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<br />� NOTICE OF DEED RESTRICTIONS: The undersigned under�tands�,that-this,permlt.may.be,subject to."deed"restrictions" : ..
<br /> �� �la lo s � �e"un e sl ed a
<br /> which may be5more'restrictive-thaln County regu t n . Th d r gn ssumes�responsibili'ty for�compliance witli any
<br /> applicable deed restric4lons. - •
<br /> UNLICENSED CONTRACTORS��AND -CONTRACTOR RESPONSIBILITIES: -�If•the ownerhas��-hired a contractor or
<br /> contractors to undertake work, they may be requfred�:to::be�Ilcensed In accordance.with�state.and�local regulations: �If the �
<br /> contractor�ts not Iicensed as required-by law; both the ovmer and conVaator-may be-cited�for a�misdemeanor violation
<br /> under state law. If the owner or intended>,,contractor-are,uncertain as to what Iicensing.requirements.may�-apply�or-the �
<br /> intended work, they are advised to contact ttie`PaSco County Building�Inspection Divl§iori—Licensing Section at 727-847-
<br /> 8009. Fu�thermore, if the owner has hlred" a contractor o� contracfors, he ts advfsed to have the contractor(s) sign
<br /> portions of the "contractor Block" of this appltcation for which they wlll.,b,e responslble. .If.you„as.,fhe oinrner sign�as'the
<br /> cant�actor, tfiat�may be an indication that�he�is not.properly�licensed and"is not-entitled to perinitti�ig-privi�eges in Pasco
<br /> County. � �
<br /> TRANSPORTATION..IMPACTIUTILITIES=IMPAC�ANb RESOURCE RECOVERY�FEES:The undereigned understands
<br /> that Transportation Impact Fees.and.Recourse Recove.ry.Fees may��apply�to�the construction of new bulidings,ichange of � .
<br /> use in existing buildings,�or:expansion-�of-�existin�:�Eiuildings, as speclfied.in i�ascQ�County Ordinance number 89-07 and • �
<br /> 90-07, as amended. .The undersigned also�.understands, that such fees��.as�may_be�.due;,:will.�be (dentified at the�time of� �
<br /> permitting. It Is further understood that Transportation Impact Fees and�Resource Recovery"Fees must be paid prior to
<br /> receiving a °certificate.of occupancy" or flnal power=release. .Ifi=the project does not involve:a.certiftcate of occupancy o� °
<br /> final power release,,,the�fees mu�t�be paid prlor to permit Issuance. Fu�thermore;if Pasco County�Water/Sewer-lmpact
<br /> fees are due,they.must.be_pald:prlor to permit•Issuance-in accordance with applicable Pasco:County ordinances.
<br /> CONSTRUCTION"LIEN"LAW(Cfiapter 713� Flor�da Statutes,a�amended): If valuation of work is$2,500.00:or more, I
<br /> certify that 1, �he appiicant,_ have-been provided with a copy of the� "Florida Constructlon� Lien .Law=Homeowne�'s
<br /> Protection Guide" prepared by the'Florida DepartmenC of Agric.ulture and Consumer Affairs. If the applicant is someone ,
<br /> other than the"owner", I certify,that I have.obtainedfa copy of the.above.�fes.cribed document°and p.r.omise in,good faith.to
<br /> deliver It to the."owner."-prior to�commencement: �
<br /> CONTRACTOR'SIOWNER'3 AFFIDAVIT: I certity tliat all the:Information.in this application is accurate and that all work
<br /> will�be done in compliance with all applicable laws regulating construction, zoning and�land�development. Appltcation is
<br /> hereby made to obtain .a permit to do.:work..and installatlon as Indlcafed:� 'I cectffy-that no work�;or Installation has
<br /> commenced prior to issuance of a permit"and that.all wark will be pertormed to meet standards of all laws regulating-
<br />, construction, County and City codes, zoning regulations� and land development cegulations-in the jurisd(ctton. I also
<br /> certify that I u�derstand that the regulatlons of other government agencies may�apply�to the intended work, and that it is
<br /> my responsibility to identifjo.what.actions I must take:to be=in�.corilpllance; S,uch agencles include but are.not Ilmited to:
<br /> - Department of E�lvironmental:Protection-Cypress Bayheads; Wetland Areas and Environmentaliy Sensitive
<br />� Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Water Management� Distrlct-Wells, Cypress.��Bay.heads; Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls; Docks, Navigatile Waterways,
<br /> - Depa�tment of Health & RehabiNtative Seni(ces/Envitonmental Health Unit Wells� Wastewater�Treatment,
<br /> Septic Tanks. � � ,
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Fede�al Aviatton Authority-Runways.
