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<br /> NOTiCE OF pEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> � ' which may be more rest�ictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed reskrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a cantractor or
<br /> contractors to unde�take work,they may be required to be Iicensed iri accordance with stafe and loca(regulatians, lf khe
<br /> contractor is not Iicensed as required by law, bakh the owner and contractor may be c{ted fo�a misdemeanor vtolation
<br /> under state iaw. If the owner or intended contracfor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to cantact ihe Pasco County Building lnspection I�ivision—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the awner has hired a contractor or contractars, he is advised to have the contractor(s) sign ,
<br /> portians of the"contractor B1ock"of this application for which they will be responsible. If you, as the owner sign as the
<br /> contrackor,that may be an indication that he is not properly licensed and is not entitied to permitting privilegas in Pasco
<br /> County.
<br /> TRANSPOF2TATtON lMPACT/UTtLITiEB iMPAGT AhiD RESOURCE RECOVfRY FEES: The undersigned understands
<br /> khat?ransportakion lmpack Fees and Recourse Recovery Fees may apply ta the canstruction of new buitdings,change af
<br /> use in exisGng buildings, or expansian of existing buildings,as specified in Pasco Caunty.Orclinance number 89-07 and
<br /> 94-07,as amencled. The underslgned also understands,fhat such fees,as may be due,will be iden6fied at the time of
<br /> pe�mitting. It is further unde�stood thak Transportation Impact Fees and Resource Recovery Fees must be paid prior ta
<br /> receiving a"certificate of occupancy"or final power reiease. If the project daes not involve a certificate of occupancy or
<br /> flnal pawer release,the faes must be paid prior to permit i5suance. Furthermore,if Pasco County Water/Sewer Impact
<br /> fees are dua,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRIlCTION LIEN LAW{Chapter 713',Florida Statutes,as amended): If valuation of woric is$2,500.00 or more,I
<br /> certify that !, the applioant, have been provided with a copy oE the "Florida Gonstruction Lien �aw—Homeowner's
<br /> Protectlan Guide"prepared by ihe Florida Department of Agriculture and Consumer Affairs� If the applicant#s someone
<br /> ather Ehan the"owt�er',I certify thaf I have obtained a copy of fhe above described document and promise in good faith to
<br /> deliver it ko khe"owner'prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT. I certiiy that all the information in this application is aacurate and that all work
<br /> witl be done In campiiance wi#h aN appiicable laws regulaking canstructian,zoning and land development. ApplicaUon is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certity t#iat no work or fnsta!(ation has
<br /> commenced prior to issuanoe of a permif and that a�i work will be performed to meet standards of all laws regulating
<br /> constructian, Gounty and City codes, zoning regufatians, and land deve(opmenf regufations in the jurisdiction, i also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work,and khat it is �
<br /> my responsibility to iden#ify what actians I must take.to be in compliance. Such agencies inciude but are not limited to:
<br /> - Deparkrnent of Environmental Protection-Gypress Bayheads,Wetland Areas and EnvironmenEalfy Sensifive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida lNater Management District-Wel(s, Cypress Bayheads, Wefland Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - department of Heal#h $� Rehabilitative ServiceslEnvironmental Health Unit-Weiis, Wastewater Treafinent,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestas abatement.
<br /> - Federal Rviation Authority-Runways:
<br /> I understand that the following restriclions apply to the use of fill: ,
<br /> - Use of filt is not aflowed in Flood Zone"V"unless expressly permitted.
<br /> - It the fill maEerial is to be used iri Flood 2one "A", �t is understood #hat a drainage plan addressing a
<br /> "compensating volume"will be submitted at time of permitting which is prepared by a professiona{engineer
<br /> licensed by the State af Fiarida.
<br /> - If the fill materia{ is to be used in Flood Zone '"A" in connecEion with a pe�m3tted building ttsing s#em wall
<br /> eonstruction,I certify thak fill will be used only to fill the area within the stem wali.
<br /> - !f fiii materlai Is to be used in any area, { certi#y that use of such fili wi(i nat adversely affect adjacent
<br /> propeities. !f use of fill is faund to adverssly affeck adjacent propertles,ihe owner may be cited far vlblaiing
<br /> . the conditions af the buitding permit issued under the aktached permit applicatian,for lots less than one{1)
<br /> acre wh{ch are elevated by fiH,an engineered drainage plan is required.
<br /> If I em the AGENT FOR THE OWNER,l promise fn good faith ta lnfarm the owner of the permiBipg condltions set forth in
<br /> this affldaviE prior fo commencing consiruction. i understand that a separate permi#may be required for electrical work,
<br /> plum6ing, signs,wells, pools, alr cpnditioning, gas,or other i�stallations nat speci£caily inciuded in the application. A
<br /> perrriit_issued shall be construed to be a license to proceed with the work and nat as authority to violate,cancel,alter,or
<br /> set aside any provisions af the technical cades,nor shail issuance of a permit prevent the Building Official fram thereafter
<br /> requiring a correckion of errors in plans,construotion or violations of any cades. Every permit Issved sha(f becorne invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
<br /> the pefmit is suspended or abandoned for a period of six(6}monihs after the time the work is cdmmenced. An extension
<br /> may be requested,in writing,from the Building Officfa!for a period nok to exceed nlnety(94)days and wti!demonstrate
<br /> just{fiatale cause for ihe extension. If work ceases for ninety(90)consecutive days,the job is considered ebandoned.
<br /> WARNING TO OWNER: R `I URE TO RECORD A NOTICE OF GOM NC MAY RESUL.T lN YQUF{
<br /> PAYiNG TWiGE FOR t OV T. TO YOUR PRQPERTY. iF YOU INT D T O N FINANCING,CONSULT
<br /> W! H OUR LEND R QRNEY BEFORE REGC?f2Df G Y411i2 'CIG O OM11hENGEMENT.
<br /> FLORIDA JURAT(F.S:11 . .. �. . . r^, ,� .
<br /> OWNER OR AGENT � CONTRACTOR_ ,,,�_,,,,,___
<br /> Subscribed and sworn to( af ine efors me this Subscribsd and swor o{o affrmed}before me lhis
<br /> by by
<br /> Wbo islare personally known to e or hasthave produced Who istare personally knowr� r 6asJhave produced +
<br /> as identificetion. as Identiflcatian.
<br /> - Notary Public Nolary Pu611c
<br /> Commissian No. Commission No.
<br /> Name ot Notary typad,pdnked or stamped Name of Notaty typed,prinfed or stamped
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