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<br /> NOTMCE O�DEED RESTRICTIONS: The undersigned unde�r�tands that this.p�rmit.may.be subject to"deed"resVicttons"
<br /> which may be�more-�estr.ic#ive than County regulations. �The�nders3gned assumes responsibiiity far camp{iance with any
<br /> applicable deed restrictions. �
<br /> UNkICENSEQ CC1N7'RACTqltS AND. CONTRACTOR RESPONSEBII.ITlES: -If the owner has hlred a can#ractor or
<br /> contractors to undertake work, they may be required�to be:l(aensed in accordance.with state.and�local regulattons. If the
<br /> contractor is not (icensed as required�by law, both the owner and conuactor may be cited for a mtsdemeanor violatton
<br /> under s#ate law. if the awner or intended�contractor are uncertain as ta what licensing.requirements may appiy•#or the
<br /> intended work, they are advised to contack the Pasco County �uilding Inspecttan DivPs(on—Licensing Section at 727-847-
<br /> 8009. Fu�#hermore, f# the owner has h{red a cont�ac#or or confractors, he �s advlsed to have fhe contractor{s} s�gn
<br /> portions of the °contrackor Black" of this application for which they will be responsible. If you, as.the owner sign as the
<br /> cont�actor, that may be an indicatian that he is not properly licensed and is not entitied to permikting privileges in Pasco
<br /> County. �
<br /> TRANSPORTATION IMPACTIUTILITIES-IMPAGT AND RE50URCE RECOV�RY FEES: The undersigned unde�stands
<br /> that Transporfatior� impac#Fees and Recaurs�Recove-ry-Fees may apply to the construction of new buildings� change of
<br /> use in existing buildings, or expansion>of existing buildings, as specifled in Pasco Caunty Ordinance number 89-07 and
<br /> 90-07t as amended. The undersigned alsa understands, thalt such fees�.as.may�be.due�twll! be identified at fhe time of
<br /> permitting. it is further understood that Transportation Impaat Fees and Resource RecoVery Fees must.be paid prfor to
<br /> receiving a "certificate of occupancy" or flnal power..release. :If the.projec�does not involve a certificate of occupanoy or
<br /> final pawer retease, the fe�s must be pald prlor ta permit Issuance. Furthermore, if Pasco County lNaterlSewer impact
<br /> fees are due, they must be paid pMor to permit�lssuance�in aacordance with applicable Pasco County ordinances.
<br /> CONSTRUCTIUN LIEN LAW�Ghapter 713, Elor�da Statutes,as amended�: If valuation of wc�rlt is$2�500.00 or more, 1
<br /> certify that i, #he appiicant, have been provlded with a copy af the "Florida Constructlon Lien Law—Hameowner's
<br /> Protection Guide" prepared by the Florida Department o#Agriculture and Consumer Affairs. tf the appticant is someane
<br /> other than the°awner", 1 certify that I have.dbtained a copy,of the above descrlbed dacument and promise in good faith to
<br /> deliver it tc�the°owner"prior ta commencement.
<br /> CQNTRACT4R'SIOWNER'S AFFtDAY1T: 1 certify that a1l-the infarmatlon In this appllcatlan�s accurate and that all work
<br /> will�be done in compliance w(th a0 applicable iaws regulating construction, zoning and land development. Applicatian is
<br /> hereby made ta obtain .a permit to do work.and Installation as IndEeafed. ! certify that no wortt or Instai[ation has
<br /> commenced prior to issuance vf a permit and that.ail work will be performed to meet standards of all iaws regulating
<br /> const�uction, County and City codes, zoning regulatians, and land development regulations�tn the jurtsdictlon. ! afso
<br /> certify that t understand that the regulatlans of other gavernment agencies may�apply�to fhe intended work, and that it is
<br /> my responsibility to identify what.actions I must take to be,in.campllance. Such agencles inalude but are not limited ta:
<br /> - Qepa�tmen# of Environmentai Protec�ion-Cypress.Bayheads, Wefland Areas and Envlronmentally Sensitive
<br /> Lands,WatedWastewa#er Treatment.
