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<br /> NOTICE OF DEED RESTRICTIONS:,The undersigned understands that this permit may be subject to"deed" restrictians" `
<br /> which maybe more restrictive than County regulations. The undersigned assumes cespansibility for compliance with any
<br /> applicable deed,restrictions:� - . ._ . � � , _ � ' - •
<br /> UNLICEN3ED CQhlTRACTORS AND COIVTRACTOR RESPONSIBILlTIES: If the owner has hired a contractor or
<br />' contractors ta undertake work, they may be required to be licensed in accardance°vuith state and locai regulations: If#he
<br /> contractor is not licensed as required by"law, botti the awner and�contracfor may�be cited-for�a misdemeanor violatian
<br /> tander state law. !f the owner or intended.cantrac#or are uncertain as ta what licensing requireriienfs:may�apply for the.
<br /> intended work, they are advised to contact#he Pasco Caunty Building Inspection Division=Licensing Section at?27-847-
<br /> 80Q9. Furthermare, if the awner has hired��a contractor or eantractors, he�is aclvised ta have the con#ractor(s� sign
<br /> portions of the "con#ractor Block" of#his application for which #hey wil) be r.esponsible. If you, as the owner sign as the �
<br /> i contractor, that may be an indication that he is nat properly Hcensed and is nof entitled to permitting privileges in Pasca
<br /> Catinty. - -- .
<br />�� TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The,undersigned undecstands
<br /> Ithat Transportation�lmpact Fees and Recourse Recovery' Fees rnay apply to the constructian'of`netnr buildings, ctiange of `
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasoa County Ordinance number 89;07 and
<br />, 90-07, as amenc4ed. The undecsignec! also understands, that such fees, as may b.e due, will'be identified at the time of
<br /> permitting. It is further unders#ood fhat Transportation Impact Fees and Resource�Recavery Fees must be paid prior to
<br /> receivin a "certificate of occu anc ° o fin o r
<br /> g p y r a l p w e r e l e a s e. I f t h e p r a l e c t d o e s n a t m v a l v e a c e rt i f i c a t e o f o c c u p a n c y o r
<br /> final power release, the fees mus# be paid prior to permit issuance. Furthermore, if Pasca Caunty W.a#er/Sewer tmpact
<br /> fees are due, they must be paid prior to permit issuance in accardance with applicable Pasco County ardinances.
<br /> CONSTRUCTlON LlEN �AW{Chapter 713,;Florida Statutes,as amended}:.,If valuatEan of wark is$2,500.Q0 ar mor.e, t -
<br /> certify that I,'�ttie applicant,�ha've been provided with a copy of the °Flarida Construction Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Cansumer Affairs. If the applicant is someone
<br /> other than the"awner", I certify that I have obtained a copy af the above descri6ed document and pramise in goad faith to
<br /> deliver it to the"owner" prior to cammencement.
<br /> CONTFaACTQR'SI{)WNER'S,AFFIDAVIT: I.certify that alI the information in this apptication 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 obtain a permit to da wark and ins#allatEon as indicated. 1 certify that no work or installation has
<br /> commenced prior to issuance,af a_permit and that all work will be performed ta meet standards of all laws regulating
<br /> construction, County and, City cades, zoning regulations, and land development regulations in the jurisdiction. ! also
<br /> ' � .�certif}i that 1 unders#and tha#�tFie�regulatians�of�ofher government agencies may apply ta 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 nat limited to:
<br /> - Department af Environmental Protection-Cypress Bayheads, Wet[and Areas and Enviranmantally Sensitive
<br /> ' Lands,WaterM/astewater Treatment.
<br /> � - Sauthwest Flarida Water Managet�en# District Wells, Cyptess Bayheads, Wetiand Areas, Altering
<br /> i _ Watercaurses.
<br /> Army Corps of Engineers-Seawalls, Dacks, Navigable Wateruvays.
<br /> � - Depa�tment of Health & ReFtabilita#ive ServiceslEnvironmental Health Uni#-Vtlells, Wastewater Trea#ment,
<br /> 5eptic Tanks.
<br /> - US Environmental.,Rrotection Agency-Asbestos abatement. � `l
<br /> - Federa(Aviation Authority-Runways. ' - __ � � � � �
<br /> I understand that the following restrictians apply to the use of fill:
<br /> - Use of fill is not allawed in FEaad Zone"V"unless expressiy permifted.
<br /> - If the fill material is to be used in. Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating vatume" wilE be submitted at titrrZe of permitting which is prepared by a professional engineer
<br /> licensed by the State of Flarida.
<br /> - !f the fill material is to be used in Flaod Zone "A° in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used only to filt the area within the stem wali.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> prape�ties. If use af fill is faund to adversely affect adjacent praperties, the owner may be cifed 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 filt,an engineered drainage plan is required.
<br /> If( am #he AGENT FOR THE OWNER, I promise in good faith to inform the awner of the permitting conditians set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for elea#ricaf work,
<br /> plumbing, signs, welts, pools, air conditianing, gas, or other installatians nat specifically inciuded in the application. A . �
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, ar
<br /> set aside any provisions of fhe technical codes, nar shall issuance of a permit prevent the B�ilding C}ificial fram thereafter
<br /> requiring a carrection of errors in plans, construction or vialations of any codes. Every permit issued shall become invalid
<br /> unless the wark autharized by such permit is cammenced within six months of permit issuance, or if work authorized by
<br /> the permif is suspended ar abandoned for a period.of six(6)months after the time the work is`commenced. An ex#ensian
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demanstrate
<br /> i justifiable cause for the extension. If work ceases for ninety{90}cansecutive days,the job is considered abandaned.
<br /> ' WARNING Tta OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESU�T IN YOUR
<br /> ' PAYiNG TWtCE FC>R tMPROVEMENTS TO YOUR PROPERTY. IF YOU�INTEND TO OBTAIN FINANCING, C4NSULT
<br /> �- � �!!!TFl�(d��..�Q-�;FM��9�-L�E?e4R!-�'[�'O�!l�EV 61E�FQ!�2� I�E���f.�!!+!�Vd?�dP,Ld�3'�C�O��Ol�"�l��!��"!!�l��------- .--
<br /> ` FLORIDA JURAT{F.S.11 A3}
<br /> OWNER OR AGENT�6�����•(,��A�6�'M�' CpNTRACTOR'(/�(.K.-[� �� !�'�o�l7'
<br /> Subscribed and swom to(or affimted}before me#tt��'s / Su6scribed and swom to ar affirmed beEare me this �
<br /> cr ( �
<br /> by by
<br /> Who is/are personally known to me or has/have produced ` Who is/are personally knawn to me or haslhave produced
<br /> as ident3fication. as identiFication.
<br /> Notary Public Natary Public
<br /> Corratr�ission iVo. Gommissian No.
<br /> Natne of{Vafary typed,printed ar stamped Wame of Notary typed,p�tnted of stamped
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