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�OTICE OF DEED RESTRICTIONS: The undersigned under.gtands�that this.p�rmit.may be subject to"deed"restrictian�s,
<br /> vhich may be.more restrictive:than County regulat(ons. The undersigned assumes responsibllity for compllance with any
<br /> ippAcable deed resQricQionS. � ,
<br /> JNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or
<br /> :ontractors to undertake work, they may be required..to be:licensed In accordance.with state.and�local regulations. If the
<br /> :ontractor is not licensed as required by law, both the owner and contractor may be clted for a misdemeanor violation
<br /> inder state law. If the owner or intended contractor are uncertain as to what Itcensing.requirements may apply�for the
<br /> ntended work, they are advised to contact the.Pasco County Building Inspectlon Dlvislon—Licensfng Sectton at 727-847-
<br /> 1009. Furthermore, if the owner has hlred a contractor or contractors, he is advised to have the contractor(s) sign
<br /> �ortions of the "contractor Block° of this application for which they will be responsible. If you, as.the owner sign as the
<br /> ;ontractor, that-may be an indication that he is not.properly licensed and is not entftled to permitting privilege� in Pasco
<br /> �ounty. _
<br /> �RANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> hat Transportatfon Impact Fees and.Ft�course Recoee.ry..Fees may�apply to.the construction of new buildings, change of
<br /> �se in existing buildings, or expansion,of existing'6uildings, as speclfled in Pasco County Ordinance number 89-07 and
<br /> �0-07, as amended. The undersigned also understands, that such fees,.as�may:be due,;will be identified at the time of
<br /> �ermitting. It is further understood that Transportation Impact Fees and Resou�ce Recovery Fees must be pafd prfor to
<br /> •eceiving a "certificate of occupancy" or final power release. :If the project.does not involve a certfficate of occupancy or
<br /> �inal power release, the fees must be paid prior to permit issuance. Furthermo�e, if Pasco County Water/Sewer Impact
<br /> �ees are due, they must be�pald prior to permit•issuance:in accordance-with applicable Pascv County ordinances.
<br /> CONSTRUCTION LIEN LAW(Ch�pter T13� Flo�lda�Statut�ao as aQroended): If valuadon of w►ork is$2,500.00 or more, I
<br /> �ertify 4hat i, the. applicant, have�-been provided with a copy of the "Florida Constructlon Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department 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 docurnent and promise in.good faith to
<br /> delive�it to the°owner"prior to�commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the Information in this application is accurate and that all work
<br /> �rill�be done in compliance with all appl(cabie laws regulating constructlon, zoning and land devetopment. Application is
<br /> hereby made to obtain .a permit to .do work.and installation as indicafed. I certifjr that no work or installation has
<br /> commenced prior to issuance of a permit and that.all work will be performed to meet standards of all laws regutating
<br /> construction, County and City codes, zoning regulations, and land development regulations�in the jurfsdtction. I aiso
<br /> certify that I u�derstand that the regulatlons 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.compllance. S.uch agenc(es include but are not limited to:
<br /> - Department of Environmental Protection-Cypress.Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WatedWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress. Bayheads; Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health 8 Rehabilitative Services/Environmenfal Health Unit-Welis, Wastewrater Treatment,
<br /> Septtc Tanks. _
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviatlon Authority-Runways.
<br /> i understand that the following rest�ictions apply to Qhe use of flll:�
<br /> - Use of fill is not allowed in Flood Zone°V"unless expressly permitted.
<br /> - If the .fill material is to.be used In Flood Zone "A", it. (s understood that a drainage plan addressing a
<br /> °compensating volume" will be submitted at time of permitting wtiich is prepared by a professional engineer
<br /> licensed by the State of Florlda.
<br /> - If the fill material is=to be used in Flood Zone °A" in�connection with.a permitted building using stem wall
<br /> � construction, I certiry that fill wlll:be used only.to.fill the area wlthin the stem wall,
<br /> - If fill material is to be used in any area, I certffy that use. of such fiil wiil not adversely affect adjacent
<br /> properties. If use of flll is found to adversely:affect adJacent properties,.the owner may be cited for violating
<br /> the conditions of the building.permit issued under the attacfied permit application, for lots less than one (1)
<br /> acre whtch are elevated by flll,an engineered drainage.plan is required. .
<br /> If I am the AGENT FOR THE OWNER, I,�promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a.separate permlt may be requtred for electrical work,
<br /> plumbfng, signs, wells, pools, air condttioning,.gas, or other installations not specifically included-in the application. A
<br /> permit issued shall be constcued to be a Ilcense to proceed with the work and not as authority to.violate, cancel, alte�, or
<br /> set aside any provisions of the techn(cal codes; nor shail Issuance of a permit.prevent the Bulldlrig Oiflcial from thereafter
<br /> requiring a correctio� af errors In.plans, construction or violatlons of any codes. Every perm(t issued shall become invalid
<br /> unless the work authorized by such permit.�ts-commenced with(n six months of�permit issuance, or if work authorized by �
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work-is commenced. An extension
<br /> may be requested, in writing, from the Building.Official for a period not to exceed ninety(90) days and�will demonstrate
<br /> justifiable cause for_the extension. If work�ceases;for nine,ty(90)consecutive days,.the job is considered abandoned.
<br /> iAi�►RP1IPiG TO �WPI�R: YOUR.FAILUitE TO,RECOR� A.E70TOCE 06� C�EIAME�dCEMENT MlAY RESUL'� 1(d Y011R
<br /> PAYING TWICE.FOR IMPROVEMENTS TO YOUR:PROk�ERTY; IF YO.U-INTEND'TO OBTAIN•FIPIANCING��CONSULT
<br /> WITH YOUR LENDE O ATTORN � FORE RECO �D G�� OU D � C ' E CE
<br /> FLORIDA JURA'�(F.S..�11 03) � �
<br /> OWNER OR AGENT--- ���� CONTRACTO
<br /> Subscrfbed and swom to(or atflrmed)b�e me this Subscrlbed and'swom to(or afftrmed)�before me�Is
<br /> by .by
<br /> Who islare personally��novm to me or haslhaye produced Who Is/a� pe onally knovm M me or has/have produced_ •
<br /> as Identlflcatlon. as I entlftcatlon.
<br /> - �� � I
<br /> Notary Public Notary Public
<br /> Commissl n Comml on
<br /> ��,,. ,���,.,,
<br /> _,�;�:Yev,�c; JOEL E.BACON ,;��::�r;�, JOEL E.BACON
<br /> A:
<br /> Name o o r�s; ;�i����eg,�p�g Name of Not ;� �1 i�s P�d2018
<br /> �%„R��°:�� Bonded TMu Troy Fein Inauranoa 800385�7018 I'�i,p��°.�`�, Bonded Th�u Troy Fein Insuranoe 800-385-1019
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