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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned under.stands�that this.p�rmit.may.be sub)ect to"deed"restrictions"
<br /> which may be:more restcictive than•County regulatlons. �The undersigned�assumes responsibility for compliance with any
<br /> applicable deed rest�lctions.
<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:licensed In accordance.with state.and•local regulations. If the
<br /> cont�actor is not licensed as required-by law, both the owner and contractor may be c(ted for a misdemeanor violatlon
<br /> under state law. If the owner or Intended contractor are uncertaln as to what Ilcensing requirements may apply•�for the � -
<br /> intended work, they are advised to contact the Pasco County Building Inspectton Divislon—Licensing Sectlon at 727-847-
<br /> 8009. Furthermore, tf the owner has hlred a contractor or contractors, he is advfsed to have the contractor(s) sign
<br /> portions of the "contractor Block° of this application for which they wlll be responslble. If you, as.the owner sign as the
<br /> contractor, that-may be an indication that he is not properly licensed and is not entftled to permitting privileges In Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recove.ry Fees may apply to.the construction of new bulldings, change of
<br /> use in existing buildings, or expansion�of existin�g'buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The 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 Impact Fees and Resource Recovery Fees must be paid prlor to
<br /> receiving a "certificate of occupancy" or final power release. :If the,project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WatedSewer Impact
<br /> fees are due, they must be-pald prior to permit Issuance In accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713� Florlda St�tutes,as amended): If valuation of work is$2,500.00 or more, I
<br /> certify that I, the applicant, have been provtded with a copy of the "Florida Construction Llen Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Departmenf of Agric.ulture 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"prior to commencement. �
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tify that.all.the Information in this appllcation is accurate and that all work
<br /> will�be done in compliance with all applicable laws �egulating constructlon, zoning and land development. Application is
<br /> hereby made to obtain .a permit to do wo�k and installation as indicated.. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that.all work will be pertormed to meet standards of all laws regulating-
<br /> construction, County and City codes, .zoning regulations, and land development regulatfons-in the jurisdiction. I also
<br /> certify that I u�derstand 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 include but are.not limited to: �
<br /> - Departmen4 of Environmental Protection-Cypress.Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management District-Weils, Cypress. Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & ReMabllitative Servlces/Environmenfal Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. � _
<br /> - US Envi�onmental Protectfon Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of flll:�
<br /> - Use of fill ls not aliowed in Flood Zone"V"unless expressly permitted.
<br /> - If the fill material-is to be used in Flood Zone "A", it. is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of petmitt(ng which is prepared by'a professional engineer
<br /> licensed by the State of FloNda. -
<br /> - If ihe fill material is to be used in Flood Zone "A" in�connection�with a permitted building using stem wall
<br /> construction, I certify that fill�_will=b.e used only.to.fill the area wlthPn the stem wail.
<br /> - If fill materlal ts to be� used in any area, I certify that .use. of such fill will not adversely affect adjacent
<br /> properties. If use of fill Is found to adversely:affect adJacent properties,,the owner may be'cited for violating
<br /> the condi#ions of the building.permit issued under the.attached permit application, for lots less than one (1)
<br /> acre which are elevated by flll,an engtneered dratnage plan is requlred. .
<br /> If I am the AGENT FOR TH�OWNER, I,promise tn good faith to fnform the owner of the permitting condit(ons set forth in
<br /> this a�davtt prior to commerncing construction. I understand that a�separate permit may be required for elecMcal work,
<br /> plumbing, signs, wells, pools, air conditioning, .gas, or;other installatfons not specifically included in the application. .A
<br /> permit issued shall be constcued to be a Iicense to proceed with the work and not as authority to.�violate, cancel, alte�, or
<br /> set aside any provisions of the technical codes; nor shall Issuance of a permit.prevent the Bulldirig Official from the�eafter
<br /> requiring a correction nf errors In.plans, constructfon or vlolations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized.by such permit:is commenced withln six months of permit issuance. or if work authorized by
<br /> the pe�mit is suspended or abandoned for a period of six(6)months after the time the work ts commenced. An extension i
<br /> may be requested, in writing, from the Building,Officlal for a period.not to.exceed ninety (90) days and�will�demonstrate '
<br /> justi�able cause for the extension. If work ceases;for ninety(90)consecutive days,.th�Job is considered abandoned. �
<br /> � -� ,
<br />�_ _WARNING_TO.OWNER:,YAUR_FAILURE-TO.RECAttD A-NOTl�E-�F—GONIMEldCEENEIV� !lAAY'RESUL-T IN-YOl9R-- - �- -
<br /> PAYING'TiNICE.FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU;INTEND'.TO OBTAIN•FINANCING;�CONSULT
<br /> i`J8Y0',1 Y�P►3R��S3�D�r`3'�::�'+R9 aA.'!":OP36`:�°!�{�'�OR�-°���RD60�1G�Y�Q!°`E:��'E'^�:�'�'C�6��I�1�+lCE:�".�T�T -�
<br /> FLORIDA JURA��(F.S.1.17.03) � 1 � � �
<br /> OWNER OR AGENT �-C.. CONTRACTOR
<br /> Subscribed and swam to aflirmed)befor me this Subscribed and'sw to(or affirmed)before me fhts
<br /> by _by •
<br /> Who Is/are personally knovm to me or haslhava produced Who ts/are personally known to me or haslhave produced.
<br /> as identlflcatlon. as IdendflcaUon. �,
<br /> o ub ic . Nota Public II
<br /> N tary P I ry
<br /> Commisslon No. Commission No.
<br /> Name of IVotary typed,prl�ted or stamped Name of Notary typed,printed or stamped
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