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<br /> NOTICE: OIF DEED REST{�ICTIi�NS: The undersf��ned understands that th(s permit rnay be subJect to "d�iad" restric;tions"
<br /> whicfu m�y be.more'restric;tive ttian County regulatlons. The undersignecl assurnes responslbillty for�compliance wilh any
<br /> applic;able deed restrictfons.
<br /> UNLI�C�CdSED CON'PRAf:TOR,� AN[) CONTRA(;TIJR RESPONSIBILITIES: If .ttie owner has hired �� ccmtractor or
<br /> contractors to undertake work, they may be required to be Iicenseci in accordance with state and local rec�ulations. If the
<br /> contr��ctor Is not Iicensed as required by faw, botli tf�e owner and contractor may be cited for a misdemeanor vic�lation
<br /> under� statv law. If the owner or intend�sd contractor are uncertain as to what IicenSing requirements rri��y apply for the
<br /> intencied work, they are acivised to cont�7cfi the Pasco County B�ailding inspection Dlvision—Licensing Sec;tlon at 72t-847-
<br /> 8009. f�urthermore, If th� owner ha� hired a cantractor or contra�tors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this applicatlon f�or whlch they will be responsible. If you, as the owner slgn ��s the
<br /> contr<�ctor, that may be an indicat(on th<�t he is nof properly�lic�nsed anci is not entitled to permitting priv(leg�;s in �'asco
<br /> County.
<br /> TFtAPJ�PORTATiON IMP�4CTIUTILITIE� IMPACT'AWD RESOl1RCE REC�VERY FEES: The undersigned under:�tands
<br /> that 1"ransportation ImpacR Fees and Recourse Recovery Fees may apply to thf: construction of new buildings, change of
<br /> use in existing buiidings, or expansion c�f existing buildings, as specified in Pa;�co County Ordinance number 89-07 and
<br /> 90-07', as �mended. The under•signed ��15o understands, that such fees, as may be due, will be (dentified at the time of
<br /> permitting. It is further uriderstood that Transport<�tian Impact Fees and Resource,fZecovery Fees musl be F�aid prior to
<br /> recei�iinc� a "certificate of occups�ncy" or final powe�r r�slease. If the project doe:� not involve a certificate of oc;cupancy or
<br /> final ��ower release, the fe�es miast be paid prior tc� p�rmit issuance. Furthermore, if Pasco County Water/SE�wer Impact
<br /> fe�s ��re due, they mus,t bf? pald prior to ��ermit fssuarn�e In accordance with applicabl��Pasco County ordin�nc�ss.
<br /> CON�STItUCTION LI�N LAW (C;haptE3r 7'13, Flor(i�a Statutes, as amended): Yf valuation of work is $2,:i(10.00 or more, I
<br /> certify tfiat I, the applfcant, have been provided with a copy of the "Florida Construction Lien Law•--Hc�meowner's
<br /> Protection Gufde" prepared by the Florida Departrnent of Agriculture and Consumer Affairs. If the applicant is sorneone
<br /> other th��n the"owner", I certify that I have obtainei� a copy of the above described document and promise in c�ood faith to
<br /> deliv�sr it to the"owner" prior to c�mmonrement. � . , ' ,
<br /> Cl7N'TR�IGTOR'SIOWNER'S A'�FVDAV9T: I certify tfiat all the information in this application is accurate �nd that all work
<br /> will be done in compliance with all applicable law:� r�gulating con�truction, zoning and land developmerit. Application is
<br /> herek�y made to obtain �i permit to da work anci installat(on as indicated. I certify that no work or installation has
<br /> comrnenced prior to issu�nce of a perrnit and th��t all work will be performed to meet standards of all laws regulating
<br /> consi.ruction, County and City r,odes, coning regulakions, and land development r�gulations in the juri��d(cfion. f also
<br /> certify that I understand tfiat th� regulations of other government agencies may apply to the intended work, �ind that it is
<br /> my re�sponsibility to fdentify whaC actions I must take tc� be in compliance. Such agencles include but are nc�t Ifrnited to:
<br /> - Department of Environmontal Protectlon••Cypress �ayheads, Wetland Areas and Envfronmentally Sensitiue
<br /> Lands, Water/WastE:water Treatment.
