hcense to proceed with tFie v�rork and not as.authority to,violate,cancel, alte�, or
<br /> set aside any provis(ons of�the.technical-codes;�nor shali Issuance�of a.permlt.prevent the Bulldirig O�ficial from thereafter �
<br /> r�quiring a correction af errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br />� unless the work authorized by such permit.�is-commenced�within sfx months of permit issuance. or if work authorized by
<br /> I the pe�mit is suspended or.abandoned.for a:psriod of six(8)monttis'after the tirne the�work�is commenced. An extension
<br /> may be requested, in writing; from the Building.O�icial for a period.not to exceed ninety(90) days and wilf demonstrate
<br /> justifiable cause for.the extensior�. If work ceases:for ninety(90)cons.ecutive days,..the)ob�is considered aba�doned.
<br /> WARNING TO OWNER: YOUR.FAILURE��TO,REC.QRD A.NOTIGE OF�COMMENCEMENFT�MAY=RESULT IN�YOUR
<br />� PAYING TWICE;FOR IMPROVEMENTS TO:YOUI&.PROPERTY.�.IF�YO.0 INTEND�TO�OBTAIN��FIPtANC1NG;'CONSULT
<br /> WITH YOUR�L`ENDER OR AN ATTORNEY�$EFORE RECOR�IMG,�YOUR`NOTI�E'OF'COMMENCEIVIENT�
<br /> FLORIDA JURAT(F.S.1.17.03) '
<br />� OWNER OR AOENT X. CONTRACTOR Ss "
<br /> Su sc,�i bed d swo or afflmi b for e fhis Su scr bed a 'swo to aflirmed� efore.me s
<br /> _`/'lSa"by �, �p t �.by . .. � �
<br /> Who are�@�rspn�ally k own to.me or has�a prqduced Whgls/are,qers nal kn�n�M me o�has/have�p ced •
<br /> �L�d�"'�t 1'�S��c¢tiCaas Identlflcatlon. f-Z-.�Ji� H� as Identlflcation.
<br /> . -
<br /> Notary Public . Notary Public
<br /> Co i on N ,�"*"'• Comm on No •':°, •���
<br /> , � '�')422 '
<br /> ��• :L Commission#FF 150422 =*�
<br /> =.: �:�. .,
<br /> Name oi Nota ,;,,;prtnted.or,��p;�,,,,�,;,:��nVJ•JBS;o�� Name of Nolary ty ed'�ted or stampad.,. ..:Aaca.ss-�o�s
<br /> � �
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