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<br /> NOTiCE OF DEED RESTRICTIOPIS: The undersigned under.s�tands�-that this.p�emit.may be,subject to"d�ed" restrictions"
<br /> which may be;more r.es4Nctive th�n County regulat(ons. �The undersigned �sswries responsibfltty for compliance with any
<br /> applicable deed re§trictlons.
<br /> tJPILICENSED CONTitACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or
<br /> contrac4ors to undertake vdork, they may be required:.to be.:licensed In accordanc�.arith state.and•local regulatlons. if the
<br /> contractor ts not Ilcensed as requlred by law, both�the owner and contractor may be clted for a rnisdemeanor violatlon
<br /> under state law. If the owner or Intended�contractor ere uncertaln•as to v�rhat•Ilcensing.requlreenents may apply:�for�the
<br /> intended work, they are advised to contact 4he Pa�co County Building Inspection Dfvlslon—Licensing Section at 727-847-
<br /> 8009. Furthermore, If the owcier has hired a contractor or cont�acto�, he is advised to have the .contractor(s) sign
<br /> portions of the "contractor �Iock" of thls application for whtch they will be respo�sible. If you� as.fhe owner sign as the
<br /> contractor, 4hat tnay be an indication that he is not.properly flcens�d and is no6 entitled to perQnitting privileges in Pasco
<br /> County.
<br /> '�RANSPORTATIOId,IMPACTIUTILITIES°IMPACT AND RESOURCE R@COVEItY�FEES: The undersigned understands
<br /> that Transportatfon Impact Fees:and Recourse Recove.ry.Fees m��a��apply to°the constructlon of new buildings, change of,
<br /> use in exisQing buildings, or expans(on�.of;ezistiri�g�buildfngs, as sp�clfled.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also.understands, thaE such fees� as:tnay�be�.due,.wlll�tie-identified at the time of
<br /> permltting. It is further understood that.Tra�sportation Impact Fees an.d Resource Recovery�Fees must be pald prior to
<br /> recetvtng a "certl�cate of occupancy" or flnal power. release._ :If th� pro��c#.does_not_involve a cert6fic�te_of_o�cupancy._or
<br />-" final power release,-4he,fees must be paid prior to permR lssuance. Fu�thermore, if Pasca County Wa@er/Sewer Impact
<br /> fe�s are due, th�y�must be-paid p�lor to permit-Issuance-In accordance with appllcable Pasco County ordinances.
<br /> GOfdSTRUC'TIOR! LIEN l.AV4!(Chapter 713� Florlda Statut�e,a��onended); If vaEuatlon of work is$2,500.00 or more, I
<br /> certifjr that !, �he applicant, hav�-been provided wtth a copy of the�"Florida Constructlon Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agr(c.ulture and ConsumerAffairs. If the applicant fs'someone
<br /> other than the"owner", I ce�tffy that I have.obtained a copy.of the above..described�docurnent°and.p.r.omi�e in.ggod falth to
<br /> deliver it to the"owner'prior to•comm�ncement.
<br /> COPlTRACTOR'SIOWNER'S AFFIDAVIT: I certify that-all the Information in this applicatlon Is accur�ate�nd that all work
<br /> will�be done in compOlance with all appi(cable laws regul�ting cons@ruction, zonin8 and land�devetopment. Applicatton is
<br /> hereby made to obtain .a permit.to do work. and Installation as indlceted.• I certffy that no work or installat(on has
<br /> commenced prior to Issuance of a permlt and that.all work wili be perto�med to me�t standa�cds of all laws �egulating-
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdfct(on. ( aiso
<br /> certify that I understand that the regulations of other government agenc(es may�apply�to the intended work, and that it is
<br /> my responsibility to identify•what.actions I must take to be dn:.cotrlpliancs: S.uch agencies.include but are..not Ilmited to:
<br /> - Department of Environmental Protection-t:ypress. Bayheads; Wetland Areas and Environmentally Sensfttve
<br /> Lands,Watedlfllastewater Treatment.
<br /> - Southwest Florida VNater Management .�isMct=Wells, �Cypress. Bay.h�ads; W�tland Areas, Altering
<br /> Watercourses.
<br />� - Army Corps of Englneers-Seawails, Docks, (V�vtgable VNaterways.
