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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to 'deed" restrictions"
<br /> which may be 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 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 contact the Pasco County Building inspection Division— LCensing 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 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 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 /> 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 work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and and development regulations in the jurisdiction. I 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 I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protectibn- 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 " bill used submitted at time ofpermittf g which o is p that repared ar by a engineer
<br /> "compensating volume" wi
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood only "lA" in
<br /> area ecti within the it htem vy mitted building using stem wall
<br /> construction, I certify that fill will be Y to f
<br /> If fill material Is to be used in any area, I certify that use of such fill will
<br /> n not dver se l cit e d fora t
<br /> properties. If use of fill is found to adversely affect adjacent properties, the
<br /> the conditions of the building permit issued under the attached ermit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage p
<br /> If I am the AGENT FOR THE OWNER, I promise in s understand thatnaosepahate permit may be rlequ d for conditions
<br /> electr cal wo�A
<br /> this affidavit prior to commencing construction. I.un
<br /> der
<br /> sins, wells, pools, air conditioning, gas, or other Installations not specifically included in the application.
<br /> plumbing, 9
<br /> permit Issued shall be construed to be a license to proceed with the work and not as authority to, violate, cancel, alter, or
<br /> set aside any rec of provisions the technical codes, nor shall Issuance of prevent the Building Official from t ereafter
<br /> of a p s. permit issuance, or If work authorized by
<br /> requiring a correct
<br /> Ion 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 six months p
<br /> the permit is suspended or abandoned for a period of six (6) months
<br /> after
<br /> to the days and demonstrate
<br /> may
<br /> may be requested, In writing, from the Building Official for p
<br /> Justifiable cause for the extension. If work ceases for ninety (90) consecutive days theob Is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT YOUR
<br /> CEME_TNT NT FINANCING, MAY RESULT I IN N CONSULT
<br /> "^IiTN �R OR.:a► r : - BEF
<br /> PAYING TWICE FOR IMPROVE , ► S TO YOUR PROPERTY. IF YOU INTEND TO � _, rte_ N Eli IN
<br /> irORE RECORDING YOUR NO %I� NT
<br /> WA ,7 ��FLORIDA JURAT (F,S. 117.0 ` / ( CONTRACTOR --_ !re this � OWNER OR AGENT Subscribed and sworn to (or � ivE c
<br /> Si bscribed and sworn to (or affirms• r. ore me th .71., NE 2v /a oy o N
<br /> gr J H 201 by .; o /•/N L I u L y y� h.� _ re personally known to me or hangs Aden ficat on
<br /> Who r�7are personally known to me or h -s /have produced
<br /> as Identification. ,,i7
<br /> / '-' 2 '
<br /> Notary Public
<br /> Notary Public
<br /> D 7 7 ' a D 23 c on No, 0 77
<br /> No.
<br /> Commission • 4 of Notary typed, printed or stamps 1 4 ? " Commission DD 77 02 3
<br /> •.
<br /> - 1 i
<br /> Name of Notary typed, pd of ; � • Name o = P = .mMi J on D 77 yi6 d Expires June 6, 2012
<br /> t `� ."11 ` Expires J une 6, 2012 , ;;oP a O epndodTTM Troy Fein ns rona$800 .38 8.7019
<br /> '�r -. ..- ®y„ po'1IM Troy F01111111{04,101 d00 386.7019 .
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