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<br /> N4TfCE OF DEED RESTRtCT10NS: The undersigned unders.tands that this permit may be subject to°de�d"restrictions" `
<br /> which may be more-restrictive than County regulations. :The�undersigned assurt�es responsibility far compliance with an}+�
<br /> applicable dsed restrictions. �
<br /> UNLICENSED CGINTRACTQRS AND CONTRACTOR RESPC?N31BILlTIES: !f the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulatians: If.the
<br /> contractor is not ticensed as required by law, both the owner and contracfar may be cited for a misdemeanor violation
<br /> under state iaw. If the owner or intended contractar are uncerfain as to what licensing requirements.may,appiy for the.
<br /> intended work, they are advised to cantact the Pasco Gaunty Buifding inspection Division=Licensing Sec#ion a#727-847-
<br /> 8Q09. Furthermore, if the owner has hired� a contractor or contractors, he is advised ta 'have the con#ractor{s} sign
<br /> po�tions of the "contractor Block" of this application for which they wiU be responsible. (f yau, as°#he owner sign as the
<br /> cantractor, that may be an indication that he is not properly licensed and is noY entitled ta permitting privileges in Pasco
<br /> Caunty.
<br /> TRANSPORTATION IMPACTJUTILITIES 1MPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation impact Fees and Recourse Recovery Fees may appfy ta the construction of new,buitdings, cFiange of�
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Clydinance number 89-07 and
<br /> 90-07, as amended. The undersigned alsa understands, that such fees, as may be due, will be identified at tlie time af � �
<br /> permitting. lt is further understood that Transportation Impact Fees and Resource�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 af occupancy�or�
<br /> final pawer release, #he fees rnust be paid priar to permit issuance. Furthermore, if Pasco Coun#y Water/Sewer.tmpact.
<br /> fees are due, they must be paid pr�or ta permit issuance in accordance with appiicable Pasco County ordinances.
<br /> GC?N3TRUGTIflN UEN LAV1►(Chapter 713, Flar�da Statutes,as amended): ff valuation af work is$2,SOQ.OQ or rrtor.e, !
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Constru�tian Lien L.aw=Nomeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the uowner", I certify that I have abtained a capy of the above described document and promise in good fai#h ta
<br /> deliver it to the"owner"prior ta commencement.
<br /> C4NTRACTOR'SIOWNER'S AFFIDAVIT: I certify that aH the infortnation in this application is accurate and that atl work
<br /> will be done in compliance with aA applicable laws regulating construction, zoning and land develapment. Application is
<br /> hereby made to abtain a permit to do wark and installation as indicated. 1 certify that no work ar instal4atian has
<br /> commenced prior to issuance of a permit and that all work will be perfarmed to meet standards of al! laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I alsa
<br /> certify that I understand that the reguiations of ofher governmen#agencies may apply to#he intended work, and that it is
<br /> my respansibility to identify what actions ( must take to be in comptiance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cyp�ess Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps af Engineers-Seawalls, Docks, Navigabie Waterways,
<br /> - Deparkment of Health � Rehabilitative Services/Environmental Health Unit Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement. �
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the follawing restric#ions apply to the use of fill:
<br /> - Use af fill is not al(owed in Flood Zone"V"unless expressly permitted.
<br /> - ff the fili material is ta be used in Flood Zane "A", it is understaad that a drainage ptan addressing a
<br /> `"compensating volume" will be submi#ted at tirrie af permitting which is prepared by a professional 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 s#ern wall
<br /> consfruction, I certify that fiil wil(be used an�y to fill the area within the stem wall.
<br /> - If fill material is to be used in any area, t certify that use of such fill witt nof adverseiy 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 lats less than one {1}
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGEIdT FOR THE OWNER, I promise in good faith to inform the owner af the permit#ing conditions set forth in
<br /> this affidavit prior to commencing consfruc#ion. t understand that a separate permit may be required for electrical work,
<br /> ptumbing, signs, welts, pools, air conditioning, gas, or other instat(ations no# specificaliy included in the applicatian. A - '
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority ta violate, cancel, alter, or '
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Buiiding Officiai from thereafter
<br /> requiring a carrectian of errors in plans, construction or violations of any cocles. Every permit issued shatl become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work autharized by
<br /> #he permit is suspended ar abandoned far a period.of six(6)months after the time the work is'commenced. An extension
<br /> may be requested, in wri#ing, fram the Building Officia( for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. ff wark ceases far ninety{90}consecutive days,the job is cansidered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE UF COMMENGEMENT MAY RESU�T tN YOUR
<br /> PAYING TWICE FCiR IMPROVEMENTS TO YOUR PROPERTY. IF YOU�INl"END TO OBTAIN FINANCING,CONSURT
<br /> , __ WITH YOUR LENDER ORA_R!_ATTORIN��l-.RFFag�.���G�:°^.".�`l�El;�4 PSi�Ti'i�e C',r-C.�iivi0it�fii��Ivi�E��:_ -
<br /> FLORIDAJURPiT(F.S.1i7.03
<br /> OWNER OR AGENT � �4 CONTRACTOR �"' /L.�~�
<br /> , Subscribed and swam to(ot ed)be#ore me this Subscribed and swom to(or rmed}be#ore me this
<br /> by by �/"�
<br /> Who is/are personalty known to me or has/itave produced ' Who is/are personally known to me or has/have produaed
<br /> as identification. as identificatian.
<br /> � Notary Public Notary Publia
<br /> Commi i No. Commis o o.
<br /> ,„��,•,,. E.BACON
<br /> Nar►� of N a� e.;�r��ss� Name of N ta p��d���pped
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<br /> � � �T����g��e�85,�qyg _� f. G4(11miSSioti#FF 137473
<br /> `-r�„�F„�,' B�m :�;,��, Expires June 29,2018
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