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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 contrac or 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 misdemyanPp �iolation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I for the
<br /> intended work, they are advised to contact the Pascv County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Fu�thermore, 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 wiil 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 IMPACTIUTILITIES IMPACTAND RESOURCE RECOV�ERY�nEES{' n of new gde gsn�Change of
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply
<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 WaterlSewer 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, Fiorida 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 Agricuiture 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'SIOWNER'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 i en�t�of Envi on Protect on�Cypress Bayheads, tland A eas and En ironmentally Sensitive
<br /> - Departm
<br /> Lands, Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
<br /> - Southwest Florida Water Management District-Wells, Cyp Y
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Envirvnmental 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" uniess 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 us a�rea,� I t certify that use o such t fil r l will adversely affect adjacent
<br /> If fill material is to be used in any
<br /> the owner may be cited for violating
<br /> properties. If use of fill is found to adversely affect adjacent properties,
<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, � p tion! I I understan ' d that a�sepah at permit t may be req g ed for cal�work,
<br /> this affidavit prior to commencing construc
<br /> plumbing, signs, wells, pools, air cond'a' lice se to proceed with the work and not as au hor ty t�o �i lateecanp or
<br /> permit issued shall be construed to be
<br /> set aside any provisions of the technical con t uction oaviolations of any cod sp t is ed sha I become inv I d
<br /> requiring a co r r e c t i o n o f e r r o r s i n p l a n s, c o
<br /> unless the work authorized by such permia�Se od of six (6) m after the time the t work is commenced An extension
<br /> the permit is suspended or abandoned fo p
<br /> may be requested, in writing, from the Bk �ce es� (9�) nsecutive days, the job is�cons de ed blandonedstra e
<br /> justifiable cause for the extension. If wor
<br /> WARNING TO OWNER: YOUR FAILURE TO R PROPERTY. YOU INT OBTAIN F NANCING C�ONSULT
<br /> PAYING TWICE FOR IMPR�VEMENTS TO YOU
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FIORIDA JURAT (F.S. 1 �7.03)
<br /> '�� CONTRACTOR l�
<br /> OWNER OR AGENT • Subscribed a sworn to (or affirmed) re me trn; �
<br /> Sub c_�iked sw m to (or affirme fore e th s. �V
<br /> Y'^^ o Is/are perso�nally nown to me or has/have produced
<br /> Who is/are personally known to me or has/have produce as identification.
<br /> as Identification.
<br /> � Notary Public
<br /> � Q Notary Public
<br /> y � � Commission No. �� gy����
<br /> Commission No.
<br /> ,. ,
<br /> ""' ��' � Name of Nota nte�,�( # DD 990020
<br /> '�� r 40, 2R'�4 '�*' EXPIRES: September 10, 2014
<br /> Name of `, EXPIR�S:6eptOmM ��p BondedThruNotaryPublfcUndervvrlters
<br /> � � .� Bonded'rhru Nat�f� PuM►c Undmrvrt�cars
<br /> „ „.
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