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<br /> NOTlCE OF DEED RESTRlCTI�NS: The undersigned understands that this permit may be subject_to"deed"restrictions"� `
<br /> whichmay:be more�r.estrictive than Caunty tegulatioris: The�undersigned assumes responsitiitityf6r`cbrripliance`witii"ariy �
<br /> appticabie deed restrictians. � � _� -
<br /> UNLIC�NSED �CONTRAGTORS AND CONTRACTOR RESPONSlBILlTIES: If tfie owner has hired a contractar or
<br /> contractors ta unde�take wark, they rnay,be required to be:licensed in accordance with state and locat r,egulations:,�(f the=� ` I
<br /> contractoc is not licensed as required t�jr law, botii the awner and�can#�actor rri"ay-b'e cited#ar`a misdemeanor vialation �
<br /> under state law. If the awner or intended contractor are uncertain as to what licensing requiremen#s:may apply for tfie:� '
<br /> intended work, they are advised to confact�the Pasco County Building Inspec#ion Division--Licensing.Sec#ion.at 727-847=
<br /> 80p9.. Furthermare, if the owner has hired�a confractor or contractors, he is advised to have the contractor(s) sign ,
<br /> poctions af the "cantractor Black" of this appiication_,for which they wiii be respansibie. if yau, as ttie owrier�sign as the
<br /> cantractar, that.may be an indication that he-is not properly�licensed and is not entitled to permitting pri"vileges in Pasco ,
<br /> County. `� .
<br /> TRANSPORTATION lMPACT/UTILI7lES (MPAGT AND_RESQURCE RECaVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may�apply to the construction of new buiidings, ciiange°�=of� � i
<br /> use in existing buitdings, or expansion of existing buildings, as specifed in Pasco County Ordinance number 89-07 and �
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, wi!!'6e=identified at.tlie tiriie-'cif
<br /> permitting. it is further understood fhat 7ransportatian lmpact Fees and Resource Recovery Fees must be paid pr.ior to
<br /> receiving a "certificate of accupancy° ar fina! power release. ff the praject does not invoive a certiftcate of occupancy;or.�-
<br /> final power release,.the fees must be paid prior to permit issuance. Furthermore, if Pasco Caunty Water/Sewer. Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTIC?N LIEN LAW(Chapter 743, Florida Statutes,as amended): I€valuatian of work is$2,500.00 ar mor.e, i _ �
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Hameowne�'s
<br /> Pratectian Guide" prepared-by the Florida Department of Agricu(ture and Cansumer Affairs. If the applicant is someone
<br /> other than the"owner", i certify that l have obtained a capy of the above described document and promise in goad fai#h to ,
<br /> deliver.it to the"owner"prior to commencemen�.
<br /> CONTRACTOR'S/OWNER'S AFFlDAVIT: t certify that all the infarmation in tfiis application is accurate and #haf all work
<br /> witl be done in comptiance with ali app(icable taws regulating canstruction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. ! certify that no work or instalfation' has
<br /> commenced prior to issuance of a perrriit and that aH work wilE be performed ta meet standards of ali laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regutations in.the jurisdiction. I also •
<br /> certify that 1 understand that the regulations of other government agencies may apply to the intended work, and that it is �
<br /> my responsibility to identify what actians I must take ta be in compliance. Such agencies include but are not limited to: '
<br /> - Department of Environmenta! Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> L'ands,WaterMlastewater Treatment.
<br /> - Sauthwest Florida Water Management District Wells, Cypr�ss Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Carps of Engineers-Seawa!!s, Docks, Navigable Waterways.
<br /> - Department of Heaith & Rehabifitative ServiceslEnvironmentat Health Unit We(ts, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - U5 Environmental Protectian Agency-Asbestos abatement.
<br /> - Federa!Aviation Authority-Runways.
<br /> I understand that'the fallawing'restric#ions apply to the use af fiil:
<br /> - Use of fill is not allawed in Flood Zone"V" unless expressly permitted,
<br /> - lf the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" wi!! be subrnitted at time of permitting which is prepared by a prafessional engineer �
<br /> licensed by the State af Florida.
<br /> - tf #he fill material is to be used in Fiood Zane "An in connection with a permitted building using stem wal!
<br /> construc#ion, I certify that fill wi!!be used only to fill the area wi#hin the stem wall.
<br /> - If fi!! material is ta be used in-any area, ! certify that use of such fiii will not adversely affect adjacent
<br /> properties. If use of fiil is faund ta adversely affect adjacent properties, the owner may be cited for violating
<br /> #he conditions of�the buitding permit issued under the attached peCmit application, far lots less than one (1)
<br /> acre which are elevated by fill,an engineered drainage plan is requi�ed.
<br /> If I am the AGENT FOR TNE CIWNER, ! promise in good faith to infarm.the owner of the permitting conditions set forth in
<br /> this affidavit priar to commencing consfructian. I understand that a separate permif may be required for electrical work, _`,
<br /> piumbing, signs, welts, poais, air conditioning,�ga's, or other�instaltatians not specifically included in the applica#ion. A ° �'
<br /> permit issued shall be construed to be a license to proceed with the wark and not as authority to violate, cancel, a!#er, or
<br /> set aside any provisions of the technical codes, nor sha11 issuance of a permit prevent the 8uifding dfficial fram thereafter
<br /> requiring a correc#ion of errors in plans, construction ar violations of any codes. Every permit issued shall became invaiid �
<br /> unless the work authorized by such permit is commenced writhin six months of permit issuance, or if work authorized by
<br /> the permif is suspended or abandoned for a period_of six(6)months after the time the work is cammenced. An extension
<br /> may be requested, in writing, from the Building Officia! for a period nat to exceed ninety(90} days and will demonstrate
<br /> justifiable cause far the extensian. If wark ceases far ninety(90}consecutive days, the job is cansidered abandoned.
<br /> {NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF G�MMENGEMENT MAY�RESULT IN YOUR a
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU:INTEND Tt�OBTAlN FINANCING, CONSULT
<br /> �.�,=._-�-.:---
<br /> WITH YQUR LENDER QR AN AT'T_QRNE,Y_��EgRE-Ft�C��tDildd�Y-��1RaN0T-��E�CIF�COMMENCE1VIEfl1'i:– -`�`"
<br /> �`t=CURIQA JURAT(F.S.1'17.43} � �' �
<br /> OWNER OR A�EN'i CONTRACTOR f „^ �
<br /> Subscribed and swain to or afflrmed before me this Subsaribed and swom t r aHi d �me s �
<br /> s t�
<br /> by t ) by ���a��� �t.�-..5.
<br /> Who islare personatly known io me ar haslhave produced ° Who is/are personatly known to me or has/have produced ,
<br /> asldentifica6an. �;. asidentification.
<br /> Natary Pubfic Notary Public
<br /> , Commission No. Commission No.
<br /> Name of Notary typed,printed or stamped Nama of Natary typed,prinfed or stamped "
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