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tions"
<br /> NOTICE OF DEED RESTRICTIONS: Th undersigned understands permit may be bj for compliance tric any
<br /> which may be more restrictive than Coun' ✓ regulations. The undersigned s responsibility
<br /> applicable deed restrictions..
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: accordance with skate and
<br /> owner hired a regulations. contractor t r
<br /> contractors to undertake work, they may be required to be licensed
<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 contart the Pasco County Building Inspection Division — Licensing Section at 727-847 -
<br /> 8009. Furthermore, If the owner has I red 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 the he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT /UTILITIES IMPACT AND R ESOURCE RECOVERY FEES: The undersigned understands
<br /> ings, change of
<br /> that Transportation impact Fees and Recourse existin buildings, as specified i Pasco County Ordinance nu 89 -07 and
<br /> use in existing buildings, or expansion o f 9
<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 r release. If the project does involve a certificate t of occupancy o�
<br /> receiving a certificate of occupancy or final power
<br /> 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 Cot.ty ordinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as a d e d ) : If Construction of rk is
<br /> L2 500.00 or more, i
<br /> Law—Homeowner's
<br /> certify that I, the applicant, have been provided with a copy of
<br /> Protection Guide prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the "owner ",1 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 his application land dea a te an that all work
<br /> ik
<br /> will be done in compliance with all applicable laws regulating construction, zoning has
<br /> hereby made to obtain a permit to a miwork nd installation as indicated.
<br /> will be performed to of ail installation
<br /> regulating
<br /> commenced prior of
<br /> to issuance of a permit
<br /> County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations must take to be compliance. Such agencies include but are not limited that it is
<br /> my responsibility to identify what actions I m
<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 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 the fill material is " will used in
<br /> be submitted at time of permitting which o is prepared r by a
<br /> "compensating volume" ill
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in o ecti within the it htem wall permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill the a
<br /> - If fill material is to be used in any area, I affe ad'acent propertiesfilthellowner may d for vaffect
<br /> properties. If use of fill is found to adversely 1
<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 affidavit AGENT FOR THE. OWNER, I promise in good faith to inform the ow e me permiitting cond
<br /> fditions set forth rthrin
<br /> this affidavit prior to commencing construction. lasndoerso{her i nst Ilat ons not specifically included in the application. A
<br /> p m id s wells, ons air o be a iocin g
<br /> permit it
<br /> issued shall be construed to be a license e to proceed with of a permitprevent the Official from then alter,
<br /> eafte
<br /> set aside any provisions of the technical codes, nor shalt issuance ermit Issued shall become invali
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every p
<br /> authorized by such permit is commenced within six after the o fm p e r mi work i commenced. U thorized iby
<br /> unless the work da s a will demonstrat
<br /> justifiable requested, in may the pbaybe is suspended wrd or g, from rom the Building for a peri Offl Official for period not to exceed ninety (90) y
<br /> ong, le ca
<br /> use fo the extension. If work ceases for ninety (90) consecutive days, thf is considere aba ndone R
<br /> OWNER: YOUR FAILURE TO RECORD A NOTIC YOU INTEND COMMENCEMENT
<br /> Ea NT FINANCING,
<br /> RESULT IN YOUR
<br /> PAYING TWICE 0 L . ,l � CE T.
<br /> PIG TWICE FOR IMPROVE i 1 TO : EF E REC • PROPERTY. 0 ' NO m
<br /> WIT, YOU' LE • ; • 7. A .:�'� � _
<br /> FLORIDA JURAT (F:S. 117.03) ell �i CONTRACTO
<br /> i . -� , w
<br /> mow.* nws. this doyemair►-
<br /> OWNER OR AGENT Subscribed and sworn to (o �' yi►e . �_�—
<br /> Subscribed and sworn to o ff 1E o ' - I s AlcvF.4e 2 y rN 2,4 by
<br /> Who by Wh ore p known to me or ease fide p flc u tion.
<br /> Who onally known to m as Identiricatiof
<br /> /°/ ' Notary Public
<br /> No tary Public
<br /> . r . , b ?7110 Z3
<br /> t" 77� 02 Commiss No.
<br /> Commission No. ,S4 •,
<br /> ' Name of Notary typed, printed or stamp: ; a Commission DD2 23
<br /> typed, ri P DD 77402c Expires June 6,
<br /> Name of Notary typ P ; 'f: �: + �' �° doodad l} "Troy FNn lnl"ronao �'�E•
<br /> .� � 2012 tR ,.„
<br /> ...,r° Expires June 6, .5.70,9
<br /> '''',),WV immoo fiN Vey Fpm IMUroMN
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