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<br /> NOT'�CE OF DEED RESTRICTIONS: The undersigned undergtands::th�t,this,p�rmlf may be.subject to"deed"restrictions" ' :_..,�
<br /> � . _�
<br /> which may be�more'.rest�(ctive-�th2�n Countyr�r"egulations: �TFie undersigned as`sumes responsibility for°compllance witFi�any
<br /> appiicable deed'rest�ictions. • ' _ � _ '�
<br /> UNLICENSED GONTRACTORS AND'.CONTRACTOR R@SPONSIBILITIES:��If�the owner has-�-hired a contractor or
<br /> contractors to undertake work, ttiey may,be:required.:to be.:llcensed in accordance.with.state.and�local regulations: if the-� � -�
<br /> contractor ts not Itcensed.�as'required=by law, both the owner and:contraeto��may be clted-for-a-°misderr9eanor violation
<br /> under state law. If the owner or Intended=contractor,are,uncertaln as to what Iicensing.require�nents:may apply=�:for�the � -
<br /> intended work; they are advised to contact�the`.Pasco County Buildtng"Inspection Dfvislo�—L•tcensing Section at 727-847-
<br /> 8009. Furthermore, tf the owner has hired a contracfor vr'contractors. he is advlsed to have the contractor(s), sign ,
<br /> portions of the "contractor Block" of this application for.which they,will be responsible. If you,.as.fhe owner"sign�as'tfie" "
<br /> contractor, that may be an indication that�he�is not.properly flcensed and'Is not entitied to per�riitting privileges In Pasco
<br /> County. �
<br /> TRAMSPORTATION::IMPACTlU71LITIES�IMPAC7-AND RESOURCE RECOVERY-FEES:� The undersigned understands
<br /> that Transportation Impact Fees and.Reco.urse Recove.ry.Fees may�-apply�lto:the construction of new buildings,�change-of" � �" �
<br /> use in existing buildings, or:expansion-of•�ezistin�g'buildings,a§ speclfied.in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended, The undersigned also,understands, that-such fees,,-as�may;be�.due,�,wlll.��be identified at the�time'°of
<br /> permitting. It is�furtlier understood that Transportation Impact Fees and Resource Recovery�Fees must be paid prior to
<br /> receiving a °certificate.of�occupancy" or flnal power�release. :If�the project:does not involve"a�certificafe of occupancy. or - �
<br /> final power release; the_fees�must•be paid prior to permit Issuance. Futthermore;-�if:Pasco County Water/Sewer Impact ,
<br /> fees are due,.they;must.be-paid,prlor.�o permit-lssuance-in accordance wlth applfcable Pasco'County ordinances.
<br /> CONSTRUCTION LIEN�LAW(Chapter 713� Florlda Statutea,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 L'aw=Homeowner's
<br /> Protection Guide� prepared by the Florida Departmer�f of Agric.ulture and ConsumerAffairs. if the applicant is someone
<br /> other than the"o�nrner", I certify that I have.obtained'a.copy.of.the above.described tlocument=and.pcomise in.good faith.to ��,t.
<br /> deliver it to the°owne�'�prior to�commencement: � � .
<br />� CON7RACTOR'S/OWNER'S AFFIDAVIT: I ceitify,that all the Inf.ormation Jn this-application is accurate and that all.work
<br /> will�be done in compilance with all.appiicable�laws regulating construction� zontng and land development. Application is
<br />' .hereby made to obtain .a .permit.to do work:;and installatlon as indicafed:�; 'I certffy that no work.:or InsEallatton has
<br /> commenced prior to Issuance of�a permif and that.all work will be perfo�med to meet standards of all laws regulating-
<br /> construction, County and City codes, zoning regulations, and land development regulatlons-tn the jurisdtction. (:also�
<br /> ce�tify that I understand that the regulations of other government agencies may�apply to the intended work, and that if Ps
<br /> my responstbility to identify�what.actions I must take.to be,in:.corrlpliance. S,uch agencles.include but are.not Iimlted to:
<br /> - Department of Erlvironmental Protection-Cypress.'Bayhead�; Wetland Areas and Envtronmentally Sensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management ..District-Wells, Cypress.�_Bay,heads; Wetland Areas� Altering
<br /> Watercourses.
