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NOTICE O� DEED RE�TRlCTIONS: The undersigned understands that�his permit may be subject to"deed"restric�io�s" �
<br /> vuhich may be more restric#1ve than County regulations. The underslgned assumes responsibility for cotttplianae witFt any
<br /> applicable deed restrictians.
<br /> UN�ICENSED Ct'}NTRACTGRS ANQ Ct?NTRACTOR RESPQNSlBI�tT1ES: tf the owrter has hired a cantractar or
<br /> contractors to undertake work, they may be required to be licensed in accordance with sta#e and�local regulakions. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state iaw. #f the owner or intendad contractor are,uncertain as ta what licensing requirements may appiy far the
<br /> intended wark, they are advised to contack the Pasco County Building Inspection Divislon—Licensing Section at 727-847-
<br />�� 8009. Furthecmore, if fhe awner has h�red a contractar or contractors, he Es adv9sed to have the contractar{s) sign
<br /> portions of the "contrackor Black" of this applica#ion for which they will be responsible. If yau, as the owner sign as the
<br /> contractor, that rnay be an indication that he is not properly licensed and is nok entitled to permitting privileges fn Pasco
<br /> Counfy.
<br /> TRANSPORTATION IMPAC77UTIL.ITIES IMPACT AND RESOURGE RECOVERY FEES: The undersigned understands
<br /> that Tcansportation Impact Fees and Recourse Recovery Fees may apply ta the constructian of�tew buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
<br /> 9Q-07, as amended. The undersigned also understands, that such fees, as may be due, wiil be identi�ied at the time of
<br /> permitting. lt is further understood that Transportation lmpacf Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final pawer release. !f the project does not involve a certificate of occupancy ot
<br /> final power release, fhe fees must be paid prior fo permit issuance. Furthermare, if Pasco County Vltater/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 T13, Floricfa Statate��as amended): If valtaatlon ot work is$2,500.00 or more, 1
<br /> certify that I, the applicant, have been provided wi#h a copy of the "Florida Construction Lien Law—Hameowner's
<br />�, ProtectRon Guide° prepared by the Florida Department of Agrieulture snd Consumer Affairs. If the appiicant is someone
<br /> other than#he"awner�, I certify that I have obtained a copy of the above descrlbed document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CUNTRACTOR'SIOWNER'S AFFIDAVIT; 1 cert�fy tha#all the Information in thEs appllcatlon is accurate and #hat all work
<br /> will'be done in campliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to abtain .a permat ta da work and inskailation as indicated. i certify that no work ar instalEation has
<br /> cammenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> constructian Count and Cit codes zonin re ulations and land develo m
<br /> , y y , g g , p ent regulafions �n the }urisdictic�n. ( aisa
<br /> cer#ify that 1 understand thaf�he regulatians of other government agencies may apply Eo the intended work, and that it is
<br /> my responsibility to identify what actions 1 must take to be in compliance. Such agencies include but are not limited ta:
<br /> - Depa�tment afi Etiv�ronmental Protection-Cypress Bayheads, Wettand Areas and Enviranmentaily Sensifive
<br /> Lands,Waker/Wastewrater Treatment.
<br /> - Sauthwest Florida Water Management District We!!s, Cypress Bayheads, Wetland Areasf Aitering
<br /> � Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Wateruvays.
<br /> - Department of Health & Rehabilitative Services/Environmental Nealth Unit-Wel{s, Wasteuvater Treatment,
<br /> Septic Tanks. ,
<br /> - US Environmental Frotec#ion Agency-Asbestos abatement.
<br /> - Federal Aviation Authorlty-Runways.
<br /> I understand that the fallowing restrictions apply to the use of fiU:�
<br /> - llse of fill is not allowed in Ftood Zvne"V"unl�ss expressly permitted.
<br /> - If the fill material is to be used in Fload Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating voiume" will be submttted at time of permitting which is prepared by a professianal englneer
<br /> licensed by the State of Florida.
<br /> ' - !f the flll material Is ta be used in Flood Zone "A" in connection with.a permitted building using stem wal!
<br /> � construction, I certify that fi8 wiil be used only to fil(the area within the stem wall. '
<br /> - If fill makerial is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fiN is found #o adversely affect adJacent pr.aperties, the awnet may be c3teci for violating
<br /> the canditions of the building permi# issued under the attached permit application, for lots less than one (1)
<br /> acre which are efevated by fifl,an ertgineered dralnage plan is requlted.
<br /> If I am the AGENT FOR THE OWNER, i,promise in good faith to inform the owner of#he permitting conditions set farth in
<br /> this affidavit prior to cammencing construction. I understand that a separate permit may be required for eleckrical work,
<br /> plurnbing, signs, wells, pools, air concfitioning, gas, or other instaltatians not specificaily inciuded in tMe applicatian. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to,violate, cancel, alter, or
<br /> set aside any provisions of the techn�cal codes, nor shall issuance of a permit prevent the 8uilding fl�clal fram thereafter
<br /> requiring a correctio� af errors in plans, construction or violations af any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six mon#hs of permit issuance. or if work authorized by
<br /> the permit is suspended or a6andoned for a period of six(6) months after the time the work is cornmenced. An extension
<br /> may be requested, in writing, from the Building l7fficial for a period not ta exceed ninety (90) days and will demonstrate
<br /> justifiable cause for#1ie extensian. If work ceases far nl�ety(90)consecutive days,the�job is considered a6andoned.
<br /> WARNlNG TO QWNER; YCtUR FAlLURE TU RECQRQ A NQTI+CE Ct� COMMENGEM�NT MAY RESURT IN Y�UR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND T(J OBTAIN �INANCING� CONSULT
<br /> WIT'H YUUR lENDER�?R AN ATTtJRNEY BEFORE RECQRDlNG YOUR NQTIGE OF COMMENCEMENT.
<br /> FLOf2lDA JtJRAT_(F.S.19.7.q3} — - --- - -— - ; --
<br /> OWtdER OR AGENT CONTRACTOR
<br /> Sut�scfibed and swom ta(ar affirmedj befare me thls Subscribed and swom to{or affirmed}befare me this
<br /> by by '
<br /> VYho islare personaUy known ko me or has/haue produced Who Is/are personaAy known to me or has/have praduced
<br /> as idenUficatlon. • as iden�ficatian.
<br /> Notary Public Notary Pu61ic
<br /> Commisslon Na. Commisslon Na.
<br /> Name of Notaty typed,printed o�stamped Name of Notary iyped,printed or stamped
<br />
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