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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed'restrictians°
<br /> wflich may be more restrictive than County regutations. The undersigned assumes responsib!!tty for compliance with any
<br /> appticabie deed sestrictians.
<br /> UNLIGENSED CONTRACTORS ANp CQNTRACTOR RESPONSIBILITIES: tf the owner has hired a canfractor or
<br /> contractors ta undertake work,they may be required to be licensed tn accardance w3th sfate and local regu4aEions. 3f fhe
<br /> contractar is not licensed as required by law, bo#h the owner and conUactor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco County Building tnspecflon Divisian--Licensing SectEon at 727-847-
<br /> 80Q9. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of ihis appiication far which they witl be responsible. If you, as the owner sign as fhe
<br /> contraator,thaf may be an indlcation that he Is noE properly Ilcensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATiQN IMPACTNTILiTiES IMPACT AND RE50URCE RECOVERY FEES; The unciersigned understands
<br /> that Transportation Impact fess and f2ecourse Recavery Fees may apply to the canstruc4ion of new bu�lding5,change of
<br /> use in existing buildings,or expansion of existing buildings, as specified in Pasca County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also understands,that such fees,as may be due,witt be idenf'rFed at the time of
<br /> permitting. It Is further understood thak Transportation lmpact Fees and Resaurce Recovery Fees must be paid prior to
<br /> receiving a°certficate of occupancy"vr final power release. If the project does not invoive a certificate of occupancy or
<br /> final power reiease,the fees musf 5e paid prior to permif issuance. Furthermore, if Pasco County Water/5ewer Impac#
<br /> fees are due,they must be paid prlor ta permft fssuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify fhat 1, tfie applicant, have been provided w3th a copy o# the "Fiarida Construction Lien �aw—Hameowner's
<br /> Protectlon Guide"prepared by the�Iorida beparkment of Agriculture and Consumer Affalrs. If the applicant is someone
<br /> other than the"owne�",I cerfify ihat I have obtained a copy of the above described document and promise in good faith to
<br /> detiver it to the°owner"prior to commencement.
<br /> CONTRACTQR'SlOWNER'S AFFIDAVIT: I certify thet all the information in this applicatian is accurate and that all work
<br /> will be done in comptiance with al�appticable laws regulating construction,zoning and land development. App(ieation is
<br /> hereby made ta ob#aln a perml# ta do wark and fnsta!!at'son as indicated. f certify that na work or instaltatfon has
<br /> commenced prior to issuance of a permlt and that all work will be performed to meet standards of all laws regulating
<br /> construction, County and Ciiy codes, zoning regutafions, and land development regutatiorts in the jurisdictian. 1 al"so
<br /> certify that 1 understand fhaf the regulat9ons of other govemment agencies may apply to the intended work,and that it is
<br /> my responsibilfty to identify what actions I must take to be In compliance. Such agencies include but are not limited to:
<br /> - Department of Environmentai Profection-Cypress $ayheads, tNettand Areas and Environmen#ally Sensitive
<br /> Lands,WatertWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Aitering
<br /> Watercourses.
<br /> - Army Carps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Healkh Unit-Wetls, Wastewater Treatmenf,
<br /> Septic Tanks.
<br /> - US Envisonmental Proteckion Agency-Asbestos abatement.
<br /> - Federal Aviation Autharity-Runways.
<br /> t understand that the foliowing restrictions apply to the use of flli:
<br /> - Use of fill is not allowed in Flood Zane"V°uNess expressly permitted.
<br /> - If the fill material is to 6e used in Flood Zone "A", if is understood that a drainage plan addressing a
<br /> °campensating voiume°wEN be sobmitted aE time of permitting which is prepared by a professional engineer
<br /> licensed by the 8tate of Florida.
<br /> - If the flll materiat is to be used in Flood Zone"A"in connection witfi a permitted building using sfem wall
<br /> construction,i certify thaf fiii wlii be used vniy to fii{the area withfn the stem wall.
<br /> - If fl!I rnaterial is to be used in any area, I certify that use of such fill will not adversely affect adjaoenf
<br /> properties, if use of fllt is found to adversely affiect adjacent properties,the owner may be oited for violating
<br /> the condit�ons of the buPlding permit issued under the attached permit application,far lots less than one{1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> ff I am the AGENT FOR THE OWNER,1 pramise in good faith to inform fhe owner of the permitting conditions set forth in
<br /> #his affidavlt prior to commencing construction. !understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, welis, pools, air condltioning, gas, ar other Installations not spec�ca(iy included in tfie appticatian. A
<br /> permlt issued shait be consfrued to be a license to proceed with the worK and not as autho�lty to.violate,cancel,alter,or
<br /> seE aside any provisions af the technical codes,nor shall issuance of a permit prevent the Buildirig Official from thereafter
<br /> requiring a correction of errors in plans,constnactian ar violaGons af any codes. Every permft issued shall become invatid
<br /> untess the work authorized by sucfi permit is commenced wiFhin six months of permik issuance,or it work authorized by
<br /> the petrrtit is susgended or abandoned fo�a period of six(6)months after lhe fime the work is commenced. An exfension
<br /> may be requested,in writing,from the Building Offiicial for a period nof to exceed ninety(90}days and will demonsfraEe
<br /> jusfifiable cause for the extension. !f work oeases for ninety(90}canseoukive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAfLURE TO RECOitd A NO710E OF COMMENGEMENT MAY itESULT IN YOUR
<br /> FAYtNG TWlCE FOR tMPROVEMENTS TO YOUft PR4PERTY. !F YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITN YOUR LENDER O AN A'tTORNEY BEFORE EGO DING Y U NOT(CE QF COMMEN EMEN7.
<br /> FLORIDA JURAT(F:S.117.03}
<br /> OWNER OR AG�NT CONTRACTOR ' S�,• '��.."'1,,,.
<br /> Snbscribed and swom to{or aflirmed)before me this S�hs�b d end swom o o rmed before me this
<br /> by �'i. ��.5 f�.� �_L�_ .
<br /> Who islare personatty known Ro me or has/have produced Who Is/are rsonally own to me or has�idenSfication.
<br /> asidentlftcation. /
<br /> Not2ry Pubflc ` `' �� ,� Not ty Public
<br /> Commisslon No. Com iss o.`.°"z' �`•L%'.'�-���-E�E B ES
<br /> � , �����t�ission FF 150422
<br /> Name o(Notary typed,pdnted or stamped �Name of No .ry typed,printed ar s�e�oy Pain I�su�anco8003&57U19
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