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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 tha " may be an an Indication t that he is not properly licensed will
<br /> a be
<br /> d is not entitled to you,
<br /> permitting privileges g in Pasco
<br /> contractor, that may b
<br /> County.
<br /> TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOUR 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,n.ty ordinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of Work is $2,500,00 or more,
<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 laws
<br /> ting
<br /> commenced prior to issuance of a permit and thlor development regulations standards the jur cti n.
<br /> construction, County and City codes, zoning regulations,
<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 to be
<br /> be submitted at time of permitting which is prepared r by a ( eer
<br /> "compensating volume" will
<br /> licensed by the State of Florida.
<br /> - If the fill material Is to be used in Flood Zone ' A"
<br /> "he area connection
<br /> with a
<br /> wall.
<br /> permitted building using stem wall
<br /> construction, I certify that fill will be used only to
<br /> If fill material is to be used in any area, I certify that use of such fill will
<br /> n not dver affect
<br /> for adjacent
<br /> - properties. If use of fill is found to adversely affect adjacent properties, the
<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 aosepahate peemit may be rie for conditions
<br /> electr cal work,
<br /> this affidavit prior to commencing construction. I understand
<br /> plumbing, signs,
<br /> wells, pools, air conditioning, gas, or other installations not specifically included in the application. A to, violate, cancel, alter, or
<br /> permit Issued shall be construed to be a license to
<br /> or shall Issuance with a permia the
<br /> set aside ding Official from thereafter
<br /> rovisions of the technical codes, n il
<br /> a
<br /> lid
<br /> re ulring a any p correction of errors In plans; construction six m of perm t pssua or work become
<br /> authorized d
<br /> unless work pe authorized such permit is comm
<br /> the erm it is suspended Bed or r abandoned for a period of six (6) months after the time the work is commenced. An extension
<br /> P
<br /> may be requested, In writing, from the Building Officlal� for -a perioo consecutive days, th� job Is s�c ns ere aba l ndone d demonstrate
<br /> Justifiable cause for the extension. If work ceases for ninety (90) c , MAY RESULT IN YOUR
<br /> WARNING TO OWNER: YOUR AILURE TO RECORD A NOTIC E OF COMMENCEM
<br /> PAYING TWICE
<br /> FOR IMPROVE NT- TO YOUR PROPERTY. IF YOU ` INT O END TO 0 IA 1 FINANCING, CONSULT
<br /> ITN 0 - LEN NE; O ► • ..l % ►; ORE RECORD! G � , y
<br /> �.''
<br /> FLORIDA JURAT (F.S. 117.03)
<br /> j l `
<br /> CONTRACTOR �� 7uN
<br /> OWNER OR AGENT ^ Su bscribed and sworn to (or a o n _ c.o
<br /> Subscribed and sworn to (or affirmed) be •! e me this .TU 1410 ,,
<br /> erg r by � o /1", Z. r
<br /> Y Wh re personally known to me or has/have as produced
<br /> Who dare per known to mg or ha has /have produced
<br /> as Identification.
<br /> , „400,10,-.11F- Notary Public
<br /> Notary Public �
<br /> DD 777# O 23 Co ... * "sslon No. 'T
<br /> 7/O Z3
<br /> ommisslon No. •
<br /> Name o f N typed printed or stamps I ',', ;; Commission DD 7 4023
<br /> dr - I�' • Expires June 6,
<br /> Name of Notary typed, prl =• � * : P = ;mmission D D 77402 '' - a ,rnatwF+m ,n,uro"aeoo•3 /a.7o19
<br /> 1'`� ?� Expires June 6, 2012 „p ti ••
<br /> r . ! ,; Bowl 1) troy F9II InIWOnn• {
<br /> ® DO 385 • 7 019
<br />
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