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<br /> NOTiCE OF DEED RESTRICTIONS: The undersigned under.gtands°�that this.,pQrmit.may_be_subject to"deed" restrictlons"
<br /> which may be�more�restcictive=than County:r+egulatlons: �7Fie undersigned assumes responsibility for`compliance with any
<br /> applicable deed restricttons. .. • -
<br /> UNLICENSED CONTRACTORS .AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be-:ce.qul�ed...to tie:licensed in accordance.with state.and•local regulations. If the
<br /> contractor fs not Ifcensed as requlred�.tiy law, both the owner and contractor�inay be-cited�for�a-misdemeanor violation
<br /> under state law. If the owner or intended.�contractor-are_uncertain as to what Iicensing.requlrements may�apply:for the
<br /> intended work, they are advised to contact the.Pasco County Buildfng Inspection Divisior9—Licensing�Section at 727-847-
<br /> 8009. Furthermore, If the owner "has ht"red a contractor o� contractors, he Is advised to have the contractor(s),,,sign
<br /> portions of the "contractor Block" of this applicatlon for_wh(ch they wlll be r.espvnsible. If.you, as.fhe owner slgn as the i
<br /> contractor, that inay be an indication that�he is not�.properly Iicensed and is not entitied to permitting privileges in Pasco
<br /> County.
<br /> TRI�IINSPORTATION..IMPACTIUTILITIES•IMPAC7 ANb�RESOURCE RECOVERY FEES:�The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recove.ry.Fees may�applyto�the constructlon of new bulldings,�change of '
<br /> use in existing buildings, or.expansion.of�`existin,g`buildings, a§ specffied.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 fdentified at the time of
<br /> permitting. It is further understood that Transportation impact Fees and�Resource Recovery`Fees must be paid prior to
<br /> receFving a °certificate.of occupancy" or flnal powec:release. :If the project does not involve.a certificate of occupancy. or
<br /> final power release, the fees mu�t be paid prior to permit issuance. Ft��thermore;if Pasco,County�Water/Sewer:Impact
<br /> fees are due, they must be.pald prior to permit-Issuance-In accordance with applicable Pasco�County ordinances.
<br /> CONSTRUCTION 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 Llen_.Lav�Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agric.ulture and ConsumerAffairs. if the appl(cant Is someone
<br /> other than the"owne�", I certify that I have.obtained=a copy.of:the above..described docurnent°and:promise In,good faith to
<br /> deliver it to.the°owne�prio�•:to�cornmencements '
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify#hat-all the,information in this appllcation is accurate and that all work
<br /> will'be done in compliance with all applicable laws regulating construction, zoning and�land development. Application is
<br /> hereby made to obtatn .a permit to do work,,and installation as indlcafed.- `I certify that no work.or Installatton has
<br /> commenced prior to Issuance of a permit and�that`all work will be pertormed to meet standards of all laws regulating-
<br /> construction, County,and City codes, zoning regulatCo.ns, and land development tegulations-in the jurisdlction. I also
<br /> certify that I und�rstand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to Identffy,what.actions 1 must take.to be,ln:.corr�pllance: Such agencles include but are.not Iimited to:
<br /> - Department of �nvironmental Protection-Cypress.'Bayheads; IMetland 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 Engtneers�Seawalls, Docks, Navtgable Waterways.
<br /> - Department of Health�'8 ReMabll(tative.Services/Environmenfal Health Unit Weils, Wastewater�Treatment,
<br /> Septic Tanks. � � _
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Avlatlon Authority-Runways:
<br /> I understand that the following.restrlctlons apply to the use of flll:�
<br /> - Use of fill is not allowed in Flood Zone"V"unless-expressly permitted.
<br /> - If the fill materfal is to be used.:'In;;Flood Zone "A", (t. is understood that a drainage plan addressing a
<br /> °compensating volume" will be submitted at time of petmltting which is prepared by a profess(onal engineer
<br /> licensed by the State of Florlda. �
<br /> - If the fill materia) Is to be used in Flood Zone °A° (n�connectfon�with'.a permitted building using stem wall
<br /> � construction, I certify that fill�:will=b.e used only.to.fill the area w(thin the stem�wall.
<br /> - If flll materlal is to be used in any area, I certify that .use of such flll will not adversely affect adjacent
<br /> properties. If use of flll Is found to adversely:�ffect adJacent propertles,.the owner may be cited for violating
<br /> the condifions of the buflding,permit Issued under the atEached permit applicatfon, for lots less than one (1)
<br />� acre which are elevated by flll,a�r 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 conditfons set forth tn
<br /> this affidavit�prior to commencing constructlon. I understand thet a�separate permit may be requlred for electrical work,
<br /> plumbing, signs, wells, pools; alr conditioning, .gas, or other installattons not.spec�fically included�in.the application. .A
<br /> permit issued shall be construed to be a Iicense to�p�oceed with the work and not as authority to.violate,-cancel; alter, or
<br /> set aslde any provisions of the technical.codes; nor shall issuance�of a.permit.prevent the Bufldirig O#iicial from thereafter
<br /> requiring a correction nf errors in.plans, construction or violatlons of any codes. Every permit Issued shail-become invalid
<br /> unless the work authorized.by such permit:�(s.commenced�within six months of permlt issuance, or if work authorized by
<br /> the permit is suspended ar.abandoned for a.period of six f8)months.after the time the�work fs commenced. An extensfon
<br /> may be requested, in wrriting, from the Building,Official for a period not to exceed ninety�(90) days a�d will demonstrate
<br /> justifiable cause for.the extension�. If work cease��for ninety(90)cons.ecutive days�..the job is considered aba�doned.
<br /> .�. - I
<br /> WARNING TO OWNER: YOUR.FAILURE TO..RECORD.A NOTIGE;OF�COMMENCEMENT�NtAY'RESULT IN YOUR
<br />—PAYING_7WI.CE�FOR IMPROVEMENTS_TO YOUR:PROPERTY. IF�.YO.U�IN�E�D'TO OBTAIN�FINtANC1NG,�CONSULT
<br /> 1fY17H YOUR LE. D O AN ATTORNEY 8 FORE�RECO �� G:�YOUR' O �C -`OF • � E -~- -- - - �� - f
<br /> FLORIDA JURA�(F.S.1.17.03) '
<br /> OWNER OR AOEN7 CONTRACTOR
<br /> Subsciibed and swom ta(or afflrmed)before m�this Subscrlbed'and's � (or� edf befo me'tFiis
<br /> by •by
<br /> Who Is/are personally known to.me or has/haye produced Who Is/are personally knovm•to me or has/have�prodi�ced • -
<br /> as Identlflcatlon. as tdentlBpUon.
<br /> otary Publlc _ Notary Publlc
<br /> Com sfon No. Commis on o.
<br /> .�``'i�,!P�'% JOEL E.BACON ,•••��.Y etY••., JOEL E.BACON
<br /> Name oI Nota t�pe :edmmefasiQ�eM1FF 137073 Name o otary type ,�rl aesf�i�ion#FF 137073
<br /> :�• �a: Expires June 29,201 S :; �a: Expires June 29,2018
<br /> OP•`� p��
<br /> ''J��Rd��,.• Bmided Thm Troy Fdn Inswence 800.385-70f 9 '�'�.,P���t°�`� Brnded Tlw Troy Fain Insurence 800-385•7079
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