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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 Fee,s 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.
<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
<br /> tlf
<br /> that u within
<br /> f theh stem w wall.
<br /> not adversely affect adjacent
<br /> If fill material is to be used in any area,
<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. condi
<br /> rth in
<br /> If I am the AGENT FOR THE OWNER, I promise I iunderstand faith
<br /> that n a o sepah a te permit may r d for cai
<br /> this affidavit prior to commencing construction,
<br /> sins, wells, pools, air conditioning, gas, or other Installations not specifically included in the application.
<br /> plumbing, 9
<br /> er, or
<br /> permit issued shall construed to a license s, nor shall Issuance ce of a pe mitprevent the Building Official from her
<br /> set aside any provisions of the technical al cod d
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every p ermit Issued shall become invalid
<br /> or if work authorized by in s
<br /> unless the work authorized e for i a l pe od of six (6) m after the time the permit
<br /> work a is commenced. An extension
<br /> may
<br /> the permit is suspended or
<br /> abandoned
<br /> ma be e requested, writing, in writing, from the Building Official for a9 er days, tu ob(is�e s a d e ba l ndoned demonstrate
<br /> j cause for the extension. If work ceases for ninety ( ) consecutive NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A
<br /> PAYING TWICE FOR IMPROV 0_U TO YOUR PROPERTY. IF YOU INTEND TO B AI FINAliCIN , CONSULT
<br /> WITH YOUR LEN DER0R ili OR N. Y BEFORE RECORDING YOUR NO p
<br /> a if l ank h a ■
<br /> FLORIDA JURAT (F. 117.03) � �`� 1 1/ CONTRACTOR me this 70N
<br /> OWNER OR AGENT Subsoribed and sworn to (or a . ,V L � wE «
<br /> Subscribed and sworn to (or affirms. ore me this av N E 24 IR oy
<br /> g H 2 , 0 by :J.- o %/.'' L ‘ °.4.1 yyh.� -re personally known to me or has /have produced
<br /> Who ►s are personally known to m as i has/ ve produced
<br /> as Identification.
<br /> Notary Public
<br /> /M-e
<br /> ary Public l
<br /> �
<br /> DD 7'7g 0 23 Commission No. 7750 2 -3
<br /> Commission No. - e • •
<br /> ranted or stamps ? " = Commission DD 774023
<br /> 774023 Name of Notary typed, p a � i
<br /> ;
<br /> typed, pri ...af, =.P =tmmission DD Expires June 6, 2012
<br /> Name of Notary U � ' ' R 2 012
<br /> 6, 785.7D19
<br /> ,n` Expires June For Bonded MN troy Fein in.urona 800
<br /> "�`r
<br /> •• •;;�,,, „' ■; ®„ nnB0fnru Troy aammwro "na
<br />
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