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NOTICE OF DEED. RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br /> which may be niore 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 RECOVERY 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 Cou,pty 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..
<br /> - Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering
<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 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 Is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill the area within the stem wall'
<br /> If material is to be used in .dversel affect adjacent properties,. the owner may cit d for viiolating
<br /> properties. to a If use of fill is found to adversely
<br /> the conditions of the building permit issue under th attached permit application, for lots less than one ( )
<br /> acre which are elevated by fill, an engineered 9 e la
<br /> If I am the AGENT FOR THE OWNER, I promise In good stan that a permit may be r for rica
<br /> tl eleetr cal work,
<br /> this affidavit prior to commencing construction. I
<br /> sins, wells, pools, air conditioning, gas, or other Installations not specifically included in the appi w A
<br /> plumbing, d
<br /> Permit issued . be construed to be . a license to issua ce a permltpreventaheh Off icial from t er
<br /> set aside any provisions of the technical codes, nor
<br /> shall
<br /> e uirin a correction of errors In `plans; construction or violati{hln s a months of permit permit issued
<br /> if shall wor autho by
<br /> rq 9
<br /> unless the work authorized by such permit is commence
<br /> the permit is suspended or abandoned for a period of si fo s a m e� od not to exoeed the
<br /> nine ywork
<br /> (90) d and commenced.
<br /> wiil demonstrate
<br /> theob is considered aban one .
<br /> may be requested, in . writing, .from. the Building Off i c ial p.
<br /> justifiable cause for the extension. If work ceases for ninety 90) consecutive days, COMMENCEMENT MAY RESULT IN YOUR
<br /> WARNING TO OWNER: YOUR FAILSR
<br /> E TO RECORD A YOUR PROPER YOU INTEND T O O AIN FINANCING, CONSULT
<br /> PAYING TWICE FOR IMPRO NTS T ,� , .� EN
<br /> i ITS OU' LE ' E Z O:.. r�,T-7;L�i.: EFORE RECO' DI G OU' 0 alb
<br /> FLORIDA JURAT (F.S. 117.03) �� �
<br /> ( / CONTRACTOR - •�wr, - +>A .�_ this 7�1/�C'
<br /> OWNER OR AGENT
<br /> Subscribed and sworn to NE Subscribed and sworn to (or a� Gi0��,
<br /> or a" ed) fore me t �v g ?4/a by °N
<br /> e by : ✓ 0 N^ V1Ih re personally known to me or haslhave produced
<br /> Who d are personall known t or asthave Identiflcation
<br /> as Identification.
<br /> 411.0
<br /> 0 1111PP
<br /> Notary Public
<br /> otary Public
<br /> � .
<br /> DD 7 _3 — U 2 Comm - .n No.
<br /> mission No. .. ' •
<br /> •
<br /> . ' ' Name of Notary typed, printed or stamp . ,., „ Commission DD 774023
<br /> Name of Notary typed, prl -,+-;:.P :m • V mission DD 774023 AR , Expires June 6, 2012
<br /> • aq „i„,Iv, TroyFain1mmo*800.385.7019
<br /> "'` ' i Ex June 6, 2012
<br /> a y , °> =, ® Troy fN mow ow S00 385 7019
<br />
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