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NOTICE OF DE�D RESTItIC'�IOMS: The undersigned understands that this permit may be subject to"deed°restrictions"
<br /> which may be mote restrictive than County regulations. The undersigned assumes responsibility for compliance�with any
<br /> applicable deed restrictions. '
<br /> IJMLICENSED CQ(dTR�►CTORS �►fdD COPITRACTOR RESPONSIBiLOTIES: If the .owner has hired a contracto� 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 owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended confractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, 4hey are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for vuhich.they wi!! be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not �ntitled to permitting privileges in Pasco
<br /> County. � .
<br /> YRAWSPORYATION IIVIPACT/UTILITIES IR�IPACT APID RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change 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�amended. The undersigned also understands, that such fees, as may be due, will be identified_at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Re�aurce Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Coun#y Water/Sewer Impact
<br /> �fees are due, they must be paid prior to permit.i5suance in accordance with applicable Pasca County o�dinance"s.
<br /> COIdSTRUCTIORI,LI�N LR►!fl!(�hapter 7'�3, �loridla Sita�utes, as amended): If valuation of work is $2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien La.w—Homeowner's
<br /> Protection Guide" prepared by the Florida Departmer�t of Agricultur� dnd Consumer Affairs. If the applicant is�someone
<br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise in good fiaith fo
<br /> deliver it to the"owner"prior to commencement. •
<br /> COFVTRACTOR'SiOWIdER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done in compiiance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to rneet standards of all laws regulating
<br /> construction, County and Cifiy codes, zoning regulations, and land development regulations in the jurisdiction. ( also
<br /> . certify that I understand that the•regulations of o#lier government agencies may appiy to the intended work, and that it is
<br /> my responsibility to identify what actions I must takP to be in compliance. Such agencies include but are not limited to:
<br /> - Depar�ment of Environmental Protection-Cypress Bayheads, Wetland Areas and Erivironmentally Sensitive �
<br /> Lands, Water/Wastewiater Treatment.
<br /> - Soufhwest Florida Wate� Management District=Wells, Cypress Bayheads; Wetland Areas, Altering
<br /> Watercourses: ' ,
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Wate�virays.
<br /> - Departrrient of Healtti & Rehabilitative Services/Environmental Health Unit-Weils, Wastewater.Treatment,
<br /> Septic'�anks.
<br /> - US Environmental Protection Ngency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways. -
<br /> ! undersfand that the following restrictions apply to the use of fill:�
<br /> - �Use of.fill is not allowed in Flood Zone"V"unless expressly permitQed.
<br /> - If. the fill material is to be used in Flood Zone °A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of�lorida. -
<br /> - If the �II material is. ta be used in Flood Zone "A" in connection with a permitted building using sterri wall
<br /> construcfion, I certify that fill will 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 of such fill will not adversely affect. adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner 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 engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OlfifNER, I promise in good faith�o inform�th�e owner of the permi#ting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required�for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included 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, or
<br /> set_aside any p�ovisions of the technical codes, nor shaEf issuance of a permi#prevent the Buildir�g Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations 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 work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) manths after the time the work is commenced. An extension
<br /> may be �equested, in writing, from the Bu,ilding �Df#icial for a period not to exceed ninety (9p) days and will demonstrate
<br /> justifiable cause for the extension._If work ceases for ninety(90)cansecutive days,th�job is considered abandoned.
<br /> MlARf�ING TO Od1lR7ER: YOUPi F�11LU9ZE TO.EtECO�D R� iV0'TO�E OF C�flflN1�NCE�IiEfdT 11fiAlf RESl3LY IW YOUI�
<br /> PAYING'�UICE FOR IMPROVE�IiEIdTS TO YOUR PROPERTY. IF YO.0 IPITEWD TO OBT�►IN FIPIANCIfdG, CONSULT
<br /> lNI4H YOUR LEP�DE92 Oit APl AT'TOFZNEY BEFOF�E GZE�ORDIiVG YOUIZ fdOTIC�OF COMIIAENCEMIENT. •
<br /> FL�RIDA JURAT(F.S. 1•7.03) 1 • ___� 1 `�,
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<br /> 011YMER;;QR?%IAGENT�::� a ��._ , .:,�A.���__i:COI�lTRACTOR: :'° _ � .
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<br /> o is/are personally krt wn to m e o r h a s/h a v e p r o d u c e d Who is/are personali y kno to me or has have produced
<br /> as identlfication. as identiftcation.
<br /> o,�aY Pv� Notary Public State of Florida ' =o�par Pu�^ Notary Public State cf Florida
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<br /> � y om iss on�184019 N„ o� My Commiss�on FF 184019
<br /> ?oF�� Expires 12/16/2018 ission No. 9jPOFwoa Expires 12l16/2018
<br /> Commission No.
<br /> Name of Notary typed,printed o�stamped Name of Notary typed,printed or stamped
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