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<br /> NOTiC@ OF DEED RESTRICTIONS: The undersigned unders�tands�:th�t this.p�emit.may be,subJect to"deed"restrictlons"
<br /> which may be;more cestcictive th�Fl Gounty r+egulations. �The underslgned assumes responslbiltty for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS -AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contrackor or
<br /> contractors to undertake work, they may be:r�quired,�to tie;llcensed In accordance.with state.and•local regulatlons. If the
<br /> contractor is not itcensed as requlred=by law, both the owner and contractor may be cited for a misdemeanor violatlon
<br /> under state law. If the owner or Intended>contractor ere uncertaln as to what Ilcensing.requireRnents may apply�or the
<br /> intended vtiork, they are advised to contact the Pasco County Building Inspection Dfvislon—Licensing Sectton at 727-847-
<br /> 8009. Furthermore, If the owner has hired a cont�actor or contractors, he is advised to have the contractor(s) sign
<br /> ponions of the "contractor Block° of this application for which they will be responsible. If you� as.the owner sign as the
<br /> cont�actor, that�may be an indication that he fs not.properiy Hcensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPAC7 AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees:and.Recourse Recove.ry.Fees may�apply to°the constructlon of new buildings, change of
<br /> use in existing buildings, or.expansion:�of�existin,g��6uildings, as speclfled in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undetsigned also understands, thait.such fees�:as�may be�.due,.wlll.be (dentified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Reco�ery=Fees must be pald pr(or to
<br /> rece6ving a °certi�cate of occupancy" or flnal 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. Ft��thermore;�if Pasco County 1Nater/Sewer-lmpact
<br /> fees are due, they�must be�pald prior to permit�issuance-in accordance with applicable Pasco County ordinances,
<br /> CORlSTRUCTION LIEN LAW(Chepter 713� Florlda Statutes�aa amended): if valuation of work is$2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protectfon Guide" prepared by the Florida Department of Agr(c.ulture and ConsumerAffalrs. if the applicant Is someone
<br /> other than the"owner", I certffy that I have obtained a copy,of.the above..described docurnent�and.promise fn.good faith to
<br /> deliver ft to the"owner"prior to•commencement. �
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I ce�tify that all the Inf.ormation in this appl(cation is accurate and that all work
<br /> will�be done in compliance with all.applicable laws regulating construction, zoning and land�development. Application is
<br /> hereby made to obtain .a permit Co do wotk and installation as indicafed.• I certffy that no work or tnstallatton 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 regulatlans, and land development cegulatlons-in the jurisdlctfon. ( also
<br /> certify that I unde�stand that the regulations of other government agencies may-apply�to the intended work, and that it is
<br /> my responsibility to identify�what,acttons I must take to be.in:.00�pllance: Such agencies include but are not Ilmited to:
<br /> - Department of Ehvironmental Protection-Cypress Bayhead�, Wetland Areas and Env(ronmentally Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management. .District-Wells; Cypress. Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawails, Docks, Navigable Waterways.
<br /> - Department of Health� 8 Rehabllitative Servlces/Environmental Health Unit Well.s, Wastewater�Treatment,
<br /> Septic Tanks. .
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Avlat(on Authority-Runways.
<br /> I understand that the following:restrictions apply to the use of flll:•
<br /> - Use of fill Is not allowed in Fiood Zone"V"unless expressly permitted.
<br /> - If the flll material is to be used in �Flood Zone. "A", It. is understood that�a drainage plan addressi�g a
<br /> "compensating volume" will be submitted at�ime of permifttng wh(ch (s prepared by a professional engineer
<br /> Iicensed by the State of Florida.
<br /> - if the fili material is to be used in Flood Zone °A" In�connec�ion�wlth.a permitted building using stem wall
<br /> construct(on, I certify that flil�.will:b.e�used only.to.fill the area within the�stem•wall.
<br /> - If fill material is to be used in any area, I certlfy that .use. of such flll will not adversely affect adjacent
<br /> properties. If use of flll is found to adversely:�ifect adJaEent��properties,.the owner may be cited for violating
<br /> the conditions of the building:permit Issued�under the attached�ermit applicatlon, for lots less than one (1)
<br /> acre which are elevated�by flll, an engineered drainage plan Is required. ,
<br /> If I am the AGENT FOR THE OVIINER, I,�promise In good faith to inform the owner of the permitting conditlons set forth in
<br /> this affidavtt'prior to cvmmencing construction. I understand thet a�separate permtt may be requtred for electrical work,
<br /> plumbing, signs, wells, pools, air condltioning,.gas, or other ins#all�ttons no!•specfficatly included-in the application. .A
<br /> permit Issued shall be construed to be a Iicense to proceed with the work and not as.authority to.violate,cancel, alter, or
<br /> set aside any provis(ons of the technical codes; nor shall Issuance�of a permit.prevent the Bulldirig O�ficial from thereafter
<br /> requfring a correction nf errors in.plans, constniction or vlolatlons of any codes. Every pemtit issued shall become invalid
<br /> unless the work authorized by such perm(t.�ls.commenced�within stx months of permft issuance, or if work authorized by
<br /> the pe�mtt is suspended or abandoned for a:period of six(8)mont�is.after the time the�work��ls commenced. An extension
<br /> may be requested� tn wr(ting, from the Building,Offlcial for a perlod�not to exceed ninety(90) days and wrill demonstrate
<br /> justi�able cause tor.the extension. If work ceases:for ninety(90)cons.ecutive:days,..the job�is considered abaadoned.
<br /> WARNING TO OWNER: YOUR.FAILURE�TO,REC.ORD A.NOTIGE OF�COMMENCEMEMT�NtAY�RESUlT IN YOUR
<br /> PAYtNG TWICE FOR IMPROVEMENTS TO YOUR�.PROPERTY. IF°YOU�IN�E�ID�T�'OB�'AIN•�FIPFANEING��CONSULT
<br /> WIT Y UR DE � AN A� O �� �FORE�� ECORt) Cv�= �9U ' �� `tpF� -' �� E -- -_- _-
<br /> FLORIDA JURAT(F.S.117 3) '
<br /> OWNER OR AOENT ` CONTRACTO
<br /> Subscribed and s to d this Subscribed and' m to r rm d)�b' me �--
<br /> by / .b .
<br /> WFio Islare personally known o.me or has/have produced Who Is/are p.ersona ly known to me or haslhave�produced
<br /> as IdentlBcatlqn. as IdenUflcatlon.
<br /> Notery Public _ Notary Publlc
<br /> Commisslon No. Commisslon No.
<br /> Name ot Notary typed,printed or stamped Name of Notery lyped,printed or stamped
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