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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 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 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.
<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 /> " f the fill tang volume" will be used
<br /> submitted at of which o i s p that repared ar by agprofessio addressing
<br /> professional engineer
<br /> "compensating
<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 /> -
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> If fill material Is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> -
<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 lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> ons set forth in
<br /> If I am the AGENT FOR THE OWNER, I promise I In a permit m r d for tl electr cal work,
<br /> this affidavit prior to commencing contio as, or other Installations not specifically included in the application. A
<br /> plumbing, signs, wells, pools, , aair condiditionioning, g
<br /> permit i id e a ny p is io construed ns of the te co hn i s a lical code es, nor shall Issuance of a permit prevent the Official from thereafter
<br /> set ase any proviocio , or
<br /> requiring a correction of errors in plans, construction lwithin six months of perms Pss ermit Issue
<br /> oaif shall
<br /> Invalid
<br /> unless the work authorized by such permit is commenced
<br /> the permit is suspended or abandoned for a peri0 of
<br /> Official period after the
<br /> to time ty days and dem d. An trace
<br /> may be requested, In writing, from the Building
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, theob is considered aban on EMENT MAY RESULT IN YOUR
<br /> WARNING TO OWNER: YOUR F.' ILUR a TO
<br /> OUR PROPERTY. T IF YOU INTEND TO 0;;3 AIN FINANCING, CONSULT
<br /> PAYING TWICE FOR IMPROVE �� FORE RECORDING YOUR NO +_�°= u N EMENT.
<br /> WITH YOUR LE • ER OR •.J -- (tritiv FLORIDA JURAT (F,S. 117.03) �� �
<br /> � " CONTRACTOR • a this 7un v OWNER OR AGENT �e lhls � ' a NE Subscribed and sworn to (o 3 E«
<br /> Si bscribed and sworn to (or affirm =• �• 14/o uy '
<br /> g Pi b -I D /./N G i✓' y Wh.� . re personally known to me or has /have as produced
<br /> W ho �a a ersr P onaily kno to m----,e
<br /> as Identification. Identification.
<br /> f N otary Public
<br /> / � ' �
<br /> , � _�_ _.
<br /> �____- Notary Public
<br /> DD 77/1 423 Commission No.
<br /> b ?75 Z3
<br /> �-.mmis No. ,,,,.;„ , „ _ e • ,
<br /> 1
<br /> dontl
<br /> e Name of Notary typed, Printed or stampe : ° _ Commission DD 774023
<br /> : •.;dt' :P = :mmission DD 7 74 0 2p *h • 6 ��
<br /> Name of Notary typed, prl '1.11; „�,•a: Expires June , 2012
<br /> � '' "` 2012
<br /> � `Expires June 6, k .......... � oG TON troy Fein Inturano. 800 .3864 D 19
<br /> : 4 Y BennaoTM Troy NM Inlurnnrto POO 385,7019
<br />
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