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<br />NOTICE OF .DEED RESTRICTIONS: The und9rslgn~d understands that this permit may be subject to "d'eed- restrlctloris.
<br />. which may be more restrictive than County regulations. The undersigned assumes tesponslblllty forc.ompllance \NIth any
<br />applicable deed r~strlctlons. ..... .
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:' If the owner has hired. a contractor or
<br />c,?ntractors to undertake work, they may be required to be I,censed In aCcOrdance with state and locall'egulatlons. If the
<br />contractor Is not licensed as required by law, both the owner and con~ractor may be cited fQr a mlsdemeanot vlolaUon
<br />under state law. If the ~wner or Intended contractor a~e uncertalh as to what lIf?8nslng requlrement~ may apply .f~r the
<br />Intended work, th~y are advlsed.to contact the Pasco County Building Insp~ctlon Dlvlslon-Llcensl1:19 Section at 727-847-
<br />8009. Furthermore, If the oWner has hired a contractor or contractors, he Is advised to have thE! contraotor(s) sign
<br />. portions of the .contractor Block" of this ~ppllcatlon for which they Will be responsible. If you, as the owner sign as the. .
<br />contractor, that may be an Indication that h~ Is not properly IIcerised and Is hot entitled to permitting prIVIleges In Pasco
<br />County. . . .
<br />TRANSPORTATION I",PACT/UTILITlES IMPACT AND RESO~ROE REO OVERY FEES: The undersigned understands
<br />that Transportation Impact Fees ~nd Recourse Recovery Fees may apply to the construction of new bUildings, chahge of
<br />. use In. existing bulldlngs~ or expansion of existing buildings, as specified In Pasco County Ordinance hllmber 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 lmderstood. that Transpo~atlonlmpact Fees and Resouree Recovery Fees must be paid prior to
<br />, receiving a "certificate of occupancy" or final power release. If. the project does hot Involve B cerllflca~e of oCCllpi:!hcy or
<br />filial power. release, the fees must be paid prior to permit Issuance. Furthermote; It Pasco CountY. Water/Sewer Impact
<br />. fees are due, they must be pal~ prior to permit Issuance In accordance wJth applicable Pasco County ordinances.
<br />CONSTRUCTION LIEN LAW (Chapter.713, Florida Statu.es, as amended): 'If valuation of Worlds $2,500.00 or more, I
<br />. certify that I, the applicant, have been. provided wIth a copy of the "Florida Con~tructlon ~Ien Law-Homeowner's
<br />Protection Guide" prepared by the Florida Department of AgricUlture and Consumer Affairs. If the applicant Is sol11eone
<br />other than the .owner., I certify thl11t I. have obtained a copy of the above described document and promise In good faith to
<br />. deliver It to the "owner" prior to commencement. . .
<br />CONTRACTOR'S/OWNER~S AFFIDAVIT: I certify that all the.lnformatlon In this application Is accurate and,that all Work
<br />will be donEl In compllanqe with all applicable laws regulating construction, zonli"ig and land develop'inent. -Application Is
<br />hereby made to obtain' a permit to' do work and Installation as Indicated. I certify that no work or Installation has
<br />commenced prior to Issuance' of a permit and that all work will be p~rformed to meet standards of all laws regulating
<br />construction, County. and City codes, zoning regUlations, and land development regUlations In the jurisdiction. I also
<br />. . certifY that I understand that th~' regulations of other government agencies may apply to the Intended work, and that It Is
<br />my responsibility to Identify what actions I mUst take to be In compliance. Such agencies 1I1clude but are not limited to:
<br />Department of Environmental proteCtion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, WaterlWastewater Treatment. . .' .
<br />Southwest . Florida Water Management District-Wells, Cypress' l3ayheads,' Wetland Areas, Altering
<br />Watercourses.' . .' . , '. .
<br />Army CorPs of Englneers-Seawalls, Docks,. Navigable Waterways. . . ..' .' .
<br />Departm'ent of He~lth & RehabllltatlveSerVlcesJEnvlronmental H$alth 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 res~ctlons apply to the. use of fill:
<br />Use of,flllls.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 addr.esslng a
<br />.compensatlng 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 "A" In connection with a permitted bUilding using stern wall
<br />~olistructlon, I certify that fill will be used only to 'fill the area within the stem wall. .
<br />. If fill. materll;ll 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 vtolatlng
<br />the conditions of the building permit Issued under the attached permit appllcatlQn, 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 sep~rate permit may be required for electrical wor~,
<br />. ' . plumbing, signs, wells, pools, air conditioning, gas,' or other InstallatlonsnQt specifically Included In the application. A
<br />permit Issued shall be construed to be a IIcans.e. to proceed with the work and not as authority to violate, c.ancel, alter. or
<br />se~ aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Building Official frQm .t~erea~er
<br />. requiring a qorrectlon of errors In plans,CQns~ructlon or violations ,of any code.s. Every permit lssu~d 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 ab.andoned for a period of six (6) months after the time th~ ~~rk 15 commenced. . An extension
<br />may be requested; In writing, from the Building Official fora period not to ex~ed ninety (90) days..and wlll,demonstrate
<br />justifiable cause. for th~ extension. If work ceases for ninety (90) consecu,tlve days, the job Is considered abandoned. . .
<br />
<br />: WARNING TO OWNER: YOUR FAILURE TO REC~RD A NOTICE OF COMMENCEMENT MAy ~E~ULt IN YOUR
<br />. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YPU INTEND. TO O.BTA~N F,NANCING; OONSUL T
<br />, Y CO U .
<br />. FLORIDA JURAT (F..S. 11?,.03) / d> . ~/ ~ j J --=-,) ~
<br />OWNER OR AGENT ~ . CONTRACTOR. /. V---::. '{ r-- - -~ .
<br />Subsatb~ and sWorn to (or amnn~)..bef0r8me this. SLlbsa1blN..Jlnd sworn to. (or .Iftnned) before me s
<br />B zS",,)B by NIf.Ha.A<' WOItSt"J . b'=26--C'b by IVI~ftOcRS ~J'(y
<br />Who Is/are personally known tb me or haslhave produced Who IslaJa personally knoWn to me Dr hSslhave produced .
<br />. . L. u......~. .' as IdenUflcaUon. . U ~~. as IdentlflcaUon.
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