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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 REC 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 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 fn material is will be used
<br /> submitted at time of drainage
<br /> permitting which Is prepared edby agprofessio addressing
<br /> alengi eer
<br /> "compensating volume"
<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 o ad affect adjacent properties, il owner may r be i cited for violating
<br /> properties. If use of fill is found to Y
<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 iunde�stand faith
<br /> that inform
<br /> sepahate permit the
<br /> ay be l equ g ired for conditions
<br /> electrcal work,
<br /> this affidavit prior to commencing condttuctiog, g as, or other installations not specifically included in the application. A
<br /> P y p
<br /> plumbing, ed shall wells, on air be aiocing, g
<br /> permit
<br /> as id a aany rois io construed ns of the technical be a hnical c e es e nor shall issuance ce of a permit prevent the Building Officio
<br /> fficial from thereafter
<br /> set aside ny provisions tco
<br /> requiring a correction of errors In plans, construction or violations of any codes. Every p ermit Issued shall become invalid
<br /> unless the work authorized by such permit is commenced within si
<br /> after the time permit issuance, c , o r If work Ut extensio
<br /> months the permit is suspended or abandoned for a period of six (6) m 90 days and will demonstrate
<br /> may a
<br /> e requested, au o In h ea te n from the work Official a period not
<br /> cea es forninety (90)cosecutive days, the c onsidered abandoned.
<br /> Justifiable cause for the extension. If w
<br /> TO OWNER: YOUR FAILURE TO RECORD A NOTICE INTEND ENT FINANCING, E U IONSULR
<br /> WARNING T TO YOUR PROPERTY. IF • �i OBTAIN E _ T
<br /> WITH y TWICE FOR IMPROVEM T O.
<br /> WITH YOU' LE ! 9 - O' . N T., :_,._
<br /> :EFORE RECORDING OU- N
<br /> FLORIDA JURAT (F.S. 117.03) � /
<br /> L / .�
<br /> CONTRACTOR : this .7u
<br /> G
<br /> OWNER OR AGENT T ��,, ,,, .. ate iv Subscribed and sworn � Y t� /vote
<br /> �bscr(bed and sworn to (or a � g 2v/ R by
<br /> 0 � N 2p1 o by ✓'' 0,4,,, Wh•1� . re personally known to a or has/have as Identification. produced
<br /> Who { dare personally know to m an r /hay oproduced
<br /> �� Notary Public
<br /> // Notary Public
<br /> AIPP DD 77 O 23 Comm i pion No. _b 775 Z3
<br /> Commiss!on No. "•"' • 3
<br /> e - type printed or stamp ' * , , '4 ° Commission 00 77402
<br /> Name of Notary 2012
<br /> dt " 6,
<br /> Name of Notary typed, Pri ;.R;P Expires j on DD 77402i3 '"a ��.� Expires TIN June P 003BS7Ot9
<br /> 1,, . June 6, 2012 P , a v
<br /> •4; Expires Ju 5.7019
<br /> ' , " ,, eanra.m rnru Troy nun Inman** WO 3e
<br />
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