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NdTiCE dF DEED RESTR(CTIONS: The undersigned understands that this permif may be subjeat to"deed"restrictions"
<br /> wh3ch may be more restrictive Ehan Caunty regulatlans. i"he undersigned assumes responsibltity for compiiance with any
<br /> applicable deed restrictfons.
<br /> UNLtCENSED CONTRACTORS AND-CONTRACTOR RESPONSIBILITtE3: tf fhe owner has hired a eontractor or
<br /> confractors to undertake work,they may be required ta be licensed in accordance with state and loca!regulations. !f the
<br /> contractor is not licensed as required by law, both the owner and contractor mey be cited for a misdemeanor violation
<br /> under state law. if the owner or infended contracfor are uncerfafin as to what licensing requirements may apply far the
<br /> intended work,they are advised to cantact the Pasco Gounty Building Inspectlan Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a cantractor or contractors, he is advised to have the contractor(s) sign
<br /> porEions of the"contractor Btock"af this application for which they wilt be respons961e. 1f you,as the owner sign as fhe
<br /> contractor,that may be an indication that he is not properiy licensed and is not enkitled ta permitting privileges in Pasco
<br /> County.
<br /> TRANSFORTATiON iMPACTIUTILI'EIES IMPAGi'AND RESOURGE RECOVERY FEES: ihe undersPgned understands
<br /> that Transportation lmpact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-d7 and
<br /> 90-07,as amended. The vndersigned also understands,that such fees,as may be dus,wlit be fdeMified at the fime af
<br /> permitting. !t is further understood that Transportation lmpact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"ar flnat power release. If the project does not invoive a cerEificate of occupancy or
<br /> fine!power release,the fees rrtust be paid priar to permit issuanae. Furthermare, if Pasca Caunty WaterlSewer lmpact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTtON LtEN LAW(Chapter 713,Plorida Statutes,as amended): if valuation of work is$2,500.00 or more,t
<br /> cer#iiy that i, the appiicant, have been provlded wikh a copy of the "Flonda Gonstruction Lien �aw—HameowneCs
<br /> Pratection Guide°prepared by the Florida Departmenk of Agriculture and Consumer Affairs. If the appiicant is someone
<br /> , other fhan fhe"owner",i certify tfiat 1 have obtained a copy of the above described documenf and promise in good faifh to
<br /> deliver it to the"owne�"priar to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> wilt be done in compliance with a1i appticable laws regulating consfruction,zoning and tand deve2opment. Apptiaation is
<br /> hereby made to obtain a permik to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior#o issuance of a permit and that all work wiil be perfarmed to meef standards of alf laws reguiating
<br /> construcfion, Counfy and City codes, zoning regulafions, and fand development regutattons in fhe jurisdictEon. 1 aiso
<br /> certify thak!understand that the regulations of other governmenk agencies may apply to the intended work,and that it is
<br /> my responsibility to identify whet actions 1 must take to be in compliance. 5uch agencies include but are not limited to:
<br /> - Department of Environmental Protection-Gypress Bayheads, iNetiand Areas and Environmentaily Sensitive
<br /> Lands,WetedWastewater Treatment.
<br /> - SoufhwesE Florida Wafer Management Distric#-Weils, Cypress Bayheads, We#Iand Areas, Aitering
<br /> Watercourses,
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigeble Waterways.
<br /> - Department of Health & Rehabilitafive Services/Environmentat Neattfi Unif-Wefls, Wastewater Treatmenf,
<br /> � Septic Tanks.
<br /> - US Environmental Protectlon Agency-Asbestos abatement.
<br /> - Federai Aviation Autfiority-Runways.
<br /> ' 1 understand that the fo!(owing restrictians appiy ta the use af fill:•
<br /> - Use of fill is nat allowed in Flood Zone"V°unless expressly permitted.
<br /> - if the flt1 rnateriat is #o be used in Flood Zone "A", it is understoad that a drainage pian addressing a
<br /> "compensaling votume"wil!be submltted at time of permitting whlch 9s prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - lf the fitt materiai is to be used in F(ood Zor�e"A"in cannect'san with a permifted buiiding using stem wall
<br /> construction,1 cert'rFy that fill wili be used o�ly to fiil the area within the stem waA.
<br /> - If fill material is to be used in any area, t certify that use of such fill will no# adversely affect adjacenf
<br /> properties, tf use of fill is foetnd fo ac£versely affect adjacent properties,the oumer may be cited for vialating
<br /> the conditions oi the building permit issued under the attached permit application,for lots less than one(1)
<br /> acre which are efevated by fltl,an engineered drainage plan is required.
<br /> tf 1 am the AGENT FOF2 THE OWtVER,1 promise in good faffh to Infarm the owner of the permittfng condifions set forkh in
<br /> , thls affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installafions nof spec�catiy ineluded in the appticafion. A
<br /> petmit issued shaiJ be construed to be a ilcense to proaeed wfth the work and not as aukhar[ty to violate,canoel,alter,or
<br /> se#aside any provlsions of the technical codes,nor shall issuance of a permit prevent the Buildirig Official from thereafter
<br /> � requiring a correction of errors in plans,cansUucfion or vialations of any codes. Every permit issued sha11 become invaild
<br /> unless the work autharized tty such permtt is commenced within six manths of permik issuance,or if work authorized by
<br /> I the permit Is suspended or abandoned for a period of six(6)months after the time fhe work is commenced. An extension
<br /> may be requested, in wrifing,ftom ffie Building Officiai for a period not to exceed nfinety(90)days and witE demonstrate
<br /> justifiable cause for the extension. !f work ceases for ninety(90)aonsecutEve days,thijob Is considered abandoned.
<br /> WARNING TO OWNER: YO1JR FAt�t1RE TO RECORD A NOTICE QF COMMENCEMENT MAY itESULT IN YOUF2
<br /> PAYtNG TWICE FOR fNIPROVEMENTS TO YOUR PitOPERTY. !F YOU� TEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR LENdER OR AN A'iTORNEY BEFORE RECORDtNG YOU OTiC O�GOMMENCEMENT.
<br /> FLORtDA JURAT(F.S.1'l7.43}
<br /> OWNEt2 OR A�ENT COHTRACT R � �
<br /> Subscribed and swom to{or afiirmed)before me lhis S cribed s d swo , o affl 6 re me thts
<br /> Who Islare ersonall known to mas idenN�qttpnroduced Who Is/are e n I kn�e or has 5!v!�(�. .._......
<br /> by — Y ..
<br /> p y p p e produced
<br /> n8fiption.
<br /> Notary Pubtic G�� Notary Public
<br /> Commission No. Co sslon
<br /> .�'`iA@Y"�''
<br /> Name at Notary typed,printed or stamped �Name of Notary _ y G�'ksta�g
<br /> mission#FF l50422
<br /> :��.. ;QQQ�° Expires December 12,2p1g
<br /> ':�j,f,a�'�, 8m�ed Thne Tro•F•
<br /> I em irtsurance 8pp.385��019
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