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<br /> 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 /> appiicable;deed restrictions.. .
<br /> UNLICENS .CONT 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 FES: 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 build ings, 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$y 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. 1 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 /> prop material is to` b erties. If use of fi l used. i is found .any area, l y affect adjacent properties, .the may d for violating
<br /> prop material found to adversely
<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 d d rat a p la n Is a owner of the permitting conditions set forth in
<br /> If I am AGENT FOR THE,OWNER, Lpromise in g
<br /> this affidavit prior to commencing construction. I, s installations r not specifically bnciuded in t e a n
<br /> p lumbing, sign Wel post air conditioning, ga
<br /> permit issued shall construed to b a ensenoo shalt issuroceed oefwprk
<br /> a permlt prevent the BU ding Offi from thereafter
<br /> requiring a to, violate, canceL alter, or
<br /> set aside any provisions of the technical codes,
<br /> correction of errors in plans, construction or violations of any cods of E permit tss wo authorized invalid
<br /> lid
<br /> unless the work authorized by such permit Is commenced within six months permit
<br /> a
<br /> the permit is suspended or abandoned for a period Official-for not to exc cy is considered�abandoe . he r( 90 is) days and will commenced. co menced. An extension
<br /> may be requested, In :writing, from the Building P.
<br /> th�job
<br /> justifiable cause tor the extension. If work ceases for ninety (90) consecutive days, RESULT YOUR
<br /> U _ R
<br /> WITH YOU' L
<br /> WARNING TO OWNER: Y. R FAILURE TO OUR PROPERTY. T IF YOU IiJT MAY RE ESUL T n IN R
<br /> PAYING :TIAIiLE. �E. e_�� �E FOR IMPR•r,. Y
<br /> ':'. sii� =.; ' aiiLL.. REC • 'DING OU � NO I � ! � 71 i� ��� NT.
<br /> `''�
<br /> FLORIDA JURAT (F:6. 11 i°7 g�
<br /> CONTRALTO'
<br /> GEN 4. _____ >
<br /> Subscribed b _ afore me this A�OV �
<br /> EF a RE Subscr6 ibed rN ?. an.r d b sworn to (or � afft oa•v )11�� - E ` ,IforI,NQE�
<br /> OWNER ribed and sworn to - -='∎ ', ..wa
<br /> S��. ��e
<br /> �,;f by o%/r� personally y known tome or ha ave produced
<br /> Who dare personally known to as identificatioor has/have
<br /> as Identification.
<br /> ` � 1/
<br /> � Notary Public
<br /> � / Notary Public
<br /> Comma . on No. 7717 0 Z3
<br /> Commission N o. �� 77 023 , •
<br /> Name of N otary typed, Printed or stamp. ,. ._ Commission DD 774023
<br /> •m DD 7740 a . ) � R Expires June 6, 2012 .
<br /> Name of Notary typed, oil 2.: to,: '' R..,; `� ao„a.dnxurwvFM"UU"rMla � &7019
<br /> ;H ':: aa' Expires June 6, 2012 • 7 o o ®p"o lftw Troy fMll MN* 1109485•,7919
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