<br /> - Southwest Florida Water Managemerit District-Wells, (�ypress B�yheads, Wetland Are�is, Altering
<br /> Watercourses.
<br /> - Army Corps of EnginePrs-Seawalls, Docks, Navigahle Waterways.
<br /> - Department c�f Health & Refiabilitative �ervices/E:nvironmental Health Unit-Wells, Wastew��ter Treatment,
<br /> Septic Tanks. �
<br /> - US Enviromm�ntal Protection Agency-l�sbestos abatement.
<br /> - Federal Aviatlon Authority-Runways.,
<br /> I understarid that the•following�r�strictions apply to the use of fill:�
<br /> - Use of fill (s not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the flll mal:erial i� to be used in F=1opd Zone "A", it is under�tood 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 Florida.
<br /> - If the fill mat��rial is to be �ased in Flc�o� Zone "A" (n conn�ction with a permitted building using stem wall
<br /> construction, I certify that fill wlll be usE�d imly to fill 4he area within tlie stam wall.
<br /> - If fill malerial is to be used fn any �area, I certify tliat use of such fill will not adversely affe:ct acijacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the condition;� of th� buiiding permit i:�sued under the attaclied permit ��pplication, for Iots less than c�ne (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am tl�e AGENT FOR '�HE OWNER, I �romise in c�ood faith to Inform the owner of the permftting conditions set iorth in
<br /> this ��fficlavit prior to commencir�g construction. I uncierstand that a separate permit may be required for• electrical work,
<br /> plumbing, signs, weils, pools, �iir conditioning, gas, or other Installations not �pecifically included in thQ applicat(on. A
<br /> pE�rmit i�sued shall be construed to bo �� Iicense to proceed with the work and not as authority to,vlolate, cancel, alter, or
<br /> set aside any provis(ons of the technical codes, nar shall issuance of a permit prevent the Building Official from thereafter
<br /> requirin,y a correction of errors In plans, construction or vlolations of any codes. Every permit issued shatl be�;ome invalid
<br /> unle:�s the work authvrize:d by such permit is commenced within six months or permit Issuance, or if work authori;zed by
<br /> the permit is suspended cir abandoned for a perfocl of�six (6) months after the time the work is commenci�ci, An extension
<br /> may be requested, in wriQing, from the Building Offlcial for a period not to excoed ninety (90) days and wili ��emonstrate
<br /> justiffable cause for the extension, If work ceases for ninety(90)consecutive days, the`)ob is cons(dered abandoned.
<br /> WAFtNfNG TO-OWNER: YOUR FAILVJI�E TO F;EC;ORD A N0710E OF COMMENCEMENT IUTAY RE::3UL.T IN YOUI�
<br /> � PAYINC�TWICE FOI'�IMIPROV�ME fT� YOUR F�ROPERT�'.—IF'tOU-1NTf= -'i'�-OB-T- IN`fl '�Ni.QNG;cOTdSUL-T -
<br /> WIT�i YOl1R LENDER AN�► JE:Y B O�RE: RECORI)ING Y01 R N E OF C EM1= T.
<br /> FI.ORIDA JURAT(F.S. 17
<br /> UWNIER PJR AGENI� CONTkACTOR � —
<br /> Subsc;ribed and sw rme ) ^ e s Subscribed and bw �(o_r rm ) ef r me is
<br /> _bY ' Y r --
<br /> Who islare personally known o me or has/have produced Who Is/are personally known to mij or hasas Identift ation.
<br /> as idantiflcatlon,
<br /> Notary Public _Notary Public
<br /> Comrnisslon No. Commisslon No. --- —
<br /> Namc�of Notary typed,printed or stamped , Name of Notary typed,printed or stamped
<br />
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