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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 "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 ECOVERY 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 pald 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 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 " b used submitted at time of permitting which is prepared r by a engineer
<br /> "compensating volume" will
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" l"he area ecti within the it htem vv mitted building using stem wall
<br /> construction, I certify that fill will be only to f
<br /> If fill material Is to be used in to adversely fill
<br /> affect adjacent properties, will owner may cited for adjacent
<br /> -
<br /> properties. If use of fill is found to a Y
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one ( )
<br /> acre which are elevated by fill, 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 /> tallations not specifically included in the application. A
<br /> this affidavit prior to commencing construction. I understand the at a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other
<br /> permit Issued shall be construed to be a license to shall issuance the a work and not as authority
<br /> the Official from thereafter
<br /> aside provisions of the technical codes, nor permit Issued shat) become invalid
<br /> set requiring a any p g a correction of errors in plans, construction or violations of any codes. very p
<br /> work authorized by such permit is commenced within his months of
<br /> time the issuance, e, o r Ifn work
<br /> An authorized
<br /> by
<br /> unless the da s and will demo
<br /> the permit is suspended or abandoned for a period of six (6) mod
<br /> may be requested, In h wre exing, tens io the If work celases Official period not days, thcjob is considered abandoned.
<br /> Justifiable cause for thxion. rk
<br /> OWNER: YOUR FAILURE TO RECORD A NOTICE
<br /> OU ICCOMMENCEMENT F Y RESULT
<br /> C U CONSULT
<br /> WARNING TO OW , YOUR PROPERTY. IF YOU � u FINAN
<br /> FLORIDA JURAT (F.S. 117.03) CIN
<br /> PAYING TWICE FOR IMPR N •Al - EFORE R CORD NG YOUR • N • /
<br /> WITH YOUR LEN ER O' • N •-��- "
<br /> d - ` , ' a
<br /> �`' CONTRACTOR :7+�; � e me this gunk'
<br /> OWNER OR AGENT .�°! "Is - ruw E S ubscribed and sworn too = ' iuEa� -_
<br /> SI ibscribed and sworn to (or affirme�l-u'" " gal 24I R nY
<br /> rti I o by - - T , /1'4 4 i✓F Wh.� _ re personally known to me .r has/h pr
<br /> Who Bare personally known to m ar Identification. roduced j
<br /> as identificatio n
<br /> ' Notary Public
<br /> A -----
<br /> N otary Public
<br /> No. DD 7'7
<br /> Oommissii No. 774/023
<br /> mission , _ • ° "
<br /> Name of Notary typed, printed or stamps _ ', *■ ' : Commission DD 774023
<br /> " -� 774023 ,.:_,:. Expires June 6, 2012 3687019
<br /> Name of Notary typed, prl =,. ,at ; ;P .m mission DD n,umnoo 800•
<br /> t i _ Expires 2012 F,, p_ danyoa Thn t roy Fmn l
<br /> Tres June 6,
<br /> 2L;: `-; ',a:). P9in Inwro"no ON 385.7013
<br /> ,r ®dn2o9�?1tn+lroy
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