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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 1, 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 fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be c ited 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 iunderstan faith
<br /> d that a permit may be r ed for work,
<br /> this affidavit prior to commencing construction.
<br /> plumbing, shall wells, pools, air to be aiocengse to proceed with the work and not as authority to, violate, cance as ter, or
<br /> permit issued shall construed to tc
<br /> set aside any provisions of the technical codes, nor shall issuance n of an p t perm t is t ed sh become in
<br /> requiring a correcti of errors in plans, construction or
<br /> unless the work authorized by such permit is commenced f within months a er the time the commenced. An
<br /> Y
<br /> the permit is suspended or abandoned for a period six ( 6 )
<br /> may be requested, In writing, from the Building Official for a9period o secutive excee
<br /> days, th job is�eons de ed ab
<br /> justifiable cause for the extension. If work ceases for ninety ( )
<br /> OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT O - FINANCING, RE U IN Y CONSULT
<br /> WARNING TO O ' Nu
<br /> PAYING TWICE FOR IMPROV ENTS TO YOUR PROPERTY. IF YOU INTEND � ; _ 4 `-
<br /> WITH YOUR LEN r R OR A . w =! - NEY BEFORE RECORDING YOU' NO I E. >s:.
<br /> FLORIDA JURAT (F.S. 117.03) �m� `�
<br /> ���� =
<br /> a CONTRACTO' �sL�
<br /> • �� �' Subsc ribed and sworn to (o ,��;�`� e this V 4 . 0 . s 7 . OWNER OR AGENT .. wEac
<br /> ' "p aTa: -` tr 1 0d a 5T ys I'm by °
<br /> Subscribed and sworn t o /./ J'� V V
<br /> py-r� by Wh p known to me or has/ttave identi produced cation
<br /> Who are a sr °Wally known to a identificatiop
<br /> as fi.
<br /> // Notary Public
<br /> I - •Public
<br /> D 77#02-3 commi on No. b 7 71/0 Z3
<br /> commis) No.
<br /> e Name of Notary typed, printed or stamp= taf , Commission OD 774023
<br /> Name of Notary typed, prl _. • ,, p = .mmission DD 774023 ' I ., _.0: P° Expires June 6, 2012
<br /> : r: h'" Expires June 6, 2012 '! f , Bonded' 'Nu Troy Fain lNYron9a 600.366.7018
<br /> -.T!,,,.
<br /> -' ,, Rondo§ TM Troy Fun InIuran" 6063857019
<br />
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