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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be. subject to "deed" restrictions"
<br /> which' may be mor 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 be: cited for a misdemeanor violation
<br /> under state law :.lf the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they,are' 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 properlylicensed and is not entitled to permitting privileges in Pasco
<br /> County. . • , .' : - . ., ,
<br /> TRANSPORTATION IMPACT /UTILITIES IMPACT AND. RESOURCE RECOV F EES The undersigned understands
<br /> that Trans'portation.Impacf'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 Coujaty ordinances. '
<br /> CONSTRUCTION LIEN LAW (Chapter Flor(da as amended): If valuation of Work is $2,500.00 or more, l
<br /> certify that :I, the; applicant, have been provided 'with 'a copy of the "Florida Construction Lien Law— Homeowner's
<br /> Protection Gulde prepared -by, the Florida Department of Agriculture and Consumer Affairs. lithe 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 r wor will development regulations in the jur tion. I
<br /> con County and City codes, zoning regulations,
<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 ' 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. Bayheads, Wetland Areas, Altering
<br /> Southwest Florida Water Management District- Wells, Cyp ress y
<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 Tartks.. Asbestos 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 m ensating vol
<br /> `fill material us " ll be submitted at t Zone "A", it Is understood that a ime of permitting which is prepared r by agprofessiona addressing
<br /> engi engineer
<br /> "compume"
<br /> licensed by the State of Florida. ,
<br /> - if the fill material is to be used in Flood Zone " lA"he area connection
<br /> tn th ithtem w mitted building using stem wall
<br /> construction, I certify that fill will be used only t f
<br /> - If. material is to •be used. In .any area, affec certify adjacent will hot
<br /> may c affect d for violating
<br /> properties. If use of fill is found to adversely
<br /> the 'conditions of the building permit issued' under th e ttahe pe application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan-is
<br /> If I ani the AGENT FORTHE OWNER, 1 promise in good h that n a o sepahat permit may be for work
<br /> this affidavit prior to Commencing construction. i,und estand
<br /> plumbing,
<br /> ,permit .
<br /> sins, ells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> d l 'to violate, canceL alter, or
<br /> issued shall l be construed to tie. a license for shaft ssua a perrrttipreventathehBU I Official from t ereaalid
<br /> setaside any provisions of the technical codes,
<br /> .requiring a correction deed by in `plans', constru tl ommenviolations in six of perm ermit or work authorized io
<br /> unless the Work authorized .by ndo permit is commenced 90 da s an will demonst
<br /> the`permit is suspended.or abandoned ed for a period of sitfox ) months after the period not to. exa edtninetyr( is commenced. An ex ens
<br /> may be requested, in :writing, from the Building ,,
<br /> justifiable cause for the
<br /> extension. If work ceases for ninety (90) consecutive days, th�job is considered a
<br /> OWNER: YOUR FAILURE TO RECORD A` NOTICE .OF IN�END TO E BT NT FINANCING, I ONSU T
<br /> WARNING TO TO YO PROPERTY IF Y
<br /> PAYING . TWICE FOR I .•�,�. CE.0 _N
<br /> T. • I E s • : � j ilu: • Y : EFO' • EC0' DI G OM. NO l E.O' _ li
<br /> FLORIDA JURAT (F:S. 117.03) Al
<br /> ipp
<br /> CONTRpCTO' �..� �= e this m crow e.g. Ile and sworn to (or a
<br /> O bscrI OR AGENT swom ;� 7 - e this De- ro,,E0 Subscribed a . Giu0«
<br /> S��bscrlbed and swum to or a' �;��t - � 6 y
<br /> I" b
<br /> f 469 by ' ✓ "44 personally known to me or has/have produced •
<br /> Who Mare personally known to r�r gor produced
<br /> Wh °r° r as Identification.
<br /> Notary Public
<br /> � � .• `�
<br /> N o ta ry Public
<br /> / , Commission No. 77 Z3
<br /> Commission No. D� 77ji' O2
<br /> Na
<br /> - ` `
<br /> Name of Notary typed, printed or stamp- ' ,. :: Commission DD 774023
<br /> ed, rl `' ` ; P DD 774023 _ � -- . Expires June 6, 2012 ��
<br /> Name of Notary tyP p _;. : , .e_ -: , ,,, aa,aaamNuovF.�n�Mw."o.
<br /> ' ' ` Expires June 6, 2012 . ov �
<br /> 1 `„ „�yTMNiroy
<br />
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