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<br /> N{3TiCE OF DEED RESTRICTiONS: The undersigned understands that this permit may be subject to"deed"restrictions° _
<br /> which may be moce restrictive.than County cegulations: �7he•�undersigned assumes-'r`•esponsibility:foc compliance with any �`
<br /> applicable deed restrictions. ._ . .. ��� ,:� - ` -
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBiLiTiES:- tf fhe�awner-has� hired-�a-_contractor or
<br /> contractors�to undertake work, they may be required to be licensed in accordance with state and Iocal regulations: If the��-
<br /> contractor-is not licensed as rEqui�ed�by law, both the awner and contractor--rr�iay�-be cited-for a ti�i'sdemeanor violation
<br /> under state law. If the owner or intended co�tractor are uncertain as to what licensing requireri�ents.rinay::appiy for-the: �'
<br /> intended work, they are advised to contact the Pasco County Building Inspectian Division=Licensing Sectian at 727-847-
<br /> 8009. Furthermore, if #he owner has hired`a cont"ractor or contractors, he is advised to 'have the contractor.(s) sign __., .
<br /> portions af the "contractor Block" of this application for which they wil! be responsible, .!f yau, as�the-owner sign as ttie
<br /> contractor, that.may be an indication that he�is not properly licensed and is riot ent#tied�to permitting�privileges in Pasco :
<br /> Gaunty.
<br /> T12ANSPaRTAT10N IMPACTIUTILiTtES IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands �
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction af new buildings, change>of ��
<br /> use in existing buildings, ar expansion of existing buildings, as specified in Fasca County Ordinance number 89-07 and
<br /> 90-Q7, as amended. The undersigned also understands, that such fees, as may be.due, will 6e identified at�=the�time ofi
<br /> permitting. it is further understoad that Transportation impact Fees and Resaurce� Recovery Fees must be paid priar to �
<br /> receiving a "certificate of occupancy" o�final pawer release. If the.project does not involve a certificate of occuparzcy<oc ,
<br /> final pawer release, the fees must be paid prior to permit issuance. Furthermare, if Pasco Caunty Water/Sewer,-tmpact� � �
<br /> fees are due, they must be paid prior ta permit issuance in accardance with appiicable Pasco Caunty ardinances. V
<br /> CONSTRUCTiON LIEN LAW(Chap#er 793, Florida Statutes, as amended): If valuation of work is$2,5QO.Q,O,_or more,-I ._
<br /> certify that (, the applicant, have been provided with a copy. of the °Florida Construction l.ien Law=Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the appiicant is someone
<br /> ather than the"awner", # certify that I have obtained a capy af the above described dacument�and promise in,good faith,to .
<br /> deliver it ta#he`°owner"prior to cammencement.
<br /> CONTRACTOR'S/OWNER'3 AFFIDAVlT: ! certify tha#aA the information in this applicatian is accurate and thaE at!work
<br /> wiN be dQne in compliance w�th a!I applicable laws regulating construction, zoning and land,development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. 1 certify that no work or instal(afion has
<br /> commenced priar to issuarice of a permit and that all work will be performed to meet standards of all laws regulating ,
<br /> construction, County and City codes, aoning regulations, and land development regulations in the jurisdictian. ! alsa
<br /> certify that ! understand that the regulatians of other gavernment agencies may apply to the intended work, and #hat it is �
<br /> my responsibility to identify what actions f must take to be in campliance. Such agenaies include bu#are not limited to: , •
<br /> - Department of Environmenfa( Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Southwest Florida Water Management District Wells, Cypress Bayheads, Wetland Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative ServiceslEnviranmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks. '
<br /> - US Environmentat Pratection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> 1 understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not allawed in Flaod Zone"V" unless expressly permitted.
<br /> - If the fill material is ta be used in Fiaod Zone "A", it is understaod that a drainage plan addressing a
<br /> "campensating volume" will be submitted at time of permitting which is prepared by a professianal engineer �
<br /> licensed by the State of Florida.
<br /> - If the fi!! material is to be used in Flood Zane "A" in connection with a permitted building using stem wall
<br /> construction, I certify thaf fill will be used only#a fill the area within the stem wali.
<br /> - (f fill material is to _be used in any area, I certify that use af such fill will nat adversely affec# adjacent
<br /> properties. !f use af fi!! is found to adversely affect adjacen# properties, the owner may be cited for vialating
<br /> the condi#ions of the building permit issued under the attached permit application, for iots less than one (1)
<br /> acre whioh are elevated by fifl, an engineered drainage pian is required. ,
<br /> If I am the AGENT FOR THE OWNER, 1 promise in good faith to inform the owner of the perrnitting conditions set for#h in
<br /> this affidavit prior to commencing constructlon. I understand that a separate permit may be required far electrical work, •
<br /> plumbing, signs, wells, poals, air canditioning, gas, or�other ins#allations not specifically included in the application. A
<br /> permit issued shall be construed to be a license ta praceed with fhe work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions af the fechnical codes, nor shall issuance of a permi#prevent the Building O�cia}from thereafte�
<br /> requiring a correction of errors in plans, construction or violations af any codes. Every permit issued shali become invatid
<br /> unless the work authorized by such permit is cammenced within six months af permit issuance, or ifi wark authorized by
<br /> #he permit is suspended or abandaned for a periad-_of six(6}monfhs after the time the work is commenced. An eactension
<br /> may be requested, in writing, from the Buildirig Official fior a period not to exceed•ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAfLURE TO RECQRD A NaTICE OE Cf3MMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR iMPROVEMENTS TO YOUR PRQPERTY.:IF YOU INTEND"�TO OBTAIN FINANGING;CONSULT
<br /> WITH Y(JUR CENDER OR AN ATTORNEY BEFORE RECORDlNG YC1UR�NOTICE OF GOMMENCEMENT.
<br /> - --F�OFtIDIi`JU4't"NT-(r:5:-1i7=0sj ---�-_.T_ _ __ .�__-----—�- - --
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<br /> OWNER OR AGENT GONTRACTOR . ��-i� ,��-!�-��� �,_^
<br /> Subscribed and swom to or affirmed befare me this Subscribed aod swom to or affirm d befare m 's
<br /> bY � ) by,�' �..Ul G 2.L..t' `���,._{ r 1r
<br /> Who is/are personally known to me or haslhave produced " Who islare personally knQwn to me ar has have produced
<br /> as ldentiflcatian. as ldentificaUon.
<br /> Notary Public � Notary Public
<br /> Commission No. Gommission No.
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed ar stamped �
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