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<br />NOTICE OF DEED RESTRICTIONS: The undersigned 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 />applicable deed restrictions.
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a. contractW"or
<br />contractors to undertake work, they may be required to be licensed in accordance with slate 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 are uncertain as to what licensing requirements may apply for the
<br />intended work, they are advised to 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 advised to have the contractor(s) sign
<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 IMPACTIUTILlTlES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br />that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new 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 such fees, 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 a certificate of occupancy or
<br />final power release, the fees must be paid prior to permit issuance. Furthermore, 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 (Chapter 713, Florida Statutes, as amended): If valuation 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 Guide" prepared by the Florida Department of Agriculture 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 and promise 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 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 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, WaterlWastewater Treatment. .
<br />Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altenng
<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 offill 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 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. ... II
<br />If the fill material is to be used in Flood Zone "A" In connection with a permitted buildIng uSIng stem wa
<br />construction, I certify that fill will be used only to fill the area within the stem ~all. d. t
<br />If fill material is to be used in any area, I certify that use of such fill will not adversely. affect a. Jac?n
<br />o rties If use of fill is found to adversely affect adjacent properties, the owner may be CIted for vlolatmg
<br />~e ':nditions of the building permit issued under the attached J>E::rmit application, for lots less than one (1)
<br />acre which are elevated by fill, an engineered drainage plan Is reqUired. . . .. .
<br />If , am the AGENT FOR THE OWNER I promise in good faith to inform the owner of the permlttln~ conditions s~t f,orth 'kn
<br />'. d t d th t ate permit may be reqUired for e'ectnca wor ,
<br />this affidavit prior to commencing construction. I un ers an . a a s.epar . IC8I1 included In the application. A
<br />pIUm~i~g, signs, wells, poo:s, ~rt C~diti~ning, eg~sp:c~:e~:~;~~I~a~~~~ ~~~ ~:: auihority to violate, cancel, alter, or
<br />
<br />~:~~:i~~s~~~ ~~:~~s~n~;fst~etec~ni~~ ;:;:, n?r shall.iss~ance of a permit prevent the~~i1~~~e~~~~: ::c~::~~:~~~~
<br />
<br />requiring a correction o! errors in plans, ~tn~truction orc:':~~~ ~rxaZo:~e~f :;~1; :uance, or if work authorized by
<br />unless the work authOrized by such perm I IS commen. th k' commenced An extension
<br />the permit is suspended?~ abandoned for.a ~eriod o~ ~~ (6) mo~: aft~~~~~~:~ n~:;r(9~) days and will demonstrate
<br />may be requested, in Writing, !rom the BUIlding ~cla. otyr a(~e)r~n;:Cutive days the job is considered abandoned.
<br />justifiable cause for the extension. If work ceases lor nine , \.
<br />E OF COMMENCEMENT MAY RESULT IN YOUR
<br />WARNING TO OWNER: YOUR FAILURE TO ~:~~~~E~~T:~ Y. TEND TO OBTAIN FINANCING, CONSULT
<br />PAYING TWIC~ F IMP~V~ME~':E~O 81::0RE RECORDING 0 R TICE OF C MENCEMENT.
<br />
<br />FLORIDA JURAT (F. . 11 j
<br />
<br />
<br />
<br />,1 // ,/J /1/
<br />xl...uJ..&- ~ l-r'tPLh Notary Public
<br />
<br />~miSSlon No. 1) U .~ 40 Y <Ktf
<br />Susan Ann Lavallee
<br />, 40486
<br />Name of Notary typed. printed or ... L .; My commlss~ 2008
<br />~'t 0' ,..<1' Explfes July 2 .
<br />
<br />~
<br />J;1..iJ-i~ t/AL-AI / ~I
<br />Commission No. Db'~4 () 1I <? f.t,
<br />
<br />Notary Public
<br />
<br />Name of Notary typed, printed or stamped
<br />
<br />,;".~ SillieR "1'11'1 \..3"111189
<br />!.J ~ My Commission DD340486
<br />"1;",'-'!~" Exp"es July 22.2008
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