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_ �:�:,. �.. �.s.�.a <br /> " � r'6 t <br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject ta"deed" restrictions" ` <br /> which may be more.restr.ictive than County regulations::.The:urtdersigned assumes responsibilityfor.car►�ipliance with aiiy ' <br /> applicable deed restrictions. �- � � <br /> UNUCENSED CONTRACTORS AND GONTRACTOR RESPC?NSIBiLlTIES: if the awcier�has hired a contractor or <br /> cantractors ta undertake work, they may be required to be licensed in accordance with state and tocal regulations. Ifi the <br /> contractor is not licensed as required by'law, botii�"the awner and contractor rriay be cited�for a riiisdemeanor violation <br /> under state laur. {f the owner or intended contractar are uncer#ain as to what ticensirtg requirements may�,apply for-the. <br /> intended work, they are advised to contact tlie Pasco County Building Inspection DiVisian=Licensing Section at 727-847- <br /> 8409. Furthermore, if the owner has hired�a cantractor or contractors, he is advisec! to ihave 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 /> cantractor, that may be an indication that he is not properly licensed and is nof entitled to permitting privileges in Pasco <br /> Caunty. ` � � � <br /> TRANSPORTATIOIV IMPACT/UTILITIES IMt?ACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Trartsportation Impact Fees anc3 Recaurse Recovecy Fees may apply ta the constructian of new builcfings, charige-of� <br /> use in existing buildings, ar expansion of existing buildings, as speci�ed in Pasco County Ordinance number 89-07 and <br /> 9Q-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified afitlie tirr�e�of <br /> permifting. it is further understood that�Transportation tmpact Fees and Resaurce Recovery Fees must be paid prior to <br /> receiving a "certificate of occupancy° or final power release. If the praject does not involve a certi�cate of occupancy�or. <br /> final pawer release, the fees must be paid prior to permit issuance. Furthermore, if Pasco.County WaterlSewer Impact <br /> fees are due, #hey must be paid prior ta permit issuance in accordance with applicable,Pasco�Caunty ardinances. <br /> CONSTRUCTION �tEN LAW(Chapter 713, Flarida Statutes,as amended}: If valuation af work is$2,500.40 or`�noce,_I . <br /> certify that (, the applicant, have been pravided virith' a copy. of the "Flarida Cons#ruction Lien Law--�Homeowner's <br /> Protectian Guide° prepared by the Florida Department of Rgriculture and Consumer Affairs. If the applicant is someone <br /> ather than the"owner�, 1 certify that I have ob#ained a copy of the above describetl document and promise in good_faith to <br /> deliver it.to the'°.owner" prior to commencement. <br /> Ct}NTRACTOR'SIOWNER'S AFFIDAVIT: 1 certify that all the ir�formation in this application is accurate and that a11 work <br /> will be done in compliance with all applicable laws regulating construction, zoning and la�d d�velopment. Application is <br /> hereby made to abtain a perrriit to do work and installation as indicated. 1 csrt'tfy thatt na work or irtstalEation has <br /> commenced prior to issuance of a permit and tha# aIl work will be performed ta meet staridards of all laws regulating <br /> canstruction, Gounty and City codes, zoning regulations, and land development regulations in the jurisdiction. ! also <br /> ce�tify that I understand that the regulations ot o#her gavernment agencies may apply to the intended work, and that it is <br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: <br /> - Department of Enviranrrtental Protection-Cypress Sayheads, Wetland Areas and Environmentally Sensitive <br /> Lands,WaterNVastewater Treatment. <br /> - Southwest Florida Water Managerrtent District-We!!s, Cyptess Bayheads, WeEland Areas, Altering <br /> Watercaurses. <br /> - Army Carps af Engineers-Seawalls, Docks, Navigable Waterways. <br /> - Department of Health & Rehabilitative SenriceslEnvironmental Heal#h Unit Wells, Wastewater Treatment, <br /> 5eptic Tanks. <br /> - US Environmsntal Protection Agency-Asbestos abatement. <br /> - Federal Aviatian Authority-Runways. <br /> I understand that the following restrictions apply to the use of fill: <br /> - Use of fll is nat allowed in Flopd Zone"V"unless expressly permitted. <br /> - If the fill material is to be used,in. Flood Zane "A", it is understood that a drainage plan addressing a <br /> . "campensating vatume° will be submitted af time of perr�nitting which is prepared by a pro#essional engsneer <br /> licensed by the State of Flarida. <br /> - If the fill material is to be used in Flaod Zone;"A" in connection with a permitted buildirig using stem wal! <br /> construetian, t certify that fifl wviN be vsed only to fill the area within the stem wa(I. <br /> - If fill material is to .be used in any area, I certify that use of such fill will not adversely affect adjacent <br /> prope�ties. If use of fill is€ound to advetsely affect adjacen# properties, the owner may be cited for vialating <br /> the conditions of the building permit issued under the attached permit application, for-lats less than one (1) <br /> acre which are elevated by fi!!, 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 permifting conditions set forth in <br /> this affidavit prior to commencing construction. ! understand #hat a separate permit may be required for electrica! work, <br /> ptumbing, signs, wells, pools, air conditianing, gas, ar other installatians not specifically included in the application. A , <br /> permit issued shall be construed to be a license to proceed with the work and no# as authority to violate, cancel, alter, ar <br /> set aside any pravisions af the technical codes, nor shall issuance af a permit prevent the Building Official fram therea#ter <br /> requiring a correctian of errors in plans, construction or vialations of any codes. Every permit issued shall become invalid <br /> unless the wark authorized by such permit is commenced within six months of permit issuance, or if work autharized by <br /> the permit is suspended or abandaned for a period.of six(6}manfhs after the time the wark is commenced. An extension <br /> may be requested, in wri#ing, fram the Buildirig Official for a period not to exceec�ninety (90) days and will demanstrate <br /> justifiable cause for the e�ensian. If wark ceases far ninety{90}consecutive days,the job is cansidered abanc3oned. <br /> IAfARNfNG TC? OWNER; YOUR EAlLURE TO RECORD A NQTICE OF COMMENCEMENT MAY RES l.T IN YOUR <br /> PAYiNG TWiCE FOR iMP OVEMENTS TO YOUR PROPERTY. IF YOU�INT D TO OBTAIN F1NAN NG, CONSULT _ <br /> - -- Eflf'iT�i-iPGi�rt 4:EFii� - API�►TTi�' �i�Y EFt�i�E f���ORDIPIG VC�U i�E C�I�`COM NC� I�'Y. - <br /> Fl.ORIDA JURAT(F.S.1 7 3) � <br /> OWNER OR AGENT ` CONTRACTOR � <br /> Subscr�bed and swom {or affirmed}before me fhls Subscribed and s m ta(ar affitmed}before me this <br /> Who is/are nall k wn to me or haslhave praduced �� Who is/are onally kn , to me or haslhave produced <br /> as identificatian. as identification. <br /> tary Public Notary Public i <br /> Comm� i Na Gorrtmisslon No. <br /> Name of a� Y Name of IVotary typed,ptinted ar stamped <br /> � . ot�.`:��,. ' E iNE 8 GES ' <br /> ,;�,�' <br /> =•; ..� Commission#FF 15042� <br /> :; o; Expires t?ecember 12,2018 <br /> ���Q��;�`� BandedTtwTroyFeinlnsurancgBpOJgS•70f9 ° <br /> i <br />