<br /> - Department of Health� & Ret�abllitative Sen+ices/Environmenfal Health Unit-Well.s, Wastevwater Treatment,
<br /> Septic Tanks. �
<br /> - US Environmental Protectlon Agency-Asbestos abatement.
<br /> - Federal Aviatlon Authority-Runways.
<br /> I understand that the following restrlctlons apply to the use of fl10:•
<br /> � - Use of fi�l is nvt allowed in Flood Zone tlV"unless expressly permittgd.
<br />' - If the flll materfal is to be used in Flood Zone "A°, �t. Is understood that a drainage plan addressing a
<br /> °compensatfng volume" will be sub�itted at time of per•mitting which is prepared by a prof�ssiona6 engineer
<br /> Iicensed by the Stat�qf Florida.
<br /> - If the fill material Is to be used in Flood Zone °A" ins connect(on�with.a permitted buflding using stem wall
<br /> construction, I certiy th.at flll�:vu111=b.e used only.to.flil the area wlthln the�stem wall.
<br /> - If fill materlal Is to be used in any area, ! certify that .use. of such flil will not adversely affect ad)acent
<br /> properties. If use of flll is found to adversely:�ffect adJaeent��properties,.the owrner rnay be cited for violating
<br /> the condilions of the building:permit Issued�under tha�ttached permit a�pplica4lon, for Iots less than one (1)
<br /> acre which are elevated�by flll, an englneered dralnage plan ls required. •
<br /> If I am the AGENT FOR TH�OWNER, I;promise In good faith to Inform the owner of the permitttng conditions set forth in
<br /> this affidavit prtor to commer�cing construcdon. I understand that a-separate perrr�lt may be requlred for electrical work,
<br /> plumbing, signs, w�lls, pools; air conditioning, .gas, or othec install�tions no�.spec�flcally included�in.the applicafion. .A
<br /> permlt lssued shall be conshued to be�a°li�ense to proceed with the'work�nd not as.authority to,v0olate, c�ncel, aiter, or
<br /> se4 asfde any provisions of the technical codes;:nor shall Issuance�of a permit.prevent th�Bulldirig Official from thereafter
<br /> requfring�cvrrection af errors In.plans, construction or violatlons of�ny codes. Every perrnit issued•shmll become invalid
<br /> unless the work authorized.by such permit:�is-commenced�within�sfx re�ontha of�permit lssuance, or if work authorized by
<br /> the permit is suspended or.abandoned for a:period of�six(8)montf�s.after the tirne the�work�is coPnmenced. An extension
<br /> may be requesfed, tn writirag, from the Building,Official for� perfod�not to exceed ninety(90) days and�wlll demonstrate
<br /> justifiable cause for.the extensior�. If work ceases:for nfnety(90)ccns.�cutive:days...the Job�Ps.constdered aba�doned.
<br /> VlIARNING TO OilYNER: YOUR.FAILURE T�3.RECORD..A�NOTIGE:OF-GOMIIAENCEMEM7' fYfAY-RESUL'P ild YOUR
<br /> PAYING TWICE FOR�IMPROdEMENTS TO-YOUR�PR�PERTY. IE°YA.U�IM�END�'T��OB-TI�IN��FIPtANCtNG;�CONSULT
<br /> IAIIT R D O. AN� T'�ORN �� OR�� , O � G; ..:U ` ;� ''O : �.' CE
<br /> FLORIDA JURA�(F.S. 917.0,3j , ° ' � � �
<br /> �-, f ��.� � (` } , 1 , /J�,�,-
<br /> OWNER OFt AOENT �--�L���.-�I CONTRACTAR �'=.�zr�l�"l i ,�� �"v�� "
<br /> 5ubscribed and svwom to��tflrmed)before me fhis Subscribed and'swom=to(or�tflrmedpbefore me'ttil�
<br /> by .by i/
<br /> Who Is/are personally knowm to.me or hasRiaye produced Who Is/are p.�rsoneilyknown�to-me or heslhave�produced. •
<br /> as Identlflcatlon. as tdentlfl�a0on.
<br /> Notery Publlc Notary Public
<br /> Commisslon Rlo. Commisslon�No.
<br /> Idame o/Nolery typed,printed ar atamped Name oP Notary dyped,pdnted or stamped
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