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<br /> RIOTIGE OF DEED RESTRICTiONS: The undersigned understands thaf this permit may be subject to"deed"restncfions"
<br /> . which may be more restrictive than County regulations. The undersigned assumes respansibility for compliance with any
<br /> appiicabie deed restric#ions.
<br /> UNIICENBED CONTF2ACTORS ARtC! CONTF2ACTOt2 RESPOFISIBI�ITIES: (f the pwner has hired a con#ractor ar
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is noi licensed as required by law, both the owner a�d contractor may be cited for a misdemeanor violation
<br /> under sEa#e Eaw. If the owner or intended contractor are uncerfain as to what licensing requiremenfs may apply for the
<br /> intended work,they 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 cantractoe(s) sign
<br /> portians of the"cantractor Block"of this appEication for which they will be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indication that he is not praperfy licensed and is not entitled to permitting privileges in Pasco
<br /> County,
<br /> TRANSPORTATtON IMPAGTIU7I�ITEES IMPACT AND t2ESOURGE RECOVEE2Y FEES: The undersigned understands
<br /> that Transportation Impact Fees and F2ecourse 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 alsa understands,that such fees,as may be due,wiH be identified at the firrie of
<br /> permitting. It is further understood that Transportation Impact Fees and Resaurce Recovery Fees must be paid prior ta
<br /> receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
<br /> final pawer re(ease,the fees must be paid prior to perrnit issuance. Furthermare,if Pasco Caunty WatedSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Flarida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that !, the appficant, have been provided with a copy of the "Florida Canstruction �ien Law—Homeowner's
<br /> Protection Guide"prepared by tfie Fiorida Department of Agriculture and 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 faith to
<br /> deliver it to the"ownet"priar to commencement.
<br /> GONTRACTOR'StOWNER'S AFFIDAVtT: !certify that aiI ths information in this app(ication is accurate and that aII work
<br /> will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to da work and installation as indicated. I certify that na work or instaifatiort has
<br /> commenced priar to issuance of a permit and that aII work wiil be performad ta meet standards of aIi (aws regulating
<br /> construction, Gounty and City codes, zoning regulations, and land development regulations in the jurisdictinn. I also
<br /> certify that!understand that fhe regulations of other government agencies may apply to the intended work,and that it is
<br /> my responsibility to identify what ac#ions E must take to be in compliance. Such agencies include but are�ot limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
<br /> Lands,WateNWastewater Treatment.
<br /> - Southwest Florida Water Management District-WeIIs, Gypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays.
<br /> - Department of Hea(th & Rehabilitative ServicesiEnvironmenta! Nealth tJnit-WeRs, Wastewater TreatrneM,
<br /> Septic Tanks.
<br /> - US Enviranmental Protection Agency-Asbestos abatement.
<br /> - Federa!Aviation Authority-i2ur�ways.
<br /> I understand that the foliowing restrictians apply to the use of fi(I:
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - !f the fi!! materiaf is to be used in Ffood Zone "A", it is understoad fhat a drainage plan addressing a
<br /> "compensating volume"wil) be submitted at time of permifting whioh is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - !f the fill material is to be used in Ffood Zone "A° in cannection with a permi#ted building using stem wafi
<br /> construction,I cerkify that fill will be used only to fill the area within the stem wa(I.
<br /> - If fill material is to be ussd in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. !f use of fiA is found to adversely affeci adjacsnt properties,the owner may be cited for viotating
<br /> the conditions of the building permit issued under the attached permit application,for lots(ess than one(1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGENT F4R THE QWNER,I promise in gaod faith to inform the owner of the permitting conditions set forth in
<br /> thEs a�davi#prior to commencing constructian. 1 understand that a separate permit may be required for electrica]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 praceed with the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisians of fhe technical codes,nor shal!issuance af a permit prevent the Building O�cial 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 cammenced within six months of permit issuance,or if work authorized by
<br /> the permit is suspended or aba�doned for a period af six(6}monfhs after the time the wark is commenced. An extension
<br /> may be requested, in writing,from the Building Official for a period not to exceed ninely(90)days and will demonstrate
<br /> justifiable cause for the extensian. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNtNG TO OWNER: YOUR FAILURE TO RECORD A NOT(CE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWIGE FOR IMPROVEMENTS TO YOUR PROPER7'Y. IF Y INTEMD TO QBTAIN FINANCING,CONSULT
<br /> NtITH YOUR LENDER OR AN TTORN Y BEFQRE REGQRDING Y U NOTlCE OF GOMMENGEMENT.
<br /> FLORSC}A.tURAT{FS. .03)
<br /> OWNER OR AGENT CONTRACTO
<br /> Su scrib �nd sworn a(oc affrmed)befor me t ' S scri d an wo to or aHirmed}bef e me this
<br /> r u.�.� ��
<br /> h is/a personally known`o me or haslhave prpduced h is/ e personally known to�l e or has/have produced
<br /> as idontification. _ _as idenUfication.
<br /> Notary Public - Notary Public
<br /> Commissian No. Commission No.
<br /> Charles Parks
<br /> Name of N �t��s����8�'�, Name of Notary or
<br /> 4 �, o . � ��' Y PU8l1C
<br /> � �STATE OF FLORIDA a �`° �. �sr�r�oF�.oRi��►
<br /> W a Comrrdt GGQ44308 �`�.<,..��� �'��cmrn#GGQ4Q308
<br /> �f'�����1$ Expires 10/1�/,2d20 s�N� 9'��'+ Expires 10/19/2020
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