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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned under.stands°that this:permit.may be subJect to"deed" restrictfons"
<br /> which may be:more restcictive than County regulatlons. �The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictfons.
<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 accordan�e.with state.and•local regulations. !f the
<br /> cont�actor is not licensed as required by law, both the owner and contractor may be clted for a misdemeanor violatfon
<br /> under state law. If the owner or Intended contractor are uncertaln as to what Iicensing.requlrements may appiy�or the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Diviston—Licensing Section at 727-847-
<br /> 8009. Furthermore, (f the owner has hired a cont�actor or contractors, he is advtsed to have the contractor(s) sign
<br /> portions of the "contractor Block" of this appllcation for which they wlll be responstble. If you, as.tha owner sign as the
<br /> contractor, that may be an indication that he is not.properly licensed and is not entitled 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 Recovery_Fees may appiy to the constructton of new buiidings, change of
<br /> use in existing buildings, or.expansion�of ezistin,g buildings, as specifled 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 iurther understood that Transportation Impact Fees and Resource Recovery Fees must be pafd prfor to
<br /> receiving a "certificate 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. Furthermore, if Pasco County Vlfater/Sewer.Impact
<br /> fees are due, they must be paid prlor to permit-issuance-in accordance with applicable Pasco County ordinances.
<br /> CONSTFtl1CT10N LIEN LAW(Chapter 713� Florlda Statutes, as 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 /> Protection Guide" prepared by the Florida Department of Agricuiture and Consumer Affairs. 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'SlOWNER'S AFFIDAVIT: I ce�tify that.all the Information in this appltcation is accurate and that all work
<br /> will�be done in compliance with all applicable laws regulating constructlon, zoning and land development. Application is
<br /> hereby made to obtain .a permit to do work,and installation as indicafed. 'I certify 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 regulating-
<br /> construction, Caunty and City codes, zoning regulations, and land development regulattons-in the jurisdictfon. I also
<br /> certify that I understand 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:.compliance. Such agencies include but are not Ifmited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaily Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Wate� Management .DisUict-Welis, Cypress. Bay.heads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navtgable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmenfal Health Unit:Wells, Wastewater Treatment,
<br /> Septtc Tanks. � .
<br /> - US Environmental Protectfon Agency-Asbestos abatement.
<br /> - Federal Aviation AuthoriBy-Runways.
<br /> I understand that the following restrictions apply to the use of flll:�
<br /> - Use of fill Is not allowed in Flood Zone"V"unless expressly permittod.
<br /> - If the fill material fs to be used in �Flood Zone "A", it is understood that a drainage pian addressing a
<br /> "compensating volume" will be submitted at time of pe[mitting which is prepared by a professional engineer
<br /> Iicensed by the State of Florida.
<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 certify that fill�.will-be used only to fill the area wlthin:the stem wall.
<br /> - If flll material ts to be used In any area, I certify that .use. of such flll will not adversely affect adjacent
<br /> p�operties. If use of flll is found to adversely.affect adjacent properties,.the owner may be clted for violating
<br /> the conditions of the building.permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by flil, aFl engtneered drainage plan is requtred.
<br /> If I am the AGENT FOR THE OWNER, I,promise in good faith to inform the owner of the permitting conditions set forth fn
<br /> this aKdavit�prior to commencing construction. I understand that a:separate permit may be requtred for electrical work,
<br /> plumbfng, signs, wells, pools; air cond(tioning,.gas, or other installattons not specifically 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 provisions of the technical codes; nor shall issuance of a permit.prevent the Bulldirig Official from thereafter
<br /> requiring a correction af errors in.plans, construction or violations of any codes. Every perPnit issued shall become invalid
<br /> unless the work authorized.by such permit�is.commenced�withln sGc months of permit issuance, or if work authorized by
<br /> the pe�mit is suspended or abandoned for a period of six(8)months after the time the work is commenced. An extension
<br /> may be requested, tn writfng, f�om the Building.Official for a perlod not to exeeed ninety(90) days a�d•will demonstrate
<br /> justifiable cause for-the extension. If work ceases,for ninety(90)consecutive days,..the job�is considered abandoned.
<br /> iNARNING TO OWNER: YOUR.FAILURE�TO.RECORD A NOTIGE OF COMMENCEMENT MAY RESULT IPI YOUR
<br /> PAYING TWICE.FOR IMPROVEMENTS TO YOUR:PR�OPERTY. IF YOU�IN�END' OBTAIN FINANCING;�CONSULT
<br /> WITH YOUR LENDE �O AN ATTORNEY�B FORE>RECO DING YOU °OF C M NT�
<br /> FLORIDA JURAT(F.S.1.17.03) .
<br /> -.�y�.�;�,,R��n�;���i - CONTRACTO
<br /> — —-✓ - —
<br /> Subsctibed and swom to(or aflirmed)before me this Subscrlbed and swom tp(o�a rmed)before me tFits
<br /> by a!/��.S— �by
<br /> Who Islare personally known to.me.or has/have produced Who Is/a.�e personally I�novm to me or has/have produced
<br /> as Identlflcatlon. �� i�2rl�e,✓S (.�CectiS's� as idenBficaUon.
<br /> Notary Public . � Notary Public
<br /> „� •�t
<br /> ,,�,;r•n�:"H:;:�;.: JACG!JE�fi E BOGES
<br /> Commisslon No. Com { slon
<br /> t;'pM=a�;�� Erp�;es December 12,2013 �
<br /> .�'��•' aII.,
<br /> Name of Nota �a o3ae:;v�e
<br /> Name of Notary typed,printed or stamped ►Y�'� ,�,�,�
<br />
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