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<br />NOTICE OF ,DEED RESTRICTIONS: The underslgn~d understands that this 'permit may be subject to "deed;' restricti~ns"
<br />, which may be more restrictive than County regulations. The unde~slgned assumes responsibility for 'compliahce With any
<br />applicable deed r~strlctions. ' ., " "
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiLITIES:', If the owner has hired, a contractor or
<br />cl;mtl'actors to undertake work, they may be required to be licensed in accordance wltti state and local regulatlohs. If the
<br />contractor Is not licensed as required by law, both the owner and con~ractor may be cited fQr a misdemeanor violation
<br />under state, law. If the ~wner or Intended contractor a~e uncertain as, to what "<?enslhg reqUirements may apply.for the '
<br />Intended work, they are advls~d ,to contact the P~sco County Building Insp~ctlon Dlvlslori-L1censl~g Section at 727-847-
<br />8009., Furthermore, If the owner has hired a cont~actor,or contractors, he Is advised to havEdhe contractor(s) sigh
<br />, portions of the .contractor Blockn of this ~ppllcatlon for which they Will be te~ponslble. If you, as the owner slgrl as the,
<br />contractor, thatmay be an Indication that he Is not properly licensed and Is hot enlltled ,to permlttlhg prlvllegel;l In Pasco
<br />County. , " , '
<br />TRANSPO~TATION II'JIPACT/UTILlTIES IMPACT AND RESOUROE REOOVERY FEES: The undersigned understahds
<br />, that Transpoi"tatlon Impact Fees ~nd Recourse Recovery Fees may apply to the construction of heW bUildings, chahge of
<br />use In, existing bulldings~ or expansion of existing buildings, as specified In Pasco County Ordinance hLJmber 89-07 and
<br />_, " 90-07, as amended. The undersigned also understands; that such fees, as may be duej will be Identified at the time of
<br />permitting. 'It Is further ~nderstood that Transpo~atlonlmpact Fees and Resource Recovery Fees tnust be paid pi"ior to
<br />, receiving a .certlficate of occupancyn or final power release. If the project does hot Involve a cerllflcah~ of. occLJp~hcY or
<br />final power, release, the fees must be paid prior to permit Issuance. Furthermote; If Pasco County Water/Sewer Impact
<br />, fees are due, they must be paid prior to permit Issuance In accordance with applicable Pasco County ordinances.
<br />CONSTRUCTION LIEN LAW (Chapler,713, Florida Statutes, as amended): 'lfValuatlon of work .Is $2,500.00 or more, I
<br />certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-HomeoWner's
<br />Protection Gulden prepared by the Florida Department of AgricUlture and Consuiner Affairs. If the applicant Is someone
<br />, other than. the .ownern, I certify thlilt I, have obtained a copy of the above described document and promise In good faith to,
<br />, deliver it to the .owner" prior to cOll1mencement. ' , '
<br />CONTRACTOR'S/OWNER~S AFFIDAVIT: I certify that all the information In this application Is accurate and,that all Work
<br />will be don~ in complianqe with all applicable laws regulating construction, zonltig and land develop'inent. 'Application Is ' '
<br />hereby made to obtain' a permit to' do work and Installation as Indicated. I certify that ho work or Installation has
<br />commenced prior to Issuance' of a permit and that all work will be p~rformed to meet standards of all laws regulating
<br />construction, County' and CitY codes, zoning regulations, and land development regulations In the jurisdiction. I also
<br />, ,certify that I understand that the regulations of other government agencies may apply to the Intended work, and that it Is
<br />my responsibility to identify what actions I mUst take to be In compliance. Such agenples Include but are hot limited to:
<br />Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive '
<br />Lands, W~ter/Wastewater Treatment. ' ' ',' ,
<br />Southwest 'Florida Water Management District-Wells, Cypress' Bayheads, , Wetlahd Areas, Alterilig
<br />Watercourses.' , " ' "
<br />Army Corps of Engineers-Seawalls, Docks"Navigable Waterways. ' ,,' " , ,
<br />Department of He~lth & Rehabilitative SerVlces/Envlronmental HE;lalth Unit-Wells; WasteWater Treatment,
<br />,'Septic Tanks. , " ' '
<br />US Environmental Protection Agency-Asbestos abatement. '
<br />Federal Aviation Authority-Runways.
<br />I understand that the folloWing restrictions apply to the, use of fill: '
<br />Use of, fill Is not allowed In Flood Zone.V' unless expressly permitted; , ',',', ' ,
<br />'If the fill material Is to be ,used In Flood Zone "A?, it Is understood that a dralnag,e plan addr.esslng a
<br />"compensating volumen will be, submitted at time of permitting which Is prepared by a professional engineer
<br />licensed by the State of Florida. ' " ,
<br />If the fill material Is to be used In Flood Zone "N In connection with a permitted building using stem wall
<br />, construction, I certify that fill will be used only to fill the arE;la within the stem wall. '
<br />, If fill, materl~1 Is to be used In' any area, I certify that use of such fill will hot, adversely affect ~djac?nt
<br />properties. If use of fill Is found to adversely affect adjacent properties, the owner may be cited fo~ violating
<br />. " the conditions of the building permit issued under the attached permit appllcatll,ln, 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 FOR THE OWNER, I promise In good faith to Inform the owner of the permitting conditions set fo~h in
<br />this affidavit prior to commencing. construction. I, understand that a separate permi~ may be required for electrical wor~,
<br />, ' . plumbing, signs, wells, pools, air conditioning, gas,' or other Installations not specifically Included In the application. A
<br />permit Issued shall be construed to be a license to proceed with the work and not as authority to violate, c,an,cel, alter, or
<br />set aside any provisions of the technical codes, ~or shall Issuance of a permit prevent the Building Official !rom ,t~e~ea~er
<br />, requiring a correction of errors In plans, construction or violations .of any code,S. Every permit lssu~d shall b~come Invalid
<br />unless the work authorized by such permit Is commenced within six months of permit Issuance, or If,work authorized by
<br />the permit Is suspended or abandoned for a period of.Slx (6) months after. the time the ~ork Is commenced. An extension
<br />may be requested, 'in writing, from the Building Official for a period not to exceed hlnety (90) dars"ahd WIII,deinl?nstrate
<br />, justifiable cause,for the extension. If work ceases for ninety (90) consecu~l\le days, the Job Is conSidered abandoned. ,
<br />
<br />: WARNING TO OWNER: YOUR FAiLURE TO REC~RD A NOTICE OF COMMENCENII:;N~ MAy ~E~Ult INNY~UR'
<br />, PAYING TWICE FOR IMPROVEMENTS TO YOUIt PROPERTY. I,F YPU INTEND TO O,BTA!N F~NANCING; 00 SL T
<br />WITH OUR LEND OR AN ATTO NEY BEFORE RECORDING YOU OTIC OF COM ENCEME T;
<br />
<br />, ~~~~ o'~~~~ts, 11?03) , CONTRACTOR' ,~----
<br />Subscribed and sWorn to (or affirmed) before me this, Subscribed and sworn to (or afilrmed) before me this
<br />, " by' , ' by'
<br />, Who Is/are personally known to me or has/have produced ' Who Is/are personally knoWn to me or ha~~~:t::a~c:~ '
<br />asldelJUflcaUon.
<br />
<br />
<br />Notary Public
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<br />NolarY Public
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<br />Commission No.
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<br />Commission No.
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<br />Name of Notary typed. prin\ed or stamped
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<br />, , .
<br />Name of Notary typed, printed or stamped
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