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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may 6e subject to"deed"restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICEfi15ED CON7RACTORS APiD COPITRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with stafe and local regulations. If the
<br /> contractor Is not lice�sed as required by law, bath the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact fhe Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this application for which they will be responsible. If you, as the 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 IMPACTiUTILITlES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and f2ecourse Recovery Fees may apply to the construction of new buiidings,change of
<br /> use in existing buildings,or expansion of existing buildings,as specified 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 ai the time of
<br /> pertnitting. It is further understood that Transportafion impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or finai power release. if the project does not invoive a certificate of occupancy or
<br /> final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WatedSewer Impact
<br /> fees are due,they must be paid prior io permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION UEN LAW(Chapter 773,Fiorida 5tatutes,as amended): If valuation of work is$2,5QO.Od or more,I
<br /> certify that I, the applicant, have been provided with a copy of the "Flo�ida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is someone
<br /> other than the"owner",I certify that I have obtained a copy of the above describad document and promise in good faith to
<br /> deliver it ta the"owner'prior to commencement.
<br /> COPlTRACTOR'S/OWNER'S AFFIDAVIT• I certify that all the information in this application is accurate and that ail work
<br />' will be done in compliance with all appiicable Iaws regulatinc�construc6on,zoning and land developmenf. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. 1 certify that no wark or installation has
<br /> commenced prior to issuance of a permit and that ail work wiil be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zaning regulations, and land development regulations in the jurisdiction. i also
<br /> certify that I understand that the regulations of other government agencies may appiy to the intended work,and that it is
<br /> my responsibility to identify what actions i must take to be in compliance. 5uch agencies include but are not limited to:
<br /> - Department of Environmentai Protection-Cypress Bayheads, Wetiand Areas and Environmentaily Sensitive
<br /> Lands,WaierM/astewater Treaiment.
<br /> - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - - US Environmental Protectian Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br />' I understand ihat the following resUictions appiy to tfie use of(ill:
<br /> - Use of fill is not allowed in Flood Zone"V'unless expressly permitied.
<br /> - if the fill maierial is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
<br />� licensed by the State of Florida.
<br /> - If the fill materiai is to be used in Flood Zone "A" in connection with a permitted building using stem waii
<br /> construction,I certify that fill will be used only io fiil the area within the stem wall.
<br /> - if fiil material is to be used in any area, 1 certify that use of such fill wi0 not adversely affect adjacent
<br />', properties. If use of fili is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> the conditions of the buiiding permit issued under ihe attached permit application, for lots less than one(1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> if I am the AGEIdT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this a�davit prior to commencing construction. I understand fhat a separate permit may be required for elecirical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other instaliations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed wiEh 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 Buiiding O�cial from thereafter
<br /> requiring a correciion of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
<br /> uniess the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6)monihs after tho 6me the work is commenced. An extension
<br /> may be requested,in writing,from fhe 8uiiding Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEIVCEMENT MAY RESULT IN YOUR
<br /> PAYING TYUICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INT OBTAfN FIIdA ING,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR TIC OF ENT.
<br /> FLORIDA JURAT(F.S,t 17.03
<br /> OWNER OR AGENT"'� • j .}, �'^----^"' CON'fRACTOR
<br /> Su scrib d and sw�rii tq{or affrmed)Ue ore�i('e this Subscnbod and swor � affirmed)b ore thi Z� �
<br /> b 2"t2o�lby tSttt{p •. py �
<br /> W o is/ar rsonally no �r has/hava produced 4Vho Islare perso �known to me or haslhavp produced�
<br /> i en ification. as identification.
<br /> .,-'� � , e
<br /> �,.,: �'�.�!�'.^-c.. ' U—'���Wai�lolary Public �.�.J� Notary Public
<br /> Commission No. Cammi 'on No.
<br /> f.� �A �
<br /> Na of Np,�t�jl�yjf/printed j p�ame o(No ary ryped,printed or slamped
<br /> r w os Notary Public-State oi Florida
<br /> ' ; _My Comm.Expires Oct 28,2oi6 g��c+e�, JACKIEFORSYTH
<br /> ='.��T F op�; Commission#EE 842759 `'`��"'""• ° MY COMMISSION#FF 159315
<br /> '`��°;;�•�` eonded Through NaUonal PJoiary Assn. �
<br /> � EXPIRES;October 15,2018
<br /> ���OFF���o! Bonded711NBu�eiNatarySecvices
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