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<br /> r' �.�
<br /> NOTIGE OF DEED RESTRlCTIONS: 7he undersigned,understands that�this,permit;may be subject to°deed"rest:rictions"''�y,
<br /> which may�be more-restrictive�than.County:r.egulations Tiie�uniiersigneii�assumesr���esponsitiilfty=fot�compliance�vuith-aiiy':'`:`
<br /> applicabie deed restrictians. � �.�v�.=�� �:c�=��a�
<br /> UNUGENSED ;CONTRACTORS AND COId'TRAGTQR RESPOAISIBILtTtES: - if-tfie-owriec-Fiast�hired�a�contractor or �
<br /> contractors #a undertake work,;they may be,cequired to be'licensed in accordance with state and.local.regulations: '1f�tlie=:: -
<br /> contractor is not.�licensed:,as-required by law, both the o+nrner anc!=confractar=m'ay��Eie��ited=€or�:a rriisdemeanoc violation
<br /> under state law. I#fhe awner or intended.contractor are uncertain as to what licensing requirements::may,�apply�f.or;the�- " :
<br /> intended�work, they are advised to cantacf�tl�ie Pasco County Bailding Inspection°Division:;=Licensing Section at.727=847=
<br /> 8009. Furthermore, �if the owner has hired'a caritractor or conf�actors, �he is acivised ta��have fhe contractor{s) sign ,,;, ;
<br /> portions of the "contractar Block" of this application,for which they.will..be.responsible. -If,you, as';the-.owner"sign�as_-the` a
<br /> contractor, that may be an indication that he is nat'properly ticensed and'is not en`tiflet��to permitting privileges in Pasco_� °
<br /> County. - -.. . . .. . .��-,. :_ ..,.. ,3- .,
<br /> TRANSPORTATION IMRACT/UTILITIES IMRACT AND RES�IJRCE RECOVERY-FEES:-The undersigned undetstands �
<br /> that Transpor#ativn Impaat Fees and Recourse Recovery Fees.may��apply to the constnaction,of.,nev�r..buiidings, ciiange%of�r`�`' ,#
<br /> use in existing buildings, ar expansion of�existing buildings, as specified in Pasco County Ordinance number 89-U7 and ;;
<br /> 90-Q7, as amended. The undersigrted atso understands, that such.fees, as mayMb.e:due, witl b�`identifred at'�tFie�;#�iiie:of=``�" '_
<br /> permitting. 1t is fur#her understood that Transportation Impact Fees•and Re'souraerReeravery;Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. !f the project�does not involve a ceitificate of occupaney or.�����-
<br /> ft�tal power re3ease, the fees.must be paid prior to permit issuanee. Furtlie"rmore, if,Paseo County WaterlSewer�impaet�,-;-� ;
<br /> fees are due, they must be paid priorta•permit issuance�in accordance.with'applicableP'asco.Caunty ordinances.'�~
<br /> CONSTRUCTEOl� �:IEN I.AW{Chapt�r 713, Flarida Statutes,as amencled): If valuation af work is$2,500.O.O;or more,�,l;;_.
<br /> certify that I, the applicant, have been. provided with a copy_ of the "Flarida Gonstruction� Lien..Law.--�Homeawner's�
<br /> Proteckion Guide" prepared by tkte-F{a"rida Department of Rgriculture and Consumer Affairs. !f the applicanf�is sameone,.
<br /> ofher than the"owner�, I certify that.l have obtained a copy of the abave descri6etl'document�and pmmise�in good.faitli.to:: ,
<br /> delivec.it to the'<owner"priar to commencement. '
<br /> CONTRACTAR'S/t�1NNER'S AFFtDAVlT:,•I.certify,fhat�a(I the information in this application is accurate and thaf at!"worii
<br /> will be done in compliance with all applicable laws regulating canstruction, zoning and land-development. Application.is
<br /> hereby made to ob#ain a .permit:.to do work and �nstallat�an as.indicated. 1 certify thaf no �work or ii�s#aHation�.has
<br /> commenced prior to issuance af a permit and tha# all work will be pertormed to meet standacds of all laws regulating �
<br /> construction, County and Gity codes, zoning regulations, and land deveiopment regulatians iri the juriscliction: -1 also
<br /> certify that i unders#and that the regu(ations of other government 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 /> - . C}epartment af Environmei�tal Protec#ion=Cypress Bayheads, Vtletland Areas and Environmentaliy Sensitiv+a
<br /> Lands,WaterMlastewater Treatment. �
<br /> - Soutli�nrest Florida Water Management District-lNells, Cyp�'ess 8ayheads, Wetland Areas, Attering '
<br /> Watercourses. '
<br /> � - , . Army Corps of Engineers-Seawalls, Dacks, Navigable Watennrays.
