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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, 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 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 f n sa tang volume" is lume " be
<br /> ill be submitted at time of permitting which understood
<br /> is prepared drainage
<br /> professio addressing r eng engineer
<br /> "compenting vo
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "lA the area ecti within the wall permitted building using stem wall
<br /> construction, I certify that fill will be used only to fill
<br /> If fill material is to be used in any area,
<br /> ersel affect adjacent propertiesfilthe ' lowner may r be l c cited for violating
<br /> properties. If use of fill is found to ad Y
<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 /> If I am the AGENT FOR THE OWNER, I promise in good faith
<br /> d that inform
<br /> sepahate permit may be i equ9 ed for f electr cal work
<br /> this affidavit prior to commencing construction. Lund erstan
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically ed in the application. A
<br /> permit Issued shall be construed to be a license foualnce the of a pe mitprevent the author!
<br /> Bui ding Official from thereafter
<br /> set aside any provisions of the technical codes, nor shall i s
<br /> re uirin a correction of errors in plans; construction or viol within six months of permit pssua ordif shall
<br /> autho by
<br /> becom Invalid
<br /> q 9
<br /> unless the work authorized by such permit is commence d
<br /> the P ermit is suspended or abandoned for a period of sam eriod not to time
<br /> nln ty Job is
<br /> k is commenced. An extension
<br /> considered abandone wor (90) days and will demonstrate
<br /> may be requested, in writing, from the Building Off(ci al fo P
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days �
<br /> NCEMENT MAY RESULT IN YOUR
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMME _ FINANCING, IN YOUR
<br /> PAYING TWICE FOR IMPR f EMEN TO YOUR PROPERTY. IF YOU INTEND TO �,�� E u T.
<br /> - t411 . BEFORE RECORDING YOU ' 0 I �0
<br /> W T, YOU' LE► E' 0 ' ����.
<br /> FLORIDA JURAT (F.S. 117.0 �•/ r ` � __ � ` J
<br /> V,!►/�� CONTRACTOR °..,. n M_ri, r�r:. �) X05
<br /> AGENT `T Subscribed and sworn to (or affirm °� G f
<br /> OWNER OR A — .... this 4a4 0 57- / s r.4 by :Tow ,
<br /> Subscribed and sworn to (or L i ✓FL Wh P nown to me • r ha
<br /> 1 Z� by o // re ersonally as Identification.
<br /> Who pare •ersonall known to as Identification.
<br /> produced
<br /> � Notary Public
<br /> Notary Public �
<br /> DD '77 02 3 Commission No. b 71717 � Z3
<br /> Commission No. ,,r• • -
<br /> • ' Name of Notary typed, printed or stamp 1,,,:
<br /> ,.. Commission DD 774023
<br /> Name of Notary typed, pri f -; •.,, P' :
<br /> ' mmission DD 77402c ., a� Pt= Expires June 6, 2012
<br /> I •• ''' Sj :`2 Expires June 6, 2012 • as '- &ModThN Troy Fain lNUrona/!000/6.70%
<br /> =r,,,• iii, ; , „'” Bonded TMluT fOlO UUUr00bP .r .35.7019
<br />
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