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<br /> NC1TtCE OF DEED RESTRICTI�NS: The undersigned understands#hat thss permit may be sub)ect to°deed"res�r�ctians"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restr3ctions.
<br /> UNLICENSED CONTRACTORS AND COWTRACTOR RESPONSIBILITI ES: If the owner has hired a contractor ar
<br /> contractors to'undertake work, they may be required to be licensed in acca dance with state and local,regulatlons. If the
<br /> contractor is not licensed as requlred by taw, both the owner and cantrac.or may be cited far a misdemeanor violation�
<br /> under s#ate law. If the owner or intended cantractar are uncertafn as to hat licensing requirements may apply for the
<br /> infended wark, thsy are advised to contact Ehe Pasco Coun#y Building insp ctlon Divtsiart—licertsing Section at�27-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, e is advised to have the contractor(s) sign
<br /> portians of the "contractor Bloclt" af this appHcatian for which they wiR be espanslbie. if you, as the owner sign as the
<br /> contractar, that may be an indication that he is not properiy licensed and i�s not entitled #o permifting privileges in Pasco
<br /> County,
<br /> TRANSPQRTATION IMPACTIEiTtL1T1E5 IMPACT AND RESCIURGE REC VERY FEES: The undersigned und��rstands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply t�5 the �anstru`ction af new buildings, change of
<br /> use in exis#ing�bt�lldings,.ar expans�on of existing buildings, as specif�ed ir� Pasco County Ordinance number 8C!-Q7 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. !t Es further understaod that Tfansportation impact Fees and R�source Recovery Fees must be pait� pr(or to�
<br /> receiving a "certificafe of occupancy" or final power release. If the project�oes not involve a certificafe af occupancy ar
<br /> final power release, the fees must be pald prior to permit issuance. Furth�ermore, ff Pasco County Water/Sewer Impact�
<br /> fees are due, fhey mus#be paid prior to permlt issuance in accordance w#th� pplloable Pasco Counfy ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Fiorida Statutes, as amended): If valuation of work is $2,500.00 ar more, I
<br /> cert�fy thaf 1, fhe applican#, have been pravlded wi#h a copy of the "F orida Cons#ruction Lien l.aw—Hom�=awner's�
<br /> Prokection Guide" prepared by the Florida Department_of Agriculture and �.onsumer Affairs. -if the applicant is someone
<br /> other than the"owner", I certify that ! have ob#ained a copy of the above de•cribed document and promfse in goo�faith ta
<br /> deiiver if to the"owner" prior to cammencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information n this application is accurate and that.all work
<br /> wi1! be done in campliance with a11 applicabEe iaws regulating construction, zoning and land development. Appl3cstion is
<br /> hereby made to obtain a permik to da work and installation as indicated. `I cer,tify that no work or instatlation has.
<br /> commenced prfior ta 3ssuance of a perrnit and #hat a11 work w311 be perfor ed ta meet standards of all laws rfagulating3
<br /> canstruction, County and City cades, zoning regulations, and land devel pment regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may apply ta the intended work, and that it is�
<br /> my respansibility to identify what actions 1 must#ake to be in compliance. S ach agencies inciude but are not limitad fo:
<br /> - Department of Enviranmental Protection-Cypress Bayheads, Wetland Areas and Environmentally .3ensitive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Sauthwest Florida Water Management District-Wells, Cyaress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterwa�ys. '
<br /> - Department of Hea!#h 8 Rehabilitative Servicesl�nvironment� I Health Unit-Welis, Wastewa#er Tr�atment,
<br /> Sep#ic Tanks.
<br /> - US Enviranmental Protection Agency-Asbestos aba#ement.
<br /> - Federal Aviatian Autharify-Runways. , .
<br /> I understand that the following restrictions appiy to the use of fill:� �- . ,
<br /> - .Use of fill Is not aiiawecf in Flood Zane"V°unless expressly per� itted. ,
<br /> - �If the fiU material is to be used in Flood Zane` "A", it is u derstoad that,a drainage plan addr�essing a
<br /> "compensating volume" wi!! be submitted at tfine of permitting wh9ch is prepared by a professiflnal �ngineer
<br /> . iicensed by the S#ate af Florida.
<br /> - If the fill material is to be used In Flood Zone "A" in connectian with a permitted 6uilding using stem wall�
<br /> consfruefion, i certify that fili will be used only to�11 the area wit in the stem wall.
<br /> - If fill material is to be used in any area, I certify that use f such fill will not adversely affect adjacent
<br /> properties. If use of�Il Is faund to adversely af�ect ad�acent p•aperfies, the owner may be cl#ed for violafing;
<br /> the condi#ions of the building permit issued under the attache� permit application, for lots less thari ane (1)
<br /> acre whlch are elevated by fill, an englneered dra9nage plan is r qufred.
<br /> if I am tMe AGENT FC1R THE OWNER, 1 promise in good faith fo inforrn fh�owner of the� permi#fing conditions sE:t forth in
<br /> this affidavit pr}or to commencing cons#ruction. I understand that a separite permit may be required for electri�;al work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other Instailations �at specifcally incEuded in the app}ic�tian. A�
<br /> permit issued shall be construed to be a license tv proceed with khe wark �ind not as authority to,vialate, cancel, alter, ar
<br /> S8t�S1t�@ ��Y {�t'OVfSiO�IS Of��l@ t2CI1tiICc�I G4{�£8, nor shal) issuance of a gerrni#prevent the Buildfng OfFicial from tl�ereaffer
<br /> requiring a correction of errnrs in plans, oonstruction or viafations of any cojes. Every permit issued shall becorrie invalid
<br /> unless #he work aukhorized by such permit is commenced wikhin six mont s of permit issuance, or if work authc�rized by
<br /> the permit is suspended or abandoned far a period of six(6) months affer f I�e time the work is commenced. An e�xtension
<br /> I may be reques#ed, in writing, from the Building Official for a period not to exceed ninety (90) days and will demanstrate'
<br /> justifiable cause for the exfensEon. if wark ceases for ninety{90)consecuti�e days, the jab is cansidered abandoned.
<br /> WARNiNG TQ C}WNER: YOUR FAILUR� TO RECORD A NC1TtCE OF CqMMENCEMENT MAY RESULT I�V YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS T YOUR PROPERTY. 1F YOU NTEND TO QBTAtN FINANCtNG, C�aNSULT
<br />� W1TH YOU ER OR AN AT"�ORN BEFORE REC�RDING YOU NOTICE OF GOMMENCEMENT.
<br /> FLORiDA JU T(F.S. 7 3 �' � - - -_- --
<br /> OWNEft O CONTRACTOR
<br /> S bs��bsworn o or a�ffirm d befo me i s ,,.__ Subscr�bed and by orn o(or afflrmed)before me fhls
<br /> Who t lare ers4n I known ta me or haslhave produced Who(s/are persanally nown to me ar has/have produced
<br /> as identlfica8on. as identiBcatlon.
<br /> Nata Pubiic Nata Publfc
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<br /> Commisslon No. Comm(ssian No.
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<br /> Name of Notary typed,printed or stamped iVame of Nntary typed,printed or s#amped
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