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<br /> NOTICE OF DEED RESTRICTpNs: The. undersigned understands that this permit may be subject to "deed' resbletions"
<br /> igthich may be more restrictive thee County regulaeons, The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: af the owner has hired a contractor or
<br /> contractors to tindert ke. work, they may be requited to be licensed in accordance with state and local regulations. tf 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. 3 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—Lie,ensing Section at 727-847-
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<br /> 8009. Furthermore, 3 the owner has hired a contractor or centractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they well 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 privReges in Pasco
<br /> County.
<br /> TRANSPORTATION iMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation impact Fees and Recourse Recovery Fees may apply to the =instruction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance nurreeer 89-07 and
<br /> 90-07, as amended. The undersigned ease understands . that such fees, as ritzy 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 VVateriSewer Impact
<br /> fees are due, they must be paid prior to permit issuance in acoordance 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 thci "Florida Construction Lien Law--Homeownees
<br /> Protection Guide" prepared by the Florida Department cf Agriculture and Consumer Affairs. 3 the applicant is someone
<br /> other than the "owner, I certly that i have otatiried a e.,opiy of the above described document and promise in good faith io
<br /> deliver it to the "owner" prior to commencement
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that ail the information in this application ira accurate and that at work ..
<br /> wit be done in compliance with ail applicable laws regulating c.enstemtion, zoning and and development Application is
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<br /> hereby made to obtain a permit to do work and installation as indicated. i cerfify that no work or installation has
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<br /> commenced prior to issuance of a parent and that alt work will be performed to meet standards of ell avas regulating ..
<br /> construction, County and Cite codes, zoning regulations, and Land development regulations in the jurisdiction. I also
<br /> certify that 1 urderstand that the regulations of other government agencies may apply to the intended work, and that it is ,
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<br /> my responsibility to identify what actions 1 must take to be in compfrareee. Such agencies include but are not limited to:
<br /> Department of Environmental Proteion-Cypress Bayheads, Wieland Areas and Environmentally Sensitive.
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<br /> Lands, WatertWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,. Altering •
<br /> VVatercourses.
<br /> - Army Corps of Engineers-Seawalls, Cocks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative SereicesiEnvircaiirrental Health Unit-Walt, VVastewater Treatment,
<br /> Septic Tanks.
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<br /> - US Environmental Protection Agency-Asbestos abatement •
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<br /> - Federal Aviation Authority-Runways. •
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<br /> I understand that the following restrictions apply to the use of frth
<br /> Use of fili is not allowed in Flood Zone "V"' unless expressly permitted.
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<br /> - If the rill 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 w prepared by a professional engineer •
<br /> licensed by the State of Fonda. •
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<br /> - 3 the fill material is to be used in Flood Zone "A in connection with a permitted building using stem wail •
<br /> construction, I cart that fill w& be used only to fiii the area within the stem vitae •
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<br /> - If fili material is to be used in any area i certify that use of su 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 violating
<br /> the conditions of the building permit issued under the attached permit application, for iots less than one (1)
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<br /> acre which are elevated by MI. 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 forth in
<br /> this affidavit prior tc commencing =astructiori. I understand that a separate permit rray be required for electrical work,
<br /> plumbing, signs, weils, poois, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a ikaense to proceed with the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, not shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within ss months of permit issuance, or if work authorized by
<br /> the perme is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br /> may be requested, in writing. from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. if work eeaaeia for ninety (90) consecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU' NOTICE OF COM /ENCEMENT. .,.
<br /> FLORIDA jURAT (P S. 117 C:',:t
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<br /> OWNER OR AGENT CONTRACTOR ff A ..,
<br /> Subsotibeci and sworn to for atrrnerb -before me tilts aPaord, , - /kJ, ek - • • to for off .- ) before me ttYs •
<br /> t_64,i Ar lik ■ ' \ h. '
<br /> Vino is/are personaity known to me or hasrhave produced _Wtto :afar , bars ., ,atty Known s rnz hasibaye prodoceb
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<br /> as inertbrkttatton. as identitcation. .
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<br /> rdrikar, r=obito„ - ________tdotary Putatic
<br /> Commission Na_.__.__ Cs n No --- \ L 74
<br /> Nam of Notary typed, printed ot stantetni tiarne of t•lotory teii Or stamped
<br /> CYNTHIA L SMELSER
<br /> * * MY COMMISSION # DD 771672
<br /> • '74 EXPIRES: July 23, 2012
<br /> 4 ›. e
<br /> 4 re omc e. Bonded Tin Budget Notary Barytes
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