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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 that he is not properly licensed will a and is not entitled you, as the owner sign as the
<br /> permitting privileges Pasco
<br /> contractor, th
<br /> County.
<br /> TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURC RECOVERY F EES: 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, 1
<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.
<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 " be ue submitted at Zone
<br /> me of which is p that a repared r by a engineer
<br /> "compensating volume" will b
<br /> licensed by the State of Florida.
<br /> If the fill material Is to be used in Flood Zone "A" l"he area connection
<br /> within the with htem vi permitted building using stem wall
<br /> -
<br /> construction, I certify that fill will be used only to f
<br /> ill material Is to used in any area, certify ct adjacent fill may for
<br /> properties. violating
<br /> proo fi to dersel
<br /> perties. If use of fill is found to Y affe
<br /> the conditions of the building permit issued under under attached application, for lots less than one
<br /> acre which are elevated by fill, an engine
<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 /> this affidavit prior to commencing construction. 1 understand
<br /> that a separate permit may be required for electrical work
<br /> set aside
<br /> p lumbing,
<br /> signs, wells, pools, air aiocing, g
<br /> as, or
<br /> permit aside a any shall v construed to be ued license or shall issuance of a permit prevent the Building Official from thereafter
<br /> provisions of the technical hnis a cal codeodes, nor permit issued shall become invalid
<br /> requiring a correction of errors In plans; construction or violations of any codes. very p
<br /> unless the work authorized by such permit is commenced within six months the time rmit issuance,
<br /> commenced. , or If work authorized
<br /> b
<br /> m a permit mr is suspended or abandoned for period of six (6) moots th job is considered abandoned. ested In writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> may be (90) consecutive days, e�
<br /> justifiable r le caa use for the extension. If work ceases for ninety ( ) B CE OF COMMENCEM A 7 MAY RESULT IN YOUR
<br /> WARNING IC OWNER: YOUR _ FAILURE YOUR PROPERTY.TIF YOU INTEND T 01. IN FI , CONSULT
<br /> PAYING TWICE FOR IMP ` ,•'
<br /> • • � __/' ,,� BEFORE RE CORDING YOUR NO � --
<br /> WITH YOUR LEN 444) FLORIDA JURAT (F.S. 1 44---0.* CONTRACTOR GENT � i S ubscribed and sworn to (or affirm • ; ore�m`etthis ,unit •
<br /> OWNER OR AGENT .._...arar.:►" �uNE 14 /a uy ..� o ,yN / —___ -----
<br /> S bscribed and sworn to (or a r
<br /> 0rH '?PI °O by .� c•/1 ' II _ b../F Wh•1 re p ersonally known to has/have as ids nificat on.
<br /> as Identificatiio
<br /> Who are •ersonali known to m produced
<br /> ........ 4110"
<br /> Notary Public
<br /> d
<br /> y r Pub lic
<br /> / 77
<br /> Commission No,
<br /> DD 77 0x3 Commission i o. b
<br /> Hpe rioted or stamps ,, Commission DD 774023
<br /> 774023 Name of Notary d, P 1,1 :Expires June 6, 201 c 00.385.7019
<br /> Name of Notary typed, prl = +:a R ;P = ;rar scion DD '- ;7e, Expi Tn y
<br /> '`�`,,�� Expires June 6,
<br /> 2012 OF �`. NTro silo lulu l"a
<br /> 'a; ;Z dann,e6 T14 Troy Pilo 1111urano• d00,385 70 `9
<br />
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