<br />' I understand that the follow�ng,restrictions apply to the use of flll:
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permttted.
<br /> - If the fiil material 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 /> .,, Iicensed by the;5tate-of Florida.
<br /> - If the fill material.fs to ,be used In Flood Zone °A" in�connection�wlth:a pecmitted building using stem wail
<br /> � construction., I certify that fill�.wall�be used only.to.fill the area within the�stem•wali.
<br /> - if flll material is �to be used fn any area, I �certify that use of such�flll will not adversely affect adJacent
<br /> properties. If use of fill Is found to adversely.,affect adJaeent propertles, the owner may be clted for violating
<br /> the conditions of tiae'"buildfng:.perm(t issued under the attached permit application, for Iots less than.one (1)
<br /> acre which are elevated�by�flil,aR engineered dralnage plan is required. .
<br /> If I am the AGENT FOR THE OWNER, Itpromise in good faith to Inform the•owner of�the_permitting-condittons set forth tn
<br /> this affidavit prior to commencing construction. I understand that a�separate permlt may be requtred for elecMcal �rvark,
<br /> plumbing, signs, wells, pools, air condittoning, .gas, or othec tnstallattons not•specifically included�dn.the application. .A .
<br /> permft Issued shall be constcued to be a`Iicense to�p�oceed with the work and not as.authority to,vlolate,.cancel, alter, or
<br /> set aside any provisions of the.techn(cal.codes;�nor shall issuance�of a.permit.prevent the Bulidirig Official from thereafter ,
<br /> requiring a correction af eRors In.plans, consfn�ction or violat(ons of any codes. Every permit fssued shall become invalid
<br /> unlesa the work authorized.by such permlt•Is-commenced•withln sfX months of permit fssuance. or If wo�k authorized by
<br /> the permit is suspended or.abandoned for a:period;of�six E8)�months.-after the tirne the�work is commenced. An extension
<br /> may be requested, in 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:for ninety(90)consecutive:day.s�..the Job is considered abandoned.
<br /> WARNING TO OWNER: YOUR.FAILURE�TQ.,REC.O�tD:A NOTIGE:OF-COMMENCEMEMT;MAY=RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUf�.PR�OPERIY. IF YO.U�IN'FEND"T��OBTAIN�-FINANCING;�CONSULT
<br /> WITH YOUR ENDE O' AN ATTO NEY�B FORE� ECO � G:�YOU � O � CE'OF�' �' Id '
<br /> FLORIDA,iURAT(F.S.11 ' �- ------
<br /> OWNER O - C
<br /> Subscri efore me this sc � e re me ttiiffi --
<br /> _-- .by . -
<br /> WF�o Is/are pe►sonally knovm to.me or has/have produced Who Is/are p.eraonally known to me or has/have•produced �
<br /> as'Identlflcatlon. � as 1 entlBcaUon.
<br /> Notary Public Notary Public
<br /> �, r�!�,�� Jr1���U�l.l�l��f� S
<br /> Commisslon No: Co sion N � ', �k � ��, ,' �
<br /> _��;;;�`,��: f�x�:l��i�t����ri��?r 1��
<br /> ��e�n.. � �"018
<br /> Name ot Notary typed,printed or stamped Name of Nota , '
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