<br /> - Southwest FloNda Water Management District-Wells, Cypress Bay.heads� Wetland Areas, Aitering
<br /> Vtlatercaurses.
<br /> - Army Corps of Enginee�s-Seawails, Docks, Navigable Waterways.
<br /> - [�epartment of Health & Rehabili#ative Serv3aeslEnvironmental Neat#h U�it-Vitells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US EnvironnnentaM�rotection Agency Asbestos abatement.
<br /> - Federal Aviat[on Au#hority-Runways.
<br /> I understand that the fallowing restrictions apply to the use of flll:
<br /> - Use of fill is nof allowed in Fiood 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 /> °compensaEing valume" witl be submltted at time of permftting which Is prepared by a professionat engineer
<br /> licensed by#he S#ate�of Ftorida.
<br /> - If the fill material is to be used in Flood Zone °A" in�connection�with.a permitted building using stem wa8
<br /> consfructio�, l certi#�t fha#fill:wi!l:be used only.to fill the area within#he s#em wali.
<br /> - If fill materlal is #a be used In any area, I cerfify that .use. of such fill will r�at adversely affect adjacent
<br /> properties, if use of fllt is found #o adversely:affect adJasent propert4es�.the owner may be c�ted for violat�ng
<br /> the conditions of the building,permit issued under the attached permit applicatian, far lots less than one (1)
<br /> acre which are elevated by fJ!!,an engtneered dralnage plan is required. ,
<br /> (f 1 am the AGENT�OR THE OWNER, l,:promise in goad faith to iniorm the-owner of the permitting condifions set forth in
<br /> this affidavik�prio� to commecnctng construction. I unde�stand that a separate permtt may be requlred for electrical work,
<br /> pEumbing, signs, welts, poofs, alr condltioning,.gas,_or:other Installat[ons nat speciftcally included-�n.#he applica#'son. .A
<br /> permit issued shall be constnued to be a�license to praceed with the work and not as authority to.violate,.cancel, al#er, or
<br /> set aside any provisions of ths teahntca!codes; nor shal! issuance of a psrmit,preven##he Buftding i�clai from thereafter
<br /> requiring a correation af errors in plans, construction or violations of any codes. Every permi#issued shati become invalid
<br /> unless the work authorized.by such permi#�is-commenced�within six mon#hs of permit issuance. or if work authorized by
<br /> the permit is suspqndecf ar.abandoned for a perlod of s�C{6}montF�s.after the tlme the wartc is commenced. An extension
<br /> may be requested, tn writing, f�om the Building,Official for a period not to exceed ninety(90) days and�will demonstrate
<br /> �usfii�i��il�-caase ftse:Qheryext��sior�.--ti�r��k-c+�ases f�r-ninety{90�eor�s�c�tiv�-days,:.�h��ob-�s-c�nsfd��ed�a�a�don�d: �� -- - ' - -
<br /> WARNING TO OWNER; YOUR FAILl1RE-TO�RECORD A NOTIGE OF=COMMENCEMENT MAY RESULT IPI YC1UR
<br /> PAYtNG TWiCE.�'OR IMPROVEMENTS TO Yt}UR PRt3PERTY. IF YOU�IN'�END`TQ OBTAIN-FINANCING�'CONSUtT
<br /> WIT YOUR LE. DE � �ATTORN B ORE.. EC� �D NG�YOU - O �C ° F CO ` E CE NT
<br /> FLORlDA JURRT{F,S.117.03}
<br /> OWNER OR ACiENT 'CONTRACTOR �'�'�'�'"� �""—���
<br /> S e nd swo to or afl}cmed before me this Substxlbed and'swom to or a�irmed�be�ore m`e U���
<br /> ubscria d a m t � � }
<br /> bY •bY
<br /> Who is/are personally known to.me or has/have produced Who Is/are personally knowrrM me or has/have produced
<br /> as ldentlflcadon. as IdenBficaUon.
<br /> Natary PubSlc . Notary Publia
<br /> Commisslon No. Commisston.No.
<br /> IVame o#IVotary lyped,pdnted or stamped Name of Notaty typed,printed or stamped
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