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<br /> NOTICE OF DEEC� RESTRICTIONS: The under igned understands that this permit may be subJect to"deed" restrictions"
<br /> which may kre mare restrictive than County regul tions. The undersigned assumes respansibftity for compliance with any
<br /> applicable'd�eed resfrictions.�• `. ' �
<br /> UNL.MCENSI_D CONTRACTORS AND_CONT CTOR RESPONSIBIUTIES: !f #he owner has hired a contractor ar
<br /> cont�actors Qo undertake work, they may be�equi ed�to be licensed in accordance with sfate and local:reguiatlons. If the
<br /> cont�actor is� no# licensed as required by law, bo�h the owner and contractor may be cited for a misdemeanor vlolation
<br /> under state law. If the owner or intended contra for are uncerta�n as to what #3censing requlrements may apply for the
<br /> intended work, they are advised to contact the Pa�sco County Buildfng (nspection Division---Licensing �ection at 727-847-
<br /> 8409. Furti�ermore, if the awner has hfred a c�ontractor or contractars, he is advised to have the contrackor(s} sign
<br /> portions bf fhe "contracfor Block" of this applicati n for which they wiil be responsible. if you, as the owner sign as the
<br /> contrac#or, that may be an indicatian that he is n t properly licensed and fs not enti#led to permitting privileges in Pasca
<br /> Counfy. ` , � �
<br /> TRANSPOF;TATION IMPACTIUTIL.ITIES IMPAC'T AND RESOUf2CE RECOVERY FEES: The undersigned understands
<br /> ! that Transp��etat�on Impact Fees�and Recourse R{�covery Fees may apply#o the construation of new'bulldings, change of
<br /> use in existing buildings, or expansion of existinc�buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The underslgned a3so unde s#ands, that such fees, as may be due, wl!! be identified at the time of
<br /> permitting. It Is further understood that Transpar ation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certifica#e of occupancy" or fina! pa er release. If the project dves not involve a certificate of accupancy or
<br /> final power reiease, the fees must be paid prior�o permit issuanee. Fu�fherrrtare, if Pasco Catanfy WaterlSewer impact
<br /> fees are dues, they mus#be paid prior to permit iss� ance in accordance with applicable Pasco County ordinanoes. �
<br /> CQNSTRUt:TiQN l.IEN LAW(Ghapter T13, Fior da Statutes, as amended): If valt�ation.of wark 9s $2,5Q0.40 or ranote, 1
<br /> certify that I, the applicant, have been provided with a copy of the uFlorida Construction� Lien Law—Hameawner's
<br /> Protection C4uide" prepared by the Fiarida Depar�mert# of Agriculture and Consumer Affairs. if the applicant is sameone
<br /> other than tf�e"owner", 1 certify that ( have obta(nE d a copy af the above described document and promise in good faifh to �
<br /> deliver it to the"owner"prior#o commencement. ..
<br /> CONTRAC`f�OR'SlOWNER'S AFFIDAVIT: I certfify tFrat alf the infarmatian in this appl�cation-is accurate and that al!wock
<br /> will be done in compliance with all applicable law�s regulating constructian, zpning and land development. Application is
<br /> hereby matle fo abtain a permit Ea do work a d instaiEatlon as Indicated. 1 certlfy that no work or lnstallation has
<br /> commence� prior to issuance of a permit and tt at all work will be perFormed to meet standards of all laws regulating
<br /> cons#ruct9on, Caunty and City codes, zoning re,�ufatians, and land developmenk regulatfans in the Jur.isdictfon. I also
<br /> certify that ( undersfand that ttie-regulatians of ot er government agencies may aPply to the intended work, and that it is
<br /> my responsibility ko identify what actfons I must ta e to be in compliance. Such agencies inalude but.are not limited to:
<br /> - Departmenf af Environmental Profection-Cypress Bayheads, Wetiand Areas and EnvEronmentally Sensitive
<br /> Lands, Waker/Wastewater Treatment.
<br /> - Sau#hwest Fforida Water Manage�ment DistrEc#-Wells, Cypress 8ayheads, We#land Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-SeawaNs, Gocks, Navigable Waterways.
<br /> - Departmenf of Mealth 8� Rehabilitati�re Serviees/Environmental Fiealth Unit-Wells, Wastewater Treatmenf,
<br /> Septic Tanks, .
<br /> - US Env�ronmental'Protection�Ageitcy Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> 1 understancl that fhe following,restr3ctians apply t the use of fll:
<br /> - Use af fill is not allowed in Flaod Zone�"V"unless expressly permitked. ,.
<br /> - if the flli matetial is to be used in Flood Zone "A", it is understood that a drainage plan addressing a �
<br /> "compensating volume" wilt be subm tted at time of permitting which is prepared by a professiana! engineer
<br /> licensed by the State of Florida.
<br /> - If fhe frll material is fo be used in F ood Zone "A" in connectian wlfh a permitted building using sfem wall
<br /> construction, I certify that fill will be u ed anly to fill the area within#he stem wall.
<br />� - 1# fil! material Is to be ussd #n any area, 1 certlfy that use of such fil) will nat adversely affect adjacent
<br /> properties. If use of fill is found to a� versely affect adjacent properties, the awner may be cited for vialating
<br />� the conditions of fhe building permit issued under the attached permit application, far lots less than ane (1)
<br /> acre which are efevafed by fill, an enc ineered dra'rnage plan is'required.
<br /> If! am the�►GENT FOR THE OWNER, I promise In good faith to inform #he owner of the permitting conditions set farth in
<br />! this affidavif; priar ta commencing canstrucfion. I understand that a separate permit may be required for electrical work,
<br />� plumbing, signs, wells, pools, air conditioning, g s, or other installations not specificaily included in the application. A
<br />' permit issuE:d shall be construed to be a I�cense a proceed wlth the work and nat as authority to vlolate, cancei, alter, or
<br /> set aside ariy provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a��orrectlon of errors In pfans, construct on ar violations of any codes. Every permit issued shall become invalid
<br /> unless the �vork aufhorized by such permi# is cor menced wifhin six manths of permit issuance, or if wark aufhorized by
<br /> the permit!:; suspended or abandoned for a periad of six(6) months after the time the work is commenced. An extension
<br /> may be reqvesfed, in writing, from the Building t�fficial for a perlad not to exceed ninety (90} days and will demonstrate
<br /> Justifiable cs�use for the extension. If work ceases for ninety(90) consecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO ECCDRD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYtNG TVVlCE FOR lM�ROVEMENTS TO YOl�R PROP�RTY. !F YOU lNTEND TO OBTAlN FINANCING, CONSULT
<br /> WiTH YOU12 LENDER OR AN ATTORNEY BEF��RE RECORDING YUUR NC> iCE t3F Ct�MMENCENlEN7'.
<br /> FLORIbA JURAT(F.S.117.03) �
<br /> OWNER OR A.GENT CONTRAGTOR (
<br /> Subscribed an�sworn to(or affirmed)befor�me this Subscribed and swarn to(ar a rmed)befare me this
<br /> by �Y
<br /> Who Is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced �
<br /> as IdenUticatlon. as Identffication.
<br /> Notary Publ! Notary Public
<br /> Cammisston No. Commission No.
<br /> Name of Notaiy typed,printed or stamped Name of Natary typed,prtnted or s#amped
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