<br /> ' - °� Department of Heal#h & Rehab9litative ServicesJEnvironrnental .Health Unit Weils, Was#ewater Treatmen#, �
<br /> Septic.Tanks. � � -
<br /> - US Environmental Pro#ecfion Agency-Asbestos abatement. .
<br /> - Federal,Aviation Authority-Runways. �
<br /> I understand that the fo!lowing�estrictions apply to the use of fill:
<br /> - Use of filt is nat atlowed in Flood Zone"V"unless express(y permitted.
<br /> - If the�fill material is to be used in. Flaod Zane "A", it is understoad that a drainage plan addressing a
<br /> °compensating valume"will be submitted at time of perrnifiting which is prepared by a professional engir►eer '
<br /> licensed by the State of Florida. �
<br /> - If the fill materia! is to be used 'in Flood Zane "A" in connection with a permitted buifding using stem wall
<br /> construction, I certify,fhat.fill witl be used only to fill the area within the stem.wall.
<br /> - If fill material is to .be used in-any area, I certify that use af such fll will not adversely affact adjacent
<br /> properEies. If use of fill is found to adversely affectadjacent properties, the owner may be cited for violating
<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 fi11,an engineered cfrainage plan is required.
<br /> If I am the AGgNT FOR THE OWNER; 1�-promise in good faith ta inform the owner of the permitting conditians set forth in '
<br /> #his affidavit prior to commencing construction. I_understand that a separa#e pecmit may be required for electrical.uuork,
<br /> plumbing, signs, weils, poots, air conditioning, gas,. or. o#hier in�stailatians not specifically inctuded in the application. A
<br /> permit issued shall„be construed to be a license to proceed``with the wa�k and not as authority to�violate, cancel, alter, or
<br /> set aside any provisions of"the#echnical codes, nor shall issuance of a permit prevent the Building Official from thereaf#ec
<br /> requiring a correction of er.rars in.plans; construction or violations of any codes. Every�permit issued shall become invalid
<br /> unless the wark aiathorized by such permEt is commenced withln six manths of permit issuance, or if work authorized b.y .
<br /> the permit is suspended.or abandvned-for a period.of six(6)manths after the time the wark is°cammenced. An extensian �
<br /> may be requested, in writing, fram the 6uildirig'Official for a:period nat to-exceed•ninety (90) days and will demonstrate � �
<br /> jus#ifiable cause for#he extension; tf work ceases for ninety{90}consecutive days,the jab is considered abandoned.
<br /> VltARNING T4 OWNER: YOUR FAI�URE.'TO.RECORD A NOTICE OF Ct?MMENCEMENT MAY RESUCT 1N YOUR
<br /> PAYIhIG TWICE FOR IMPRQVEMENTS,.TO YOU,R.PROPERT1f..:IF YOU.�,INTEND~TO.OBTAIPI�FINANCING;�COfdSULT
<br /> _.�__`",fL�"rQ-YCDlJR��:EN'���t`��:AN-A'P'��Ft6'1�7 B�EORIE-Et��l?RL�ING Vt�UR{dOTlCE-���^!"69!!E!tl��6VlE�1�°::-- __.__,-----_ .---
<br /> FI.ORtDA.lURAT{F,S.117A3) � ,
<br /> OYUNER OR AGEPIT COiVTRACTOR
<br /> Subscr�bed and swam to{ar affirmed}befare me th(s Subscribed and swom ta{or affittned}before me this �
<br /> by bY I
<br /> WhQ is/are personally knovun to me or has/have produced � Wha is/are persottally known to me oc has/have produced
<br /> as Identlfica6an. �;� as identificat�on. �
<br /> Notary Public Natary Public
<br /> Comm€ssion IVo. Comm€ssion No.
<br /> Name af tVotary typed,printed or stamped Name of Natary typed,printed or stamped , _
<br /> 4'
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