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<br /> N{3TtCE OF DEED RESTRICTICINS: The undersigned understands that#his permit may be subject to"deed" restrictions" "
<br /> which may.be rrtare-resU-ictive than Ga.unty regu(atians. The=undersigned assurryes�espansibilify°for compiiance witFi'any ' "
<br /> applicable desd restrictions. ,- -�
<br /> UNLICENSED CONTRACTORS AND C4NTRACTOR RESPONSlBlLlTIES: !f the �owner fias hired a-contractor or
<br /> contractars to undertake work, they may be required to be�licensed 'cn accordanc�with state and local.regulatians::!f the �
<br /> cantractor is not iicensed as required by law, both #he owner and�contractor rtiay�be cited�for a misde,meanor violation
<br />� under state lawr. If the owner or intended contractor are uncertain as to what (icensing requirements may.�apply for:the
<br />' antended wark, they are advised to contact'tiie�Pasco Caunty 8uiiding inspection Division--Licensing Section_at 727=847-
<br /> 80Q9. Furthermare, if the awner hias hired�a contractor or cantractors, he�is advised to 'have the confractor{s) sign ,
<br /> portians of the "cantractor Block" of this application_for which they wili be responsible. If yau, as ttie owner�stgn as ttie '
<br /> contractar, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasca
<br /> Caunty. , '
<br /> TRANSPORTATIDN tMPACTiUTILITIES tMPAGT AND RESDURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation lmpact Fees and Recourse RecaveryFees may app(y to the construc#ion of new buildings, ciia►ig+e?of� - �
<br /> use in existing buildings, or expansion of,existing tiuildings, as specified in Pasco County Ordinance number 89-07 antl �
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be.due, wil! be identified at.tlie time of �
<br /> permitfing. tt is further understood that Transportatian Impact Fees and Resource��Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. If the project daes no#involve a certificate of occupancy or�
<br /> final pawer relsase, the fees must be paid priar#a perrnit issuance. Furthermore, if Pasco County Water/Sewer,-Impact
<br /> fees are due,they must.be paid prior to permit issuance in accordance with appiicable Pasco County ordinances. �
<br /> CONSTRUCTlC?N LlEN LAW(Chapter 793, Flori�a Statutes, as amended}: tf valuation of�nrork is$2,500.00 or mor.e,.(, ,
<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 Department af Agriculture and Consumer Affairs. !€the applicant�is someone
<br /> other than the"owner", t certify that t have abtained a capy of the above described document and promise�in good faith to
<br /> deliver it to the."owner"priar to commencemen#. �
<br /> CClNTRACTOR'S/OWNER'S AFFIDAVtT: I certify that all the informatian in this application is accurate and that ail work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land-develapment. Application is
<br /> hereby made to qbtain a permit to do work and installation as indicated. t certify that no wark or instaltation has
<br /> commenced prior to issuance of a permif and that all work wil! be pertormed #o meet standards of a!I iaws regulating
<br /> canstruction, County and City codes, zaning regulations, and land development regulations in the jurisdiction. I alsa
<br /> certify that I understand #hat the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to iden#ify what actions ! must tatce to be in campliance. Such agencies include but are not limited to:.
<br /> - Qepartment of Ernironmenta! Protection-Cypress Bayheads, Wetland Areas and Enviranmentaliy Sensitive
<br /> L"ands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypr+ess Bayheads, Wetland Areas, Altering
<br /> � Wa#ercourses.
<br /> - Army Corps of Engineers-Seawalls, Dacks, Navigable Waterways,
<br /> - Department of Health & Rehabilitative Services/Environmenfat Health Unit Wells, Wastewater Trea#ment,
<br /> Septic Tanks.
<br /> - US Enviranmental Protection Agency-Asbes#os abatemertt.
<br /> - Federal Aviation Autharity-Runways.
<br /> t understand that the following restricfions apply to the use of fill:
<br /> - Use of fil!is not ailawed in Flood Zane"V" unless expressiy permitted.
<br /> - If the �I! materia! is to be tased in Flood Zone "A", it is understoad that a drainage ptan addressing a
<br /> °compensating volurne" will be submitted at time of permitting which is prepared by a prafessional engineer
<br /> licensed by the State of Florida.
<br /> _ - If the fill ma#erial is ta be used in Flood Zone "A" in cannection with a permitted building using stem wa!!
<br /> `, construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> `�., - � if fili material is to be used in�any area, I ce�tify that 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 buildin �
<br /> , g permit issued under the attached permit application, for.lots less than one (1}
<br /> acre which are elevated by fi!!,an engineered drainage plan is required.
<br /> tf t am the AGENT FOR THE OWNER, I promise in gaod faith to infarm the owner of the permitEing conditions set fo�th in '
<br /> this affidavit prior to cammencing construction. I understand that a sepa�ate permit may be required far electrical work, �
<br /> plumbing, signs, wetis, paols, air conditioning, gas, or ather�instaltations not specifically included in the application. A �
<br /> perrttit issued sha!! be construeci ta be a license ta proceed with the wark and not as autharity to violate, cancel, alter, or
<br /> '� set aside any provisions af the#echn�ca!codes, nor shall issuance of a permit prevent the Building dfficiai from thereafter
<br /> ' requiring a correction of errors in plans, construction or violations of any codes. Every permit issued sha11 become invalid
<br /> unless the wark authorized by such permit is commenced within six months of pe�mit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6) manths after the time the work is commenced. An extension
<br /> may be requested, in writing, from the Building Official far a period not to exceed r�inety (90) days and will demonstrate
<br /> justifiable cause far the ex#ensian. tf wark ceases for ninefy(90)consecutive days,the jab is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAIL.URE TO RECORD A NUTICE OF COMMENGEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU-�INTEND TO OBTAIN F{NANCENG,CC?NSU�T
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE QF��COMMENCEMENT__ — "
<br /> — FLQRlQA.lURAT-{F.3.11-7.03} - - - --- - - -- - -
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<br /> OWNER OR AGENT CONTRACTOR �.'t�v � �� :
<br /> Subscribed and swom to(or a€fitmed}before me this Subscribed and swom ta(or affirm d efor�his — a
<br /> by by .
<br /> Who is/are personally known to me or has/have produced ° Who is/are personally known to me ar has/have produced
<br /> as Identification. �t,� as ident�fca8on.
<br /> Notary Public Notary Public
<br /> Commissian IVo. Commissian No.
<br /> Name of Notary typed,printed or stamped Name of Notary typad,printed or stamped
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