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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 — 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 at may "contractor
<br /> an indication t that application for which they is not properly licensed will
<br /> and is not ent to permitting sign as the
<br /> privileges Pasco
<br /> contractor, th
<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 pald 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 land 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 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 mate rial !s volume" w b ll used s submitted at time of permitting which Is p that repared drainage
<br /> professio addressing
<br /> engineer
<br /> "compensating " i
<br /> licensed by the State of Florida.
<br /> - If the fill material Is to be used in lo " lA"h area connection ecti within the wall permitted building using stem wall
<br /> used only construction, I certify that fill will be u Y to f
<br /> If fill material is to be used in o adve adversely affect adjacent properties, the will
<br /> owner may r be i cited for adjacent
<br /> -
<br /> properties. If use of fill Is found to violating
<br /> o Y
<br /> the conditions of the building permit issued under the as he permit 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 THE OWNER, I promise in good permit the
<br /> may be permitting conditions set forth in work,
<br /> this affidavit prior to commencing construction. understand
<br /> sins, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> plumbing, 9
<br /> permit Issued shall be construed to be a licensenor shall I sua a permitpreventahehBuilding Officeal from thereafter
<br /> q 9
<br /> to, violat, cancel, alter, or
<br /> set aside any provisions the technical codes, Invalid
<br /> ions of re ulrin a correction of errors in plans, construction orcvelodl within six months of permit pssua or work authoshall extension unless the work authorized such permit is commenced days and wil! demonstrate x ension
<br /> the permit is suspended or r abandoned for a period r a period not to after
<br /> t exceed ninety (90) r(pcommenced. An ex en
<br /> may be request In the ea te n from the Building
<br /> Official fo th nety i considered abandoned.
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, COMMENCEMENT MAY RESULT IN YOUR
<br /> WARNING TO OWNER: YOUR FAILURE Y OU R PROPERTY.TIF YOU INICE OF TO O =TAI FINANCING, ' CONSULT
<br /> PAYING TWICE FOR IMPROVEM BEFORE RECORDING YOUR NO _ !.�
<br /> WITH OUR LEN ER U' A � ' �
<br /> `Air ' FLORIDA JURAT (F.S. 117.03) CONTRACTOR
<br /> . +� this .7uN
<br /> OWNER OR AGENT .�.�..� ��NE Subscribed and sworn to (or��o/ov. Lau
<br /> H
<br /> Subscribed and sworn to (o��� '• f y" - uy
<br /> gr ? p r by O yvh• personally known to me or ass produced
<br /> ar
<br /> Who (Dare personall kn own t m or has fica oproduced a Identification.
<br /> Notary Public
<br /> 40° DD 77 023 ' ' Comm on No.
<br /> b 7 71,t0 2.3
<br /> Commission No. _
<br /> - printed or stampe `' .o∎ 't:. Commission DD 774023
<br /> Name of Notary typed, prl
<br /> Name o Notary typed. P I„ I • = Expires June 6, 2012
<br /> • dt ; ;. e ;,P' ;mmission DD 7740 i o 1 P
<br /> Ins 2012 \ FOP e5 ,,.• Bonded TM, Troy WI Im o°. 800.385.7P19 ill Expires June 6 i"
<br /> >✓ '' Banco ll w troy PB�n Inlureoa 800 385 0105
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