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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit liIlay be subject to "deed" restrictions"
<br />w!J!b!''!iI~Y~Q'CJlle. n~91~ctive than County regulations. The. u.ndersig~~d assumes tr!3s~onslbtllty for ,compliance with any
<br />applicable deM restrlbtlens. H~.Js"' .,' ttI' : .~: \,~ -. ' .'
<br />UN~EN1)epOO~'J~~TORS AND CONTRAC(TR~.~E;5PONSIJ3.1l.111E~: . the owner has'fiirelli s contractor or
<br />contracTots to" ulfdertake work, they may be require4:td hS, Liq~I'}l\~~..in:pc~dlanc ~it" s\at~M.Io~.(egulations. If the
<br />contractor is not licensed as required by law, both the owner and contractor may be c1ted'foi'-a'frnsdemeanor violation
<br />under state law. If the owner or intended contractor are uncertain as to what)ipensl,ng requirements may apply for the
<br />intended work, they are advised 10 contact the Pasco County Building Inspection Division-licensing Section at 727-847-
<br />8009. Furthermore, if the owner has hired a contractor or contractors, he is adv!sed to have the contractor(s) sign
<br />portions of the .contractorBloq~" of thl~ ap'plication for which they will be resRonslble, If you, as the owner sign as the
<br />contractor, that may'bei1t\~.J.o~ti!ln~at..~e i~ .~ot pf8ierly Iicens~d ~nd~not e.ntltl~.to, PQt,mitting privileges in Pasco
<br />County. ' l,.",' "\ . . " , ....' "
<br />TRA~SpeRTATION IMPACT/YTILlTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transportation Impact Fees ar'\d~eco\Jrse Recovery Fees may apply'to theconstruqtion of Jlfiw buildings, change of
<br />use in existing buildings, or expansion of existing buildings, as specified in 'Pasco County Ordinance number 89-07 and
<br />90-07, as amended. The undersigned also understands, that sucf:t.Mlt!:;, as may be due, will be identified at the time of
<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 project does not involve ~rtificate of occupancy or
<br />final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco f;ofJ'lty Water/Sewer Impact
<br />fees are due, the~\~.~t. be pajp pflpr to"per\Dlt,issuance in ac, cordance W"ith applicable Pasco elflU1ty ordinances.
<br />CONSTRUCTION~!,,"!5AV.~t.r..M3t: F.~"~J.lt"\~~am..nde~): Jf yaluEdion 'OJ ~k is $2,500.00 or more, I
<br />certify that I, the applicElnt, hBve beEln provided with a copy or tM "~rrcfcl. conlltfctioa~en Law-Homeowner's
<br />Protection Guide" prepared by the Florida Departm.ent of ~Qriculture and Consumer Affairs" If the. applicant is someone
<br />other than the .owner", I certify that I have obtained 'a' copy of the above described document '!indo premise In good faith to
<br />deliver it to the .owner" prior to commencement. )
<br />CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application Is accurate and that all w~~
<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 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 agencies include but are not limited to:
<br />Department Of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment.
<br />Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br />Watercourses.
<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 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 th!3 fillmateri~1 is' to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br />.compensating volume" 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 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 of fill Is found to adversely affect adjacent properties, the owner may be cited for violating
<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 promise in good faith to inform the owner of the permitting conditions set forth in
<br />this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<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 proce?d with the work a~d not as authorio/ !o violat~, cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Building OffiCial from the~e,aft~r
<br />requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become 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 six (6) months after the time th~ work is commenced: An extension
<br />may be requested, in writing, from the Building Officia~ for a period not t~ exceed nln~ty ~90) dars and Will demonstrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS conSidered abandoned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT INYOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR ANATT NEY BEFORE RECORDING YOUR N TI OF COMMENCEMENT.
<br />FLORIDA JURAT (F.S. 1 3
<br />
<br />OWNER OR AGENT
<br />Subscribed and swom to
<br />by
<br />Who Is/are personally kn
<br />
<br />
<br />to me or haslhave produced
<br />as identification.
<br />
<br />CONTRACTOR
<br />Subscribed and swom to (or afflnned) before me this
<br />by
<br />Who is/are personally known to me or has/have produced
<br />as Identification.
<br />
<br />Notary Public
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
<br />Commission No.
<br />
<br />Name of Notary typed, printed or stamped
<br />
<br />Name of Notary typed, printed or stamped
<br />
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