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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject ta"deed" restrictions"
<br /> which may be more restrictive than County regulatians. The�-unclersigned assumes respa�sibility for cornpliance with any
<br /> applicable deed res#rictions. '� ' -
<br /> UNLICENSED CONTRACTORS AND CONTRAC'TQR RESPO�f�i�l�lTIES: If tiie-awner has hir,ed a contractor or
<br /> contractors to undertake work, they may be required to be�licensed�;in accordance with state and local regulations.- if�the
<br /> contractor is not licensed as required by law, both the awner and:cantractor may�6e cited far�a misdemeanor violatian
<br /> under state law. If the awner or in#ended cantractar are unce�tain as to what licensing requirements.may,apply far,,the-
<br /> intended work, they are advised to contact'the Pasco County Building Inspection Division=Licensing Sectian at 727-847-
<br /> 8Q09, Fur-thermore, if the owner has hired-a confractor or contractars, he is advised to have the contractar.{s) sign
<br /> portions of the "contractor Block" of this applicatian for which they will be responsible. If you, as tfie owner sign as #he
<br /> cantractor, that may be an indication that he is not properly licensed and is.not entitled to permitting privileges in Pasco
<br /> County. ' '
<br /> TRANSPORTATIdN IMPACT/U7ILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Irr3pact Fees and Recourse Recove�r Fees may app[y to the construction af new buitdings, chang,e of
<br /> use in existing buildings, or expansion of.existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amendecl. The undersigned also u�derstands, that such fees, as may,be due, wiil'be iden#ified at tlie time�of �
<br /> permitting. ifi is further understood that Transportation impact Fees and Resource�Recavery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" ar final power release. If the project does nat involve a certificate of occupancy ar
<br /> final power release, the fees must be paid pr�or ta permit issuance. Furttiermore, if Pasco County WaterlSewer Impact,
<br /> fees are due, they must be paid prior ta permit issuance in accardance with applicable Pasco County ardinances.
<br /> CQNSTRUGTIOld �IEN LAW(Chapter 713, Flarida Sfatutes,as amertded}: If valuation af_wark is$2,500.40,or mor.e,�l
<br /> certify that I, the applicant, have been prbvided with a copy. of the "Florida Construction �Lien Law--Homeawner's
<br /> Protection Guide" prepared by the F4arida Depar#ment of Agriculture and Consumer Affairs. If the appl�can# is someone
<br /> other than the"awner�, I certify that 1 have obtained a copy of the above descrbed document and pramise in goad faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> CONTRAGTCIR'SIC?WNER'S AFFIDAVIT: 1 ce�tify that a11 the information in this application is accurate and that all wo�k
<br /> will be done in compliance with all applicable laws regulating canstruction, zoning and land development. Application is
<br /> hereby'rrtade ta obtain a permit to do wark anci installation as indicated. 1 certify that no work ar 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, Gounty and City codes, zoning regulations, and land development regulations in the jurisdiction. ! also
<br /> certify that 1 understand tha#the regulations of ather government agencies may apply ta the intended wark, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include bu#are nat limited to:
<br /> - Department of EnvironmentaE Protectian-Cyp�ess Bayheads, Wetland Areas and Enviranmentally Sensitive
<br /> Lands;"Water/Wastewater Treatment.
<br /> - Southwest Floricla Water Management District-WeAs, Cyptess Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - �epa�finen# of Health & Rehabilitative ServiceslEnviranmental Health Unit Wells, Wastewater Trea#ment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following.restrictions apply to the use of filL
<br /> - Use af fi!!is not allowed in Flaod Zone"V" unless expressly permitted.
<br /> - If the fill material is to be used, in Flood Zone "A°, it is understood that a drainage plan addressing a
<br /> "campensating volume" will.be submitted at time of permi#ting which�is prepared by a professional engineer "
<br /> licensed by the State of Florida.
<br /> - <!f the fil! material is #o be used in Flaod Zone "A" in connection with a permitted buildirig using stem wal!
<br /> canstruction, I certify that fill wiil be used only#o fll the area within the stem wall.
<br /> - If �II material is ta be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> propertles. ]f use of fill is faund to adversely affec#adjacent prape�Eies, the awner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill,an engirieered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith ta inform the owner of the permitting conditians set forth in
<br /> this affidavit prior to commencing construction. ! understar�d #hat a separate permit may be required €or elec#rical work,
<br /> plumbing, signs, wells, pools, air canditioning, gas, ar other installations not specifically included in the application. A - .
<br /> permi# issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or .
<br /> set aside any pravisions of the technicaE codes, nar shall issuartce of a permit prevent the Building 4fficial fram thereafter
<br /> requiring a correction of errors in plans, construction o�vialations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if wark authorized by
<br /> the permit+s suspended or abandoned for a period.of six(6}manths after the time the work is'commenced. An eactensian
<br /> may be requested, in writing, from the Building Official for a period nat to exceed ninety (90) days and will demonstrate
<br /> justi�able cause far#he extensian. If work ceases far ninety{90)consecutive days,the job is consiciered abandoned.
<br /> WARNING TQ OWNER: Y UR FAlL.URE TQ RECQRD A NOTtCE O� COM ENGEMENT IVIAY RESU�T !N YOUR
<br /> PAYING'f'WICE FOR t P VEMENTS TO YO PROPERTY. 1F YO � D TO OBTAIN FI NCING, CON$UI.T_ ___._=
<br /> dIVITH YOUR L.ENDER AN ATTOR RE RECORDING�f�I� -�W 7'!� r-i�" ��Il�NT.
<br /> Fl.OR1DA JURAT{F.S,917 _ `���- - �,,,.
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<br /> OWMER OR AGENT CONTRACTOR _
<br /> Sabscribed and swom#o ar affinned}befare me this S bscribed a d s om fo(or affirmed}before me thEs
<br /> by
<br /> Who is/are personally own to me or has/have producec! � Who is/are p ally kna to me or haslhave produced
<br /> as identiflcation. ,as identifica6on.
<br /> Notary Public /�...� Notary Public
<br /> Cammission No. Comrri ssi
<br /> ;=q,;�sY:.'e;c; JACQUELINE BQGES
<br /> FF 5Q422
<br /> �Same of IVatary typed,printed or stamped Name of N � ' 'fp�u�s�s2amip�2,?_Oi�
<br /> • ��!;���gR e�Q:`� Bwided Thru Troy fan Inaurance 800-385-7019
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