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<br /> NOTICE OP DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictians"
<br /> which may be more restrictive than County regulations.� The undersigned assurries responsibii�ty for compliance with any
<br /> applicable deed restric#ions.
<br /> U�lLICENSED CQNTRACTQRS AND CONTRACT�R RESPONSlB!l,ITIES: tf the owner has hired a contcactor or
<br /> contractors #o undertake work, they may be required to be�licensed in.accordance with state and�Iocal regulatians. If the
<br /> cont�actor is noC licensed as requlred by law, bo#h the owner and contractor may bs cited for a misdemeanor violatian
<br /> under stafe iaw. if the owner or intended contraetor are uncertain as ta wha# iicensing.requirements may apply'for the
<br /> intended work, they are advised to aontact the Pasco County Building Inspectian Divisfon—Licensing Section at 727-847-
<br /> 8009. FurEhermore, if #he owner has hired a con#ractor or contractors, he i� advis�d tv have the contcaator{s) sign
<br /> portions of the "contractar Block" of this applica#ion for which they will be responsible. If yau, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed anc! is not entitled to perrnitting privileges !n Pasco
<br /> Cvunty.
<br /> TRANSPORTATIQN IMPACTIUTILITIES IMPACT AND RE50URCE �t�COVERY FE�S: The undersigned understands
<br /> that Tcanspo�tation Impact Fees and Recourse Recov�ry F�es may appty to the cons�ri�ctior,vf new bui}dings, change of
<br /> use in exis#ing buildings, or eupansian of existin,� buildings, as spec's�€�d ir+'Pasco County Ordinance,number 89-0? and
<br /> 90-07, as amended. The undersigned also u�derstands,-that such fees, as may be due, wiii`�ie�identified at the time of �
<br /> permitting. It is further understood that Transpartation Impact Fees and 'Resource Recovery Fees must be paid prior to
<br /> receiving a °certificate of occupancy" or final power release. .If the project does not Invofve a cerkifica#e of occupancy or
<br /> iinal power release, the fees must be paid priar ta permif issuance. Furthermr�re, if F�,�sco County 1Nater/Sewer Impact
<br /> fees are due, they musk be paid priar to permit issuance in accordance with appilcable Pasco County ordinances.
<br /> CONSTR�CTION LIEN LAW{Chapter 713� Florida Statutes�as amended): 1f valuation of work is$2,50Q.00 ar more, f
<br /> certify tha# I, the applicant, have been provided with a capy of the "Florida Construction Lfen Law—Hameowner's
<br /> Protection Guide° prepared by the Fiorida Department of Agricuiture and Consuener Affairs. ##the applicant is someane
<br /> other#han fhe°owner", I certify that I have.obtained a copy.of the above described dacument and promise in gaod faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CQNTRACTOR'SlOWNER'S AEFIDAVIT: 1 certify that all the informatlon in th�s applicatlon is accurate and that ail work
<br /> will�be done in compliance with all applicable laws regulating constructian, zoning and land development. Applicatian is
<br /> hereby macte to obtain .a permit to do worlc and {nstalEation as ind4cated. i certify tha# no work or �nstallation has
<br /> commenced prior to issuance of a permi# and #hat ail work will be perfarmed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land developmenk rege�latfons in the jurfsdictian. I also
<br /> certify that 1 unders#and thaf the regulations of other governrnent agencies may apply ta the intended wark, and that it is
<br /> my responsibility to 'iden#ify what actions I must take to be.in.campliance. Such agencies include but are not limited to:
<br /> - Depattment of Ertvirbnmental Pratection-Cypress Bayheads, Wetland Are�s and Environmen#ally Sensif'rve
<br /> Lands, Wa#er/Was#ewater Treatment.
<br /> - Sauthwest Florida Watec Management Dis#rict-Wells, Cypress. Bayheads. Wefland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health 8 Rehabilitative .SenriceslEnvironmental Health Unit Wells, Wastewater Treatment,
<br /> Septic Tanks. _
<br /> - US EnvironmentaE Protection Agency-AsbesEos abatement.
<br /> - Federal Aviation Authorl#y-Runways.
<br /> ! understand that the follow�ng restrictions apply te the use of flll:� .
<br /> - Use af fi11 is not allowed in Fload Zone"1l"uniess expressiy permitteci.
<br /> - If the� fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensaf�ng volume" will be submitted at time of perm3fting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - !f the flll materiai is to be used in Fiood Zone "A" in�cannection with a permitted building using stem wal!
<br /> construction, i cer.tify that fili will be used only to flll the area within#he stem wall.
<br /> - !f fill material is ka be used in any area, I cerkify that use of such fiQ wiU not adversely affect adjaeent
<br /> properties. If use af fril fis.found to adversely affect adJacent properties, the owner rnay be cited far vialating
<br /> the conditions of the building permit issued under the attached permit applica#ian, for lots less tiian one (1)
<br /> .acre which are etevated by fli,.an englneered drainage plan�s required.
<br /> If I am the AGENT FOR THE OWNER, I,prom(se in good faikh to inform the owner of the permitting conditions set fcrrth in
<br /> this affidavit prior to commencing construc#ion. I understand that a separate permik may be required for eEectrical wark, �
<br /> plumbing, signs, wells, pools, air conditioning, gas, ar other insfalla#ions not specificafly included in the application. A
<br /> permit issued shall be canstrued to be a license to proceed with the work and nat as authorfty to,viola#e, cancel, al#er, or �
<br /> set asicfe any pravisions of the techn3cal codes, nor sha11 Essuance of a permif preven#fhe Build�rig Officlai frorn thereafter
<br /> requiring a correction of errors In plans, canstruction or viola#ians of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by suah permlt is commenced within sGi months of permft issuance, or if wark authorrzed by
<br /> the permif is suspended orabandoned for a periad of six(6) months after the time the work is commenced. An extension
<br /> may be requested,,in writing, from the Building.Official for a perlod not ta exceed ninety �90� days and will demonstrate
<br /> jusfifiable cause for the extension. If work aeases for ninety{90}consecu#ive days,the jab is considered abandoned.
<br /> WARNING TO UWNER: YOUR FAILURE TO RECC?RD A NQTICE OF COMMENGEIUIENT MAY RESULT 1N Y{}UR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YCIUR PROPERTY. IF YOU INTEND TO OBTAIN �INANCING, CONSULT -
<br /> WlTH YOUR lENDER OR�AN T7'ORNEY BEFCIRE RECORQING YOUR�NOTI COMMEN�EMENT:� -
<br /> �F�^v+�tOA dURI`,T{F:S.1 7.03j - -- — __— _ - �.
<br /> QWNER OR AGEhT � GONTRACTOR
<br /> Subscrtbed end swo {or a rmed)before me ttris Subscribed and sw M(o affirmed')before me this
<br /> by by
<br /> Wha islare personally known ta me at haslhave produced Who 4s/are personatly known to me or hasftzave produced �
<br /> as ldentificaUon. � as iden�ficatian.
<br /> Notary Public Notary,Publ(c
<br /> CommissEon No. Commtssion No.
<br /> hlame of Notary typed,prtnted or stamped Name of Notary typed,printed or stamped
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