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<br /> NCITICE OF DEED RESTRICTIONS:. The underslgned understands that fhis permit may be subject to"deed"res�rictions"
<br /> which may b� more reskrictive than County reguEations. The undsrsigned assurnes �esgonslbfi�ty for campifance with�ny I
<br /> applicable deed restrickiflns. '
<br /> UNLlCENSED CONTRACTORS AND G09VTRACTOR R�SPONSIBILITI ES: If tfie owner has hired_a contractor or
<br /> contractors`to,underYake work, they may be required to be licensed in acco dance wifh sfate an��locai regulations. If the
<br /> cantractor is nof licensed as required by law, both the owner and contrac,or may be cited for a misdemeanor vioiation�=r�
<br /> under sfate law. if the owner or intended cantractor are �ancerfain as to ha# iicensing reqiairements may apply for the��
<br /> intended work, #hey are adv9sed ta contact the Pasca Caunty Buildfng lnsp �ctian Divisian—Licensirtg Sectian at%2?-847-�
<br /> 80Q9. Furthermore, if the owner has hired a contrac#ar ar contractors, e is advised to have the contractor(s) sign
<br /> partions of the "contractor Block" of this application for which #hey will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he fs not proper(y 1lcensed and i=� nof enfitled to permiffing priviieges in Pasco
<br /> Cnunty.
<br /> TRANSPORTATiON iMPACTIUTILITIES 1{1diPACT AND RESQURCE REC�VERY FEES:, The undersigned undr�rstands
<br /> that Transportatian {mpact Fees and Recourse Recovery Fees may appiy t #he construct'ion of neirv buiidings, cl�ange of
<br /> use En existing buildings,, or expansian of existing buiEclings, as specified �r�Pasco County Ordinance number 8C!-Q7 and�
<br /> 90-47, as amended. Tlie undersigned also und'erstands,'that such fees, as may be due,�will be identified at thf� time of
<br /> permltting. !t is further understaod that Transportation Impact Fees and R�source Recovery Fees must be pai�l prior to
<br /> receiving a "certificate of.accupancy° or final power release. If the project�does not invotve a certificate af occupancy or �
<br /> finai power release, fhe faes must be paid prior fo permi# issuance. Furfh�ermore, if Pasco Caunty WateNSewer Impact'
<br /> fees are due, #hey must be paid priar to permit issuance in accordance with�ppiicable Pasca Courtty ordfnances.
<br /> Gt}NSTRUCTIQN !.lEN LAW(Chapter 713, Florida Statutes, as amende }: !f valuation of work is$2,500.00 or more, 1
<br /> certi€y that I, the appHcant, have been provlded with a copy of the "F orida Gonst�uction Lien Law—HomE�owner's�
<br /> Protection GuPde" prepared by the Florida�Department.of Ag�iculture and :onsumer:Affairs, If the applicant is �omeone �
<br /> other than the"owner", I certify that I have obtained a copy of the above de,acribed document and promise in goo��faith to
<br /> deliver it to the"owner"priar to commencement.
<br /> C�NTRACTOR'S/OWNER'S AFFIDAVIT: I cer#ify fhat all the information n this application is aacc�cate and #hat a}I work
<br /> wiii be done in compliance with al1 appficable laws regulating canstruction, zontng and land developmenf. Appiication is
<br /> hereby made to obtain a permit ta do wark and Installatian as 4ndicated. i certEfy that. no wortc ar instaliation has.
<br /> commenced prior to issuance of a germit and that a!I work will be perfor ed to meet skandards of all laws rE.gulating:
<br /> construction, County and Ciky codes, zoning regulations, and land devel ypment regulations in the jurisdiction. I aiso
<br /> certify that I understand that #he regulations af other government agencies may apply to the intended work, and that i# is ',
<br /> my responsibility to identify what actions 1 must#ake,fo be in compliance. S�ch agencies include but are not limit�d to:
<br /> - Department of Environmental Protection-Cypcess Bayheads, 'Netfand Areas and Enviranmentally ;3ens�tive
<br /> Lands, WaferJWastewater Treatment.
