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NOTICE O�DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed",r,estrictions" <br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with �ny <br /> applicable deed restrictions. ' <br /> UfNLIC�NSED COPITRACTORS �►IdD COfdYRACTOFt RESPONSI�ILOTIES: If the .owner has hireii 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 /> confractor is not licensed as required by law, both the owner and contr�ctor may be cited for a rnisdemeanor violation <br /> under state law. If the owner or intended confractor are uncertain as to what licerasing requirements 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 contractor(s) sign <br /> portions of the "contractor Block" of this application for vuhich they wi!! be respon�ible. If you, �s the owner sign as fihe <br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco <br /> County. � , <br /> TR�►YVSPOR'TATIOi� IMPACT/UTILITIES IMPACT�►�ID RESOURCE RECOVERY FEES: The ur�dersigned understands <br /> that T.rans.portation 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 numbe� 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 Fee� and Resaurce Recovery Fees must be paid prior 40 <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. FurtFiermore, if Pasco County WateNSewer Impact <br /> �fees are due, they musf be paid prior to permit.issuance in accordance with applicable Pasco County ordinances. <br /> CONSTRUCTOOPd,LIEi� LAVN(Chapt�r 713, �loridla Sftagutes, 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 Law—Homeowner's <br /> Protection Guide" prepared by the Florida Departmer�t 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"owner"prior to commencement. • � <br /> COPITRACTOR'�/OWNER'S AFFIDAVIT: I certify thaf all the information in this application is accurate and that all work <br /> will be done�in compliance with all applicable laws regulating construc4ion, zoning and land development. Application is <br /> hereby made to obtain a permit to do work and installation as indicated. I ce�tify that�no work or installation has , <br /> commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating <br /> construction, County and City codes, zoraing regulations, and land development regulations in the jurisdiction. I also <br /> . certify that I understand that the•regulations ofi otfier government agencies may appiy to the intended work, and that it is <br /> rny responsibility to identify what actions I must tak�fio be in compliance. 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 /> - $outhwest Florida Wate� Managem�nt District-Wells, Cypress Bayheads; Wetland Areas, Altering <br /> Watercourses: � <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watenrvays. <br /> - Department of Healtfi & Rehabilitative Services/Environmental Health Unit-Wells, VVastewater Treatment, <br /> Septic Tanks. - � <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> - Federal Aviation Authority-Runways. � • _ <br /> I undersfand that the following restrictions apply to the use of fill:� - <br /> - �Use of.fill is not allowed in Flood Zone"V"unless expressly permitted. <br /> - If the fill material is to be used in Flood Zone "A", it ds 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 Florida. � - <br /> - If the..fill.�material is:�ta be used in Flood Zone "A" in connection with a permitted building using stem wali <br /> con'struction, I certify that fill will be used only to fill the area within the stem`wall. �`�� �� <br /> - • If flll material is to. be used in an� area, .I certify thaf 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 ('0) <br /> acre which are elevated by fill, an engineered cirainage plan is required. � <br /> If I am the AGI�PdT FOR THE OWPIER, I promise in good faith to inform•th�e owner of tlie permitting 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; canc�l, alter, or i <br /> set aside any p�ovisions.of the technical codes, nor shal9 issuanc�of a permit prevent the �uildir�g Official from thereafter <br /> requiring a correction of errors in plans, construction or violations of ar�y codes. Every permit issued shall become.invalid <br /> unless the work autiiorized by such permit is commenced withirr six months of permit issuance, or if work authorized by <br /> the perrriit is suspended or abandaned for a period of six(6) months after the time the work is commenced. An extension <br /> may be �equesteci, in writing, from the Building �Official for a period not to exceed ninety (90) days and will demonstrate <br /> justifiable cause f.or the extension. If�work ceases for ninety(JO)canseeutive days, th�job is considered abandoned. <br /> IfVARNING TO ObVfdER: YOUR FAIWFZE TO RECORD �+ iVOTICE O�' C�iViN1E1dCENiENT flflA"� R�S�iLY IPl 1f�U1� <br /> PAYIFdG�'�lil/ICE FOR IMPROVEiViEtdTS TO YOUEZ PROPERTY. IF YOU INTEPID TO OBT�►IPI FINANCING, CONSULT <br /> liiflYH YOUR LEPIDER OR R,N ATTORNEY�EFOFZE R�GORDIiVG YOGJ fV�ENT. � <br /> FLORIDA JURAT(F.S.11�7.0 � • <br /> ;7�:: ....�,�:.� ;e,,F.. .y, r��,'v7' lr � — ;7==�:, <br /> '^x ' '_�:J'y,. _ c�t'�",;.F' i:'�;'�.'l,i;E2"�i:r: :ti7,S!M1;4+.4 <br /> O�E � .. ,�.ii; _ _ _ ' ' . _ „�. ,I, r>ti.< _ _ ._4::_:':`s:::'r�;.... <br /> R,;�QRr�P�GEMT`' .. _. .._-. -�" - ��;:�;'',;;%��_�vSCORITRACT•�;` ��'A' --- - -- - — _.,, -- - - —- - <br /> L`'._J,f <br /> Suti"cnli-d and om to�� � is Subscribed d swem to is <br /> �l- `1��� by - (l-(�-(b y e,�on <br /> Who is/are personallv known to me or as/have produced Who is/are aersonallv known to me or has/have produced <br /> • as identification. as ident(fication. <br /> iVotary Public • Notary Public <br /> Commissi No. Commission No. <br /> � � o �e� Notary Public State ot Florida <br /> a eL Notary Public State of Florida r � <br /> ? ° Tamm Verdader . Tamm <br /> fVame of Notary ty •o �1pet�sion FF 184o�s Name of Notary typed,printed or st • orn��Q Exypi�res 12/16/201g�84019 <br /> orao Expires 1y16l2078 <br /> . I <br />