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<br /> NOTICE OF DEED RESTFYICTIONS: The undersigned under.stands�that thl�:p�rmit may.be,subJect to"deed"restrictlons°
<br /> which may beFmore restrictive.�than County regulatlons.;The undersigned assumes responsibility fo�compliance with any
<br /> applicable deed rest�ictions. �
<br /> UNLICENSED CONTRACTORS-AND CONTRACTOR RESPONS�BILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, fhey may be requlred.to be:licensed In accordance.with state.and•Iocal regulatfons. If the
<br /> contractor is not Iicensed.as required�by law, both the owner and conUactor may be citad for a misdemeanor violation
<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 Butidin� Inspectlon Divfsion—L•tcensing Sectton 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 tha "contrector Block° of thia appllcation for whlch they�nrill ba r�sponsible. If you, as.the owner sign as the
<br /> contractor, that may be an indication that he is not.properly Ilcensed and is not entftled to petmitting privlleges in Pasco
<br />� County.
<br />��� TRANSPORTATION IMPACTIUTILITIES IMPACT AND�RESOUitC� RECOVERYfEE3: The undersigned understands
<br /> that Transportation Impact Fees and.Recourse F2ecove.ry.Fees may�apply to.the construction of new buildings, change of
<br /> use in existing buildings, or.expansion.of existin,g�buildings, as specifled in �asco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such �ees� as:may�be�due,.will be identified at the time of
<br /> ermittin . It Is further understood that T o 0
<br /> p g ransp rtatl n Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certiflcate of occupancy" or flnal power. release. :If the �roject�.does not involve a certiflcate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Fu�the�more, ff Pasco County WatedSewer-Impact
<br /> fees a�e due, they must be�pald prlor to permit issuance-In accordance wlth applicable Pasco County ordinances.
<br />, CONSTRUCTION LIEN LI�W(Chapter 713� FloNda Statute�,as armended): If valuatlon of work is$2,500.00 or more, I
<br /> certify that I, the applicant, have.been provi.ded with a copy of the "Florida Construction� Llen Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agric.ulture and C�nsumer�Affairs. If the appltcant Is someone
<br /> other than the"owne�", I certify that I have�obta(ned a copy,of.the abQVe..described docurnent-and promise in:good faith to
<br /> deliver it to the"owner"prior to�commencement. •
<br /> CONTFtACTOR'S/OWNER'S AFFIDAVIT: I certify that all.the Information In thl�appltcatlon is accurate and that all work
<br /> will'be done in complfance with all applicable laws �egulating constnaction, zoning and land development. Applicatlon Is
<br /> hereby made to obtain .a.permit to .do work..and installatlon as indieated. 'I _certify that no work or installation has
<br /> commenced prlor to issuance of a permit and that.all work will be pertormed�to meet standards of all laws �egulating-
<br /> construction, County and City codes, zoning regulations, and land development regulations�ln the jurisd(ction. I also
<br /> certify that I understand that the �egulations of other government agencles may�apply�to the intended work, and that it is
<br /> my responsibility to identify what.act(ons I must take to be,in.corr�pliance. S.u�h agencies include but are not Iimited to:
<br /> - Departmeni of Environmental Protection-Cypress. BayhOads, W�tland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management :District Wells, Cypress. Bay.heads; Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterway�.
<br /> - Department of Health 8 Rehabilitative ServlceslEnvironmenfal Health Unit-Well.s, Wastewater Treatment,
<br /> Septic Tanks. _
<br /> - US Environmental Protectlon Agency-Asbestos abatement.
<br /> - Federal.Avlatlon Authority-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 expressly permitted.
<br /> - If the flll materia)�is to b.e used in Flood Zone "A", ft is und�rstood that a drainage plan addresstng a
<br /> °compensattng volume" will be submitted at time of perrnitttng which is prepared by a professional engineer
<br /> Iicensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" In�connection�with.a {�ermitted building using stem wall
<br /> construction, i certiry that flll�.will=be used only to.fill the ar�a withln.the�stem wall.
<br /> - If flll materlal is to be used in any area, I certlfy tfiat .use. of such flll will r�ot adversely affect adjacent
<br /> properties. If use of flll is found to adversely:affect adja�ent•properties,.the owner may be cited for violating �,
<br /> the conditions of the building.permit Issued under the at�ached permit application, for lots less than one (1)
<br /> acre which are elevated by flil,an engineered dralnag�plan Is required. ,
<br /> If I am the�►GENT FOR THE OWNER, I,�promtse in good faith to Inform the owner of�the permitting condittons set forth in 'I
<br /> this affidavtt prior to commencing constructlon. I understand that a-�eparate permlt may be requtred for etectrical work, I
<br /> plumbing, signs, wells, pools, air conditloning, .gas, or other installations no�.speclflcally Included in the appNcation. �A
<br /> permit Issued shall be constn�ed to be a I(cense to proceed with the wrork and r�ot as authority to,violate,cancel, alter, or
<br /> set aside any provis(ons of the.techn(cal codes; nor shall issuance�of�permit prevent the Bulidirig Official from thereafter
<br /> requiring a correction.nf_errors in.pla�s, constructlon or violatlons of ae�y codes. Every permit Issued shall become invalid
<br /> unless the work authorized.by such permit°ts.commenced•within sGc months of permlt Issuance, or if work authorized by
<br /> the pe�mit is suspended or.abandoned for a period of§ix(8)months�fter the time the work�s commenced. An extension
<br /> may be requested, in writing, from the Building,Official for a pedod.not to exceed�ninety�(90) days a�d�will demonstrate
<br />—j�stl6�abl�causa for-�the�xtensdon:—lf work e�ase�.for n�naty(90)-cons�c�tive�days,-..Qh�job�i�-corisidered-aba�doned�"�-- --�—"
<br /> WARNING TO OWNER: Y�UR.FAILURE�TQ.RECORD A MO71GE,OF COMMENCEME�tT MAY RESUlT IN YOUR
<br /> PAYING TWICE,FOR IMAPROVEMENTS TO YOUR�:PROPERTY. IF�VOU�INYEI�ID`TQ OBTA�N�FINtANCiNG;�CONSULT
<br /> WIT U L . O 7TORN OR -_ CO. � ��� OU � � E � T
<br /> FLORIDA JURA�(F.S.. .0 ) � .
<br /> c
<br /> OWNER OR AOENT �-e/�ONTRACTOR
<br /> Subscribed and swom M b aflinned)befoi me this Subscribed and cwom to(or afftrmed)�before me fti18
<br /> bY :by �.
<br /> Who Is/are personally known to me or haslhave produced Who Islare personally known to me or�has/have produced� ,
<br /> as Identlflcatlon, as Idendflcadon.
<br /> Notary Public . Notary Publlc
<br /> Comm o Comml�slon�No.
<br /> � ,,o..�:e��, E .
<br /> ;;�� •�: Commission#FF 137073
<br /> Name o(No i�;�,F,,Q��fIB���Tm/Fein InswdnoeB�OJ85d�19 Name oi Notary typad,printed or stampad '
<br /> A���t`�
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