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<br /> "
<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions!'
<br /> which may
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> work 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 law. If the owner or intended contractor uncertain m what n |
<br /> ""=="_" ,they are advised=contact the Pasco
<br /> """=. Furthermore, if the owner has hired� " contractoror contractors," he is advised o have the ~~~ `
<br /> portions of the"contractor Block"of this application for which they will be responsible. 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 permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that apply to the construction of new buildings,change of
<br /> use i n��a u�Wi ' expansion of existing uuUmd Recourse ' specified In Pasco County Ordinance uumber0V-07 and
<br /> permitting.90-07,as amended. The undersigned also understands,that such fees,as may be due,will be Identified at the time of
<br /> ~~. '^~further~ understood that Transportation
<br /> r'---g-"certificate_ occupancy"
<br /> final release,the fees must be paid
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,600.00 or more,I
<br /> certify
<br /> Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairk. If the applicant Is someone
<br /> other than the"ownor",
<br /> deliver nm the ownor
<br /> 'prior to commencement.
<br /> C"".=`^."°S",,""~S"".D""" certify that all the information In this application Is accurate and that 611 work
<br /> will be done in compliance with all applicable laws regulating construction,zoning and land development.' Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or Installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws negufailng
<br /> Construction, County and City codes, zoning regulafions, and land development regulations in the jurisdiction.* I also
<br /> certify that/understand'that the regulations of other government agencies may apply to the intended work,and that It is
<br /> Departmentmy responsibility to identify what actions I must take.to be In compliance. Such agencies include but are not limited to:
<br /> 'prass Bayheads,Welland Areas and Environmentally Sensitive
<br /> Lands, Treatment.
<br /> - Southwest Florida VVumr Management DistrioAmolls, Cypress Boyheadn, Welland Areas. Altehng
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> Department of Health & kehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septle Tanks.
<br /> US Environmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> 'understand that the following
<br /> Use m fill mnot allowed In Flood Zone"V"unless expressly permitted.
<br /> - If' `— materialfill—
<br /> "compensating vo
<br /> lume" m
<br /> � uewmmm m��m ou permitting which is prepared:yo professional engineer
<br /> licensed hy the State vfFlorida.
<br /> n the fill material is to be used m Flood Zone "A" in connection with a permitted buxdinouninQ wall
<br /> construction,.certify—that fill will only_fill the area within the-stem wall. '
<br /> If fill material is to be used in any area, | oertify that use of such fill will not adversely affect
<br /> properties. affect
<br /> �e oond m[ b�Ni pmmKissued'�d �e'uVaoh�d application,hr lots less than one(1)
<br /> ' -
<br /> acre which are elevated by fill,an engineered drainage plan Is required.
<br /> o/wm the AGENT FOR THE OWNER,'promise m good faithm Inform the owner mthe permitting conditions set forth In
<br /> this affidavit prior to commencing construction.
<br /> plumbipermitng,
<br /> —signs, . . ,hall be Construed to be 6 license to\ specifically gas,or other Installations not
<br /> ot as authority to violate,cancel,alter,or
<br /> set aside any provisions m the technical codes,nor" shall issuance"."permit prevent the Building Official from thereafter
<br /> requiring a correction of errors In plans,construction or violations of any codes.. Every permit issued shall becomis Invalid
<br /> unless the work authorized by such permit Is commenced within six months of permit issuance,or if work authorized
<br /> by
<br /> the permit is suspended or abandoned for a period of six n)
<br /> may "`writing, .the Building Official for a period not oexceed ninety
<br /> ' justifiable cause~ ^~`~~~-^ If^work'ceases for ninety r` consecutive .
<br /> �RE TO RECORD A NOTICE C M CEM T MAY RESULT IN YOUR
<br /> EOM
<br /> .
<br /> QWNERORAGENT Z. CONTRACTOR
<br /> Subscribedand.~~ ~, Subscribed and sworn~ mad)before me this
<br /> by
<br /> -----_personally known- produced— Who—_—personally known_--_—'
<br /> produced
<br /> 'as identification, as Identification.
<br /> Notary Public Notary public
<br /> Commission No. Commission
<br /> '
<br /> Name~Notary typed,printed~stamped Name~Notary typed,printed~stamped
<br />
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