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T-61 Aso-0azo <br /> Clty:of Ze.^rhills Perth Application Fax-e11348M021 <br /> Buitairtg Department <br /> NOTICE OF.DEED RESTRICTIONS:.The.undersigned understands that this permit may be subject to'deed"restrictions"whi6.may be:more restrictive <br /> than County regulations:The undersigned.assumes'responsibilityfor compliance with any applicable deed iestrititloris.. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:lithe owner has hired a contractor or:cantractors to undertake work.,.they <br /> may be required to'be licensed in accordance with state and local regulations..If the contractor is.not licensed as required by law;both the owner and <br /> contractor may be cited for a misdemeanor.violation under state law:Ili the owner or Intended contractor are uncertain as.to what Ncensing requirements <br /> may apply for the intended work;theyare advised to.contact the Pasco County Building Inspection Division-Licensing Sectlon.at 727-847--tt0.09. <br /> Furthermore,if theowner-has hired a c ontractor.or coritredors;he is advised to have the:ciintractor(s)sign portions of.the'contractor Stock"of this <br /> application tot which they will be responsible.If you,as the owner sign';as the contractor,that may be an indication that he is not property Licensed and is j <br /> not entitled to permitting privNeges in Pasco County: <br /> TRANSPORTATION iMPACTiUTiL.ITIES IMPACT AND'RESOURCE.RECOVERY FEES:The undersigned understands. <br /> that Transportation.tmpact•Fees and Recourse Recovery Fees may apply to the construction of new.buildings,change of use in existing bultdings;or <br /> expansion:of existing buiidings;as specified in,P6sco County Ordinance number 69.07 and 90.07,as amended.The undersigned also understands;that <br /> such fees;as may be due,wilt be identified,at the time of permitting:ItIs further understood that Transpoitalion impact Fees and.Resource Recovery. <br /> Fees must be paid-prior to receiving a"certificate'of occupancy'.or final power.release.if the:project does not involve a certificate of occupancy or final <br /> power release,the fees must be paid prior;to permit Issuance.Further' 're,If Pasco County Water/Sewer impact fees are due,they must be paid prior; <br /> to permit issuance in accordance with applicable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statues,as amendedj:if.vatuation of work is$2,500.00 or more,.I certify that 1,thb.appiicant, <br /> have been provided;with a copy of the'Florida Construction.Uin Law=f•tomeowni s Protection Guide"prepared by the Florida Department of <br /> _Agriarlhire and Consumer Affairs.if the applicant is someone other lhanthe'"owner",;I certify that-1 have obtafnad a.copy of rile above described <br /> document and promise In good faith to deliver it to the`owner"prior.to:commencement:. <br /> CONTR/1CTOkSIOWNER'S AFFIDAVIT:i ceR'dy that ali the•information in,this application.ls.accurate and that all:wark will be done in compliance.with <br /> all applicable laws regulating construction,zoning andland development.Appiication.is.hereby made to.obtain'a permit to do work and,installation as <br /> indicated.i certify that no-work.or installation has commenced prior to issuIonce,of a permit and that all wont will be performed to meet standards of all; <br /> laws regulathig_construdion,County and itycodes;zoning regutatiorls,-and1and development regulations in the jurisdictiom l also:certify that!. <br /> understand that the,regulations of other government agencies inay apply.to the,intended:work;and that it ts'niy responsibllity to identify what actions:) <br /> most We to be in oompilarice.Such,agencies,include but are not limited to: <br /> - Department of EnvironmentalProtection-Cypress..Bayheads, Wetland Areas and.Environmentally.Sensitive <br /> !.ands;WaterwWas,Wwater:Treatment. <br /> Southwest Florida :Water Management District Wells, Cypress 'Bayheads, Wetland Areas,. Altering <br /> Water!curses. <br /> Army Corps of Engineers-Seawalls;Docks,'Navigable.Waterways.. <br /> Department of.Health.& Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks: <br /> • US En Protection Agency=Asbestos abatement <br /> :Federal Aviation Atittiority Runways. <br /> 1 understand)had tho following restrictions apply to the use of.fill: <br /> Use of fill is not allowed in Flood Zone"V":uniess-expressly:permitted..' <br /> If the fill material.is to wilt.be used in Flood Zone A it is understood that a; drainage plan addressing a <br /> 'cx�mpensatittg volume` be:submitted at-time of permitting which is prepared by a professional engineer . <br /> licensed by the State'of Florida: ! : <br /> - Wthe fill material;is:to be used in'- Zone "A".in connection with a permitted building using stern watt <br /> Con'struction;_t certify that fill Will be used.only to fill:thearea Within the stern wall,. <br /> - if fill material is"to, be used in any:area,.is certify that use.of'such.All.Will not adversely'.affect adjacent <br /> properties:If use of fill.is found to adversely affect adjacent.properties, th6.owner may be cited:for.violator <br /> the Conditions of the building permit issued under the attached,permlfapplication, tor.lots less than one (1) <br /> acre which:are elevated by.fil,an engineered-drainage.plan is required.. - <br /> if.lam the A69111T.FOR THE OWNER;i promise In good•faith to 16form the owner of the penmll6g co6dillons set forth inthis affidavit prior to con construction.I understand that a separate p(umit Maybe,be required for etectrlcal work,Plum <br /> signs;wails;pools,air canditioniirg,gas;or <br /> other instiasbons,not speciticaity inisuded,in the application.A permit Issued shall be construed to be a license to with the work aruf not as <br /> authority to violate,cancel;altar d set aside any provisions d the technical coders,nor shalt lsadance of a permit prevent the Building Official frorit <br /> thereafter requiring a correction of arrors io plans;cohstnirAon or.vidallons of.any codes.Every permit issued ahetfbecorme invalid unless the work: : <br /> authorized by such permit is ccmmericod within six months'ol permit Issuance;or if work authorized by the perinil is suspendedrot abandoned bra: <br /> period,of s rild)months alter the fie We vwrk is corrviwnced:M extanslon may be:requested,In:wriling.-han'the Building Official!or a period not to <br /> euceed:ninety(90)days and will demonstrate.Justifiable causa for am exlenriton.If work ceases for ninety tog)consecutive days.:the job is coristitered <br /> abandoned. <br /> WARNING TO OWNER:-YOUR FAILURE..TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT-IN;YOUR <br /> PAYING TWICE FOR IMPROVEMENTS-TO.YOUR PROPERTY. IF YOU INTENO.TO O TAIN-FINANCING,CONSULT <br /> FLORIDA JURAT IF.&117.03) <br /> OWNER OR AGENT AMV CONTRACTOR <br /> subscribed and swom to(oralfirmed)before me fhb subscribadam sworn b(or.afll <br /> by ) e <br /> Who istare personally known to me or hasilhave produced who is/are perswialty . <br /> as identification: or haslhave produced <br /> to <br /> . _ <br /> Notary y Pub1is � o$ <br /> f?vnmiuW+Nn Crrnrniealnn Nit -'� Public <br />