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<br /> NQTiCE OF DEED RESTRtCTiONS: The undersi ned understands that this ermit ma be sub'ec#to"deed" r�strictions" ' �
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<br /> which may be more resi�ic#ive than Caunty regulatians. The�.undersigned-�assumes�ce`sporisibility#or compliance iniith�ny "�` �
<br /> applicable deed restrictians. -� .• � '
<br /> UNLICENSED CI')NTR,ACTORS AND CONTRACTOR RESPONSlgILIT1ES: If the owner-has��hire�-a°contractor or �
<br /> contractors�to undertake wark, they may_be required to be licensed in accordance with state and�lpcal regula#ions.�. lf the=�
<br /> contractar is not Iicensed as required by law, both the owner and'contractor rriay�=b'e°cited�for a misdemeanor violation
<br /> under state law. lf the owner or intended contractor are uncertain as to what licensing requirements:�may:;app(y:for,the.- " �
<br /> intended work, they are advised to contact�the Pasco Courity Building Inspectiori�Division-=Licensing Secfion at 727-847-
<br /> 8009. �Furthermore, if the owner has hired�a cantractar or contractars, he is advised to have the contractor(s}:sign __, •
<br /> partians of the "contractor Block" of this application for which they will be responsible. -!f yau, as'�the:owner s'igii as'ttie ;
<br /> contractor, that may be an indication that he is not properly licensed and is not entitlsd #o permitting privileges in Pasco �
<br /> Caunty. _ _ . - � -
<br /> TRANSPORTATtt3N IMPACTJUTtLIT1ES tMRACT AND RESOURCE REGOVERY FEES: The undersigned understands ' '
<br /> tha#Transpartation Impact Fees and Recaurse Recovery Fees rr�ay apply to the construction af new buildings, change`of `' ;
<br /> use in existing buildings, or expansion of existing buitdings, as specified �n Pasco Coun#y Ordinance n�rrtber 89-07 and
<br /> 90-07, as amended. The undersigned also understands, #hat such fees, as�may-be.due, will 6e identified at'.ttie time of � '' �
<br /> permitting. It is further understood that Transportation lmpact Fees�and Resource Recovery Fees must be paid priar ta �
<br /> receiving a "certificate of occupancy° or fina( power release. lf the.project daes not involve a certificate af occupancy.or.' •
<br /> final pawer re(ease, the fees must be paid priar#o permit issuance. Furthermore, ff Pasco County Water/5ewer Impact ,
<br /> fees are due,they must be paid priar to permit issuance in accordance with�applicable Pasco County ordinances. µ
<br /> GONSTRUCTIDN LlEN LAW(Chapter 713, Flarida Statutes,as amended}: If valuatian a€woric is$2,500.00„or mor.e,;l�;,,
<br /> certify that I, the applicant, have been provided with a copy. af the °Flarida Canstruction Lien �.aw—Homeowner's � �
<br /> Pratection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is someone, ,
<br /> other than the`bwner", I certify that I have obtained a copyof the above described"tlocument and promise�in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: t certify.that ail the information in this application is accurate and�that all wark
<br /> will be done in compliance with a!! applicable laws regulating construction, zoning and land-develapment. Application is
<br /> hereby made to obtain a permit to do work and instaHation as indicated. 1 cerEify that no work or in"stallatian has
<br /> commenced prioc to issuance of a permit and that aU work will be perftirmed to meet standards of a!I laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in.the juri�diction. I also
<br /> certify that i understand that the reguiations of other government agencies may apply to the intended work, and that it is
<br /> my respansibility to identify what actions 1 must take to be in campiiance. Such agencies include but are not limited to: �
<br /> - Departrr�ent af Environmen#al Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterMfas#ewater Treatment.
<br /> - Southwest Florida Water Management Districf-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Wa#ercourses. .
<br /> - Army Corps af Engineers-Seawalls, Dacks, Navigab(e Waterways.
<br /> - Department of Heaith & Rehabiiita#ive ServicesJEnvironmentai Health Unit-Weils, Wastewater Treatment,
<br /> Septic Tanlcs.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Autharity-Runways.
<br /> I understand that�the following restric#ions apply to the use af fill:
<br /> - Use of fiit is not ailawed in Flood Zane"V" unless expressly permitted.
<br /> - ff the fili rnaterial is to be used in. Fiaod Zone "A", it is understaod that a drainage plan addressing a
<br /> °cornpensating volume" wil! be submitted at time of permitting which is prepared by a professianal engineer -
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A° in connection with a permitted building using stem wal!
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - (f fili material is to be used in any area, I certify tha# use of such fill will nat adversely affect adjacent
<br /> praperties. If use of fill is found to adversely affect adjacenf properties, the owner may be cited for viala#ing
<br /> the conditions of the building permit issued under the atEached permit application, far lots less than one (1} '�
<br /> acre which are e{evated by fill,an engineered drainage plan is requi�ed. `
<br /> If I am the AGENT F�R THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit pciar ta commencing construction. I understand that a separate permit may be required for elec#rical work, `'
<br /> p(umbing, signs, we11s, pools, air conditioning, gas, ar:other installations not specifically included in the applicatian. A
<br /> permif issued shall be canstrued ta be a iicense ta proceed with #he work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shaft issuance of a permit prevent the 8uiiding Llfficial from thereafter
<br /> requir�ng a correction of errors in plans, construction or violatEons of any codes. Every permit issued shall become'snvaltd
<br /> unless the work autharized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned.for a period.-of six(6) months after the time the work is commenced. An e�ctension
<br /> may be requested, in writing, from the Buiidirig Official for a periad not to exceed-ninety (90) days and will demonstrate
<br /> justifiable cause for#he extension. If work ceases far ninety(90}consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: Y!?UR FAILURE TO RECORD_A NOTlGE OF CCIMMENCEMENT MAY RESULT IN YOUR
<br /> RAYING TWICE FOR IMRROVEMENTS TO YOUR PROPERTY.:IF YOU,INTEND-TO C?BTAIN FlNANCING, CC?NSUI.T
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE.RECORDING YOUR�NOTICE'OF CCIMMENCEMENT. �
<br /> FLOR(DA JURAT{F.S.147.03} _ ._ ._ _�1��_- _
<br /> � OWNER OR AGENT Y`�G'^---��____�.—. .- __CONTRACTOR��`~"---'�-=y_ _ _ �.��-�_.
<br /> Subscribed and swam to{or a�irmed}before me fhis Subscribed and swam to(or affirmed}before me this
<br /> " by by
<br /> Who is/are personally known to me or has/have produced ` Who is/are personally known to me or has/have produced
<br /> as identificatian. as identificatian.
<br /> Notary Public Natary Public
<br /> CammEssion Na. Commission No.
<br /> I
<br /> Name of�tata I
<br /> ry typed,printed or stamped Name af Notary typed,printed or stamped �
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