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<br />NOTICE OF .DEED RESTRICTIONS: The underslgn~d understands that this 'permit may be subject to "deed;' restrictions"
<br />which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br />. appllca!>le deed r~8.trlctlons. .' .'. . .
<br />UNLICENSED CONTRACTORS AND C.oNTRA~TOR RESPONSIBiLITIES:" If the owner has hired. a colitractor or
<br />c,?nb:actors to undertake work, they may be required to be I~censed in aCcOrdance witH state and local regulations. If the
<br />contrac~or is not licensed as r~qulred by law, both the owner and con~ractor may be cited fQr a inlsdemeanor violation
<br />un~er state. law. If the ,?wner or Intended contractor a~e uncertain as. to what "<<?enslng reqUI~inent~ may apply .f~r the.
<br />Intended work, th~y are advised .to contact the Pasco County Building Insp~t1on Dlvlslori-U€?ensl~g Sectlol1 at 727-847-
<br />8009.. Furthermore, If the oWner has hired a contractor or contractors, he Is advised to heivEdhe contraclor(s) sigh .
<br />. portions of the .colltractor Block" of this ~ppllcatlon for which they Will be responsi.ble. If you, as the owner slgrl as the. . .
<br />contractor, that may l;le an Indication that he Is not properly licensed and Is hot entitled to permitting jJrivllege$ In Pasco
<br />County. . .' . .
<br />TRANSPORTATION IIIJiPACT/UTILlTIES IMPACT AND RESO~ROE REO OVERY FEES: The underslgnedunderstahds
<br />that Tra.nsportatlon Impact ~ees ~nd Recourse Recovery Fees may apply to the construction Qf heW buildings, chahge of
<br />. use In.exlsting buildings; or expansion of existing buildings, as specified in Pasco County Ordinance hUinber 89-01 and
<br />. '. 90-07, as amended. The' underslgne~ also understands; that such fees, as may. be due; will be Identified al the tiine tif
<br />permitting. ..It is further ~nderstood. that Transpo'-'atlon Impact Fees and Resource Recovery Fees Inust ~e paid jJrior to
<br />. recei'(ing a .certificate of occupancy" or final power r~lease. If the project does 110t Involve a cei1lfica~e of occupahcy or
<br />firial power. release, the fees must be paid prior to permit Issuance. Furthermore; if Pasco CountY, WateriSeWer Impact
<br />. fees are due, they must be pal~ prior to per!TIit Issuance in accordance with applicable Pasco County ordinances.
<br />CONSTRUCTION LIEN LAW (Chapter.713, Florida Statu~es, as amei1ded): 'lfvaluatlon of Work. is $2,500.00 or more, I
<br />certify that I, the applicant, ~ave been. provided with a copy of the .Florlda Con~truction ~ien Law-Homeowner's
<br />Protection Guide" prepared .by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br />. other than .the "owner", I certify thl1lt I. have obtained a copy of the above descrlb~d document and promise In good faitH to.
<br />. deliver It to the .owner- prior to collJmencement. . '. :
<br />CONTRACTOR'S/OWNER~S AFFIDAVIT: I certify that all the. Information In this application Is accurate and:lhat all Work
<br />'Hill be don~ In compllam~e with all applicable laws regulating construction, zonitig and land development. 'Appllcatlon 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, zonlOg regulations, and land development regulations In the jurisdiction. I also
<br />. . certifY that I understand that th~' regulations of other government agencies may apply to the intend~d work, and that It is .
<br />my responsibility to Identify what actions I must take to be in compliance. S~ch agenpies Include but are hot limited to:
<br />_ Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive .
<br />Lands, Water/Wastewater Treatment. '.
<br />Southwest . Florida Water Management Dlstrlct-Weils, Cypress i3ayheads,' Wetland Areas, Altering
<br />Watercourses. . .' .. . . ..
<br />Army Corps of Engineers-Seawalls, Docks,.Navlgable Waterways. ... . .
<br />Departm'ent of He~lth & Reh~bllitatlveSerVlces/EnvironmentBI Health Unit-Wellsl 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 p'lan addr:essing a
<br />. .compensat,ng volume" will be. subJ"!'litted at time of permitting which is prepared by a professional engineer.
<br />.lipensed by the State of Florida. . . .. . ~. .'
<br />If the fill. material Is to be used in Flood Zone "A" In connection Wlth a permitted bUilding using stem wall
<br />. construction, I certify that fill will be used only to 'fill 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 hot. adversely affect adjacent
<br />properties. if use of fill Is found to adversely affect adjacent. properties, the owner may be ~Ited for v.lolatlng
<br />. : the conditions of the building permit issued under the attached 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 FOR THE OWNER, I 'promlse In good faith to Inform the' owner of the pei"mlttin~ conditions set fo~h In
<br />this affidavit prior to commencing. construction. I. understand that a s~p~rate perm!t m~y be reqUIred for electrical wor~,
<br />. . _ plumbing, olgno,. wollo, pooIo, air conditioning, goS,. or other Inslellebons nm opec1flcally Included In the applicaUt"- A
<br />ermlt Issued shall be construed to be a, license. to proc.eed with the work and not as authority to violate, c.ancel, al er. or
<br />~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building ~ff1~li: ~Qm .t~e~ea~:d
<br />requiring a correction of errors In pians, cQnstruction or violations .of any code~. Every permit 'ssu~ .; a k eC~he. IOda by
<br />unless the work authorized by such permit is comme~ced within six months o! permit issuance, o~~~~d. a~n ~~t~~slon
<br />
<br />::::"~:u::!:~e~~~=~: ::l::~b<~~~ ~~:r ~e<~\h:,? ::jf ~l!;e:t =hi~d~trale
<br />justlfla~le cause. for th~ extension. If work ceases for ninety (90) consecu. \Ie ays,. eo. .
<br />. ...... " E OF COMMENCEMENT MAY RESULt IN YOUR
<br />WA~NING TO OWNER: YOUR FAILUREo~~~:Cp~~~~~T:;yOU INTENOTO OBTAIN F~NANCINGi OONSULT
<br />. PAYING TWICE FOR IM~ROVEMENTS T R CO 01. G YO 0 I . OF . 0 . N. CE ......J
<br />WI 0 L TT HEY B 1. ~
<br />. FLORIDA JURAT (F.S.117.03) CONTRACTOR ..L<.. ~'-:" ~. . if't"- 11,-, ...sf-
<br />OYiNER OR AGEN Subscribed and Swom to (or affll"!11ed) before me this I 5.
<br />Subscribed and . ~~. byOT.c;:c..,<,- L..r--D$<];. . .
<br />. ft ~...:sr ~~ by Uv knoWn to me or haslhave produced . .
<br />. . WlW.slare perso own. lb me 0 aslhave prodUCed . Who Isfare ~ona . as IdenUflcaUon. " .'
<br />.' ;;0. L .'. :., as '~el)~~o~d
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<br />. CommissIOn No.; .
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<br />Name ofNo~~d: 'p"hted'~sl8mp~
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<br />. Na~e ~f Notary typed:prlnled or stamped
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