<br />� - Army Corps of Engineers-Seawalls, Docks� Navigable Waterways. �
<br /> - Department of Health & ReF�abifltative Serv(ceslEnvironmenfal Health Unit-Welis, Wastewater�Treatment,
<br /> Septic;Tanks. - ,
<br /> - - !JS Environmental Protection Agency-Asbestos abatement. _
<br /> - Federal Adiatlon.Authority-Runways:
<br /> I understand that the following.•restrictions apply to the use of flll:�
<br /> - Use of fll is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - if the flll material is to be used_in :Flood Zone. "A", ft. is understood that a drainage plan addressing a
<br /> °compensating volume"-will be submitted at time of permffting which is prepared by a professional engineer
<br /> Iicensed by�he State-of florlda: ., �
<br /> - !f ihe flll mater(al_is to be,used-in Flood Zone �A" in�connection�with.a peemitted building using stem wall
<br /> construction, I certiy that-fill�.wlll:be�used only.to.fill the area wtthin the:stem�wall. .�
<br /> - If fill materlal is to tie 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 adJaeent�properties,.the owner may be cited for violating
<br /> the condi#ions of the building:permit issued�under the_attactied�ermit.application, for lots less�ttian.one (1)
<br /> acre which are elevated�by flll�an 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 permitttng conditlons set forth in
<br /> this affidavit�prior to commencing construction. I�understand thafi a-separate permlt may be requt�ed for electrical work,
<br /> plumbing, signs, wells,.pools; air,conditioning,.gas;'or other iris#allations no�,spec�ffcally included-in the application. .A
<br /> permit lssued shall be constcued to be a�Iicense'to-proceed vuith tNe'work and not as:authority to,violate;cancel, alter, or � �
<br /> set aside any provislons of the techn(cal codes; nor shall issuance�of a.permit.prevent the Bulldirig Oflic(al fror�thereafter
<br /> requiring a correction af errors In plans;construction or violations of any codes. Every permit Issued shail become invalid
<br /> unless the work authorized.by such permit�is-commenced�within sfx.months of permit Issuance. or if work authorized by
<br /> the permit is suspended or.abar�doned for a;period of six E8)mont�s.aftec the time the�work�ls commenaed. An extension
<br /> may be requested, ln writing, from the�Building,Official for a period�not to exceed ninety�(90) days and will demonstrate
<br /> justifiable cause for.�the extension:� If work ceases.tor ninety(90)consecutive:day.s;..the Job is.considered aba�rdoned.
<br /> WARNING TO OWNER: YOU�:FAILURE�TO.�REC.ORD.A NOTIGE,OF�COMMENCEMEI�T�MAY RESULT IN YOUR
<br /> PAYING TWIC.E.FOR:IMPRAVEMEN�S TO YOUR:PR�OPERTY.�:IF°YO.0 IN'�END':T��OBTAIN�<FIRtANC1NG;�CONSULT
<br />-_– iAlETH elO�R 8. NlD� �� fiPi i��YOi�PiE'�'�� 'F�FtE° _t��i3�D G� 00i�� '� �� '��' � CE EP6Y� _
<br /> FLORIDA JURAT(F.S.1.17.03} _ " —.
<br /> OWNER OR AOENT ' - CONTRAGTOR �
<br /> Subscrlbed and swom to(or aflirmed)before me this Subscrlbed and'swom to(o ed)�before e'ttit�
<br /> by .by `
<br /> Wlio islare personally knowm to.me or has/Fiave produced �Who Is/are p.ersonally kno me ar haslhave�produced • I
<br /> as IdentlBcetlon. . es IdenBRcaUon.
<br /> Notery Public Plotary Publlc-
<br /> Commisslon No. � Commisslon.No.
<br /> Name ot Notary typed,printed or stampad Name of Notary 4yped,printed or stemped
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