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<br /> NOTICE OF DEED RESTRICTIONS : The undersigned understands that this permit may be subject to "deed" restrictions"
<br /> which maybe 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 contractor or
<br /> contractors to undertake work,. they may be required to be licensed in accordance with state and local regulations. If the
<br /> ' contractor is not licensed as required by law, both the Owner and `contractor may:he, cited for a misdemeanor violation
<br /> under state law.:: If the owner or Intended contractor are uncertain as to what licensing requirements may apply tot the
<br /> intended work, theyiare 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 IMPACT /UTILITIES IMPACT AND RESOURCE R 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 Comity 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 /> 1
<br /> deliver it to the "owner" prior to commencement.
<br /> CONTRACTOR'SiOWNER'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 Wotk 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 ulations in the jurisdiction. 1 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 1 must tak to be in compliance. Such agencies include but are not limited to:
<br /> - Departm, ent of Environmental Protection- Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment. I, Bayheads, Wetland Areas, Altering
<br /> - Southwest Florida Water Management District- Wells, Cyp ress y
<br /> Watercourses.. 1
<br /> Array Corps of Engineers - Seawalls, Docks, Navigable Waterways. •
<br /> - Department of Health & Rehabilitative Services /Environmental Health Unit- Wells, Wastewater Treatment,
<br /> Septic Tanks. 4sestcs b abatement.
<br /> - US Environmental Protection Agency
<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 /> " f the fill tang vo lume .is " be used in Flood
<br /> ted at time of permitting which understood
<br /> is prepared drainage
<br /> professio addressing r engi engineer
<br /> "compensating vo" will be submitted
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection it htem �yi mitted building using stem wall
<br /> construction, I certify that fill will be used only to fill the area with in the
<br /> - If fill material is to` .be °used . in .any area, f affect adjacent properties, the will not
<br /> adversely affect
<br /> d for violating
<br /> properties. If use. of fill is found to ad Y
<br /> the conditions of the building permit issued under the attached q irmit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan .
<br /> If I am the AGENT FOR TyE,OWNER, I promise in good °stand that a sepahat permit may permittin conditielons work in ,
<br /> this affidavit prior to commencing construction. Lund
<br /> sin shall . ells, pools, air conditioning, gas, or other installations not specifically in in the application. A
<br /> plumbing,
<br /> permit issued hall ll
<br /> not i construed to b.e. a license to shai( issua a pe r mi t prevent the B it mg a Official from t ereafter
<br /> q 9
<br /> set aside .any r provi s ions o the technical coodes, Invalid
<br /> .re
<br /> .requiring a correction of errata in plans; construction or elodlaNti {Irvin six of permit permit
<br /> issuance, or if shall work authorized by
<br /> unless the work authorized by such permit is commenced 90 days and will demonstrate
<br /> the *ermit Is suspended or abandoned for a period of six months not after the
<br /> ezti time work y k is) is con s abando ed. menced. An extension
<br /> p
<br /> may be requested, in .writing, - f the Building Official-for period .
<br /> justifiable cause fbr the extension. If work ceases for ninety:(90) consecutive days, ULT n YOUR
<br /> WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RES
<br /> PAYING TWICE FOR IMPROVEM TO YOUR PROPERTY. IF YOU -
<br /> 1 INTEND TO � : �• , . ,INAN CONSULT EM T.
<br /> W T. YOU;` LE 0 , .i Mill j - " - - _ , �1 � -
<br /> FLORIDA ,!URAT (F:S. 117.03)
<br /> CONTRALTO' : EFO - E RECO � D1 G OU NO I �4 e lse L� i'EdiGU OWNER.OR AGENT A ",,re Subscribed and sworn to (or a °" Subscribed and sworn to�or a red ye r.4 by ?�"'�'
<br /> 2oT/f . by ../ o N .— Wh personally known to , slhave produced
<br /> oq b y ;as ave produced as identification.
<br /> Who pare •ersonall known to as identifcation.
<br /> /;O-------'---j'1° tary Public
<br /> �fi Notary Public p Z 3
<br /> DP 7'74 02 �
<br /> Commission N . b 775
<br /> Commission No. Expires June 6, ,«.„ •
<br /> Name of Notary typed, printed or stamp: 1,:: ,,, :_ Commission DD 774023
<br /> typed, ri �a Ammission D 7 �� Expires June 6, 2012
<br /> Name of Notary ryp �P ` - , -,,:..P
<br /> 121 4`
<br /> 2012 'Fpr ; `9 Bonded llm' Fray Fein lnewanee 800486-7019
<br /> w ::. h"nde611w trey Fain Invest** SO04854019
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