<br /> - Southwest Fiorida Water Management Dfstrict-Weils, Cy�ress Bayheads, Wetland Areas, Altering
<br /> Wa#ercourses.
<br /> - Army Corps of Enginesrs-Seawalls, Dacks, Navigable Waterwa s. �
<br /> - Departmenk of Health & Rehabilitative Services/Environment�I Health Unif-Wells, Wastewater Tr�atment,
<br /> Septic Tanks.
<br /> - US Environmentai Protection Agency-Asbestos abatement.
<br /> - Federal.Aviatian Authori,ty-Runways.
<br /> i understand that the foflawing restrictians appiy#a the use of fili:
<br /> - Use of fil{ is not allowed in Flood Zone"V"unless expressly per�nitked. �` �' � �
<br /> - If�the #il! materiai _is ta be used in Flood Zone ""A", it,is u derstood that a drainage plan addri�ssing a
<br /> "compensating volume" will be submitted at #ime of permitting which is prepa�ed 6y a professional �ngineer
<br /> ficensed by fhe Stafe of Florida.,
<br /> - If #he fiil material is to be used in Fiood Zone "A" in connect;ian with a permifted bu9lding ttsing stem wai4'
<br /> construation, I certify that fill will be used oniy to fill the area witt�in#Fie stem waii.
<br /> - 1f fill material is ta be used in any area, i certify that use f such fll! will nat adversely affect adjacent
<br /> properties. If use of fi!! is found to adversely affect adJacenk p�operties, the owner may bs clted.for vialating,
<br /> the condifions of the building permit issued under the at#ache permit application, for Iots less thari one (1)`
<br /> acre which are elevated by fill, an engineered drainage pian is r}equfred.
<br /> If I am the AGENT FOR THE OWNER, I promise in gaod faith to inform fh� owner of the permitting condifions s�f farth in
<br /> fhis affidavit prior to commencing construcfion. ( understand fhat a separ ite permit may be required for eiectrir;al waric,
<br /> plumbing, signs, wells, pools, air conditioning, gas, ar other InstalfatPons��ot specificafly +nciuded in the applic�ation. A
<br /> permit issued shall be canstrued ta be a ilcense to proceed wittt the work tnd not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technica! codes, nor shall issuance of a per�it prevent the Building Officia!from tl�ereafter
<br /> requiring a correckion of errors in plans, construction or violations of any co�es. Every permit issued shall become Invatid
<br /> unless the work authorized by such permit is cammenced wifhin six month�s of permit issuance, or if work authc�rized by,
<br /> the permit is suspended or abandoned for a period of six(6) manfhs after t�ie tima the work is commenced. An�xfension
<br /> may be requesfed, in writing, from the Buiiding Official far a periad nat to exceed ninety (90) days and wiEl demartstrate
<br /> justifPable cause for the exfension, If work ceases for ninety(90}consecut9�e days, the Job is considered abandor�ed.
<br /> � WARNING TO OWNER: Y(�UR FAILUR� TO�RECi�RD A-NO3'ICE-OF �QMMENCEM -MA-Y-R�SUl.T I!N YOUR
<br /> PAYlNG TWICE F'�R lMPROVEMENTS TO YOUR PROPERTY. IF YOU NTEND TO O TAI FINANCING, C+PJNSUL.T
<br /> WIYH YtJUR LENUER OR AN ATTORNEY BEFORE RECORDING YOUR O CE OF O ENCEMENT.
<br /> FLORfDA JURAT(F.S. 117.03) w
<br /> QWNER OR AGENT GONTRACT
<br /> Subscribed and swom to(or affirmed)before me this Subscribed and sworn o(or affitmed)befare me this
<br /> bY �Y
<br /> Who!s/are persanally known to me orhaslhave produced Who Is/are personally nown to me or has/t�ave praduced ,
<br /> as identlBcatton, as tdentiflcatian.
<br /> Natary Pubiic Notary Public
<br /> Commissian No. Gommission No.
<br /> Name of Natary typad,printed or stamped Name of Notary typed,printed ar stamped
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