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<br /> NOTICE OF OEEd RESTRtGTtONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than County regulations, The undersigned assumes responsibiliky for compliance with any
<br /> applicable deed restrictions.
<br /> UtVltCENSED CONTFtACTCtRS AND CONTE2ACTOi2 itESPONSIBtLIT1ES: tf the owner has hired a contractor ar !
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law,both the owner and contractor may be cited for a misdemeanor violation
<br /> under state taw. [f the owner or infended con#racfor are uncertain as to what ticensing requirements may appty for fha
<br /> intended work,they are advised to contact the Pasco County Buiiding InspecGon Division—Licensing Seotion at 727-847-
<br /> 8009. Furthermore, if the owner has hired a eontractor or contractors, he is advised to have the contractor(sj sign
<br /> po�tions of the"cantractor Btoak"af fhis apptication for which they wilt be responsibte. if you,as the owner sign as the �
<br /> contractor,that may be an indication that he is not properly licensed and is not entitled to permitking privileges in Pasco
<br /> County.
<br /> TRANSPORTATtON t1UlPACT!lJTtL1T1ES IMPACT AND E2ESOURCE REGOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and t2ecourse Recovery Fees may apply to the construction of new buildings,change of
<br /> use in exis6ng buildings,or expansion of existing build(ngs,as specified In Pasco County Ordinance number 89-07 and
<br /> 90-07,as amended. Tlte undersigned alsa undersEands,fhat such fees,as may be due,will be idenfified af the time af
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final power release. If the projeat does not involve a certificate of occupancy or
<br /> finat power release,the fees must be paid-prior to permit issuance. Furthermore,if Pasco Gounfy WateriSswer tmpact
<br /> fees are due,they mus#be patd prior to permit issuance in accordance with applicabie Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Sta#utes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certiiy #hat !, the appticaot, have been provided with a copy af #he "Ftorida Consfructian Lien Law--Homeowner's
<br /> Protection Guide"prepared by the Florida depertment af Agricu(ture and Consumer Affairs. If the appiicant is someone
<br /> other khan the"owner",I certify khet I have obtained a copy of the above described document and promise in good faith to
<br /> detiver it ta the"ownef prlflr to commencement
<br /> CONTRACTOR'StOWNER'S AFFIDAVIT: 1 ce�tify that ail the information in this apptication is accurate and tfiat al)work
<br /> will be done in aompliance with all applicable laws regulating construcBon,zoning and land development. Applicalion is
<br /> hereby made to abtaJn a permit to do work and instailetion as indicated. 1 certify ttyat no work ar insiallation has
<br /> commeaced prior to issuance of a permit and that alt work wiR be perfqrmed to meet standards of atl taws regutating
<br /> construation, County and City codes,zaning regulatlons, and land development regulakions in the jurisdicUon. I also
<br /> certify that I understand that the regulations of other government agencles may appiy to the intended work,and that it is
<br /> my responsibifi#y to Iden#(fy what aations(must take to be in compiiance. Such agencies ineiude 6ut are not limited to:
<br /> - Depertment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> lands,Water/Wastewater Treatment,
<br /> - Southwesf Flarida Water Management Cfistrict Wetts, Cypress Bayheads, We#land Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,.Navigable Watervuays.
<br /> - Deparfinent af FteaEth & f2ehabiliEative ServiceslEnviranmenfat HeaEth Unit Wetts, Wasfewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Pratection Agency-Asbestos abatement. ,
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply ta the use of fill:
<br /> - Use of fiil is not allowed in Flaod Zone"V"unless expressly permitted.
<br /> - If the fitt materiat is to be used in F[ood Zone "A", it is uadersfood that a drainage plan addressing a
<br /> "compensa�ng volume"will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State af Florida.
<br /> - tf fhe ftll material is#o be sased in Flood Zone"A"in connection with a permitted buitding using stem wall
<br /> construcfion,l certify that fill will be used only to filt the area within the stem wall.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use ot'flii is found to adverse(y affect adiacent properties,the awner may be cited for violafing
<br /> fhe conditions of the buiiding permi#issued under the aftached permit application,for lots less than one(1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> if i am the AGENT POR THE OWNER,i pro�nise in goad faith to inform the owner of the permifting conditions set forth in
<br /> #fiis affidavit prior fo commencing constructian. t understand that a separate permit may be required for etecfrical work,
<br /> plumbing, signs, wells, pools, alr conditioning, gas, or other installations not specffically included in the applicatian. A
<br /> permit issued shall be construed to be a license ta procead with fhe work and not as authority fo vtotate,aancel,atter,or
<br /> set aslde any provisions of the technical cades,nor shaii issuance af a permit prevent the Building O�ciai fram thereafter
<br /> requiring a carrection of errors in plans,conshuction or violations af any codes. Every permit issued shall 6ecome invalid
<br /> untess the work authorized by such permit is commenced within slx months of permit issuance,or if work authorized by
<br /> the permtt is suspe�ded or abandoned for a period of six{6}months after the time the work is commenced. An sxfension
<br /> may be requested, in writing, from the 6uilding Official for a period not ta exceed ninety(90)days and will demonstrate
<br /> Justiflable cause for the e�ension. If work cesses for ninety(9Qj consecutive days,the job is considered abandoned.
<br /> WARNING TO 4WNER: YOUR FAILURE TO RECORD A N0710E OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWlCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTE D TO OBTAIN FiNANC1NG,CONSULT
<br /> WiTH YOUR LENDER OE2 AN ATTORNEY BEFORE REC8RDING YO R NO CE OF CONIMEiVCENlEt3T. �.a���+++,,
<br /> FLORIDA JURAT(F.S.117.03) ��,�� �,�No;,�y�
<br /> OWNER OR A6ENT CpNTRAC —' _� ' T`°
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<br /> Subseribed an bswam ka flr aft3rmed befare me fhis Subscri6ed end`sw k� K er)}bef a ee raid���
<br /> Who is/are persanally known ta me or has/have produced Who is/are p own to ma ar haslh uced ���'�""�,,,
<br /> as idenUficaUon. as fden#IficatEon. � � a
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