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<br /> NOTI-CE F DEED RESTRICTIONS: The undersigned understands that this permit may be subJect to Ndeed" resfi�fations"
<br /> w�ri�h ma , be more restrictive than County regulations. The undersfgned assumes �esponsib111ty for oompl(ance wfth any
<br /> applicabl deed restrlctions.
<br /> UNLIC� �D CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner fias hired a contractor or
<br /> contracto s to undertake work, they may be required to be Iicensed fn accprdance with state and local regulations. If the
<br /> contracto��fs not licensed as requlred by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under sta e law. If the owner or intended contractor are uncertain as to what licensing requlrements may aRply for the
<br /> �ntended ork, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8U09. F�tfhermore, ff the owner has hired a cvntractor or contractors, he is advised tv have the contractor(s) sign
<br /> portions �� the "contractor Block" of this appiication for which tlley will be responsible. If you, as the owner si�gn ss the
<br /> contractor, that may be an indicatfon that he is not properly Iicensed and is not entitled to permitting privileges in Pasco
<br /> Counry. i
<br /> TftANSP�IRTATION IMPACT/UTILITIES IMPAC7 AND RESOURCE REC01fERY FEE3: TMe undersigned understands
<br /> that Tran�portation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in ex �ting buildings, or expansion of exfsting buiidings, as specified in Pasco County Ordinance number 89-07 and
<br /> 80�07, aslamended. The undersigned also understands, that such fees, as may be due, will be Identified at the t�me of
<br /> permittin�. It is further understood that Transportat(on Impact Fees and Resource Recovery Fees must be paid privr to
<br /> receiving �"certiflcate of occupancy" or finai power release. If the proJect does not involve a certiflcate of occupanCy or
<br /> flnal pow$r release, the fees must be paid prfor to permit issuance. Furthermore, if Pasco County WateN�ewer Impact
<br /> fees are We, they must be paid p�ior to permlt issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTR�.VCTION LIEN LAW (Chapter 713, Florida Statutes, as amendedj: if valuat(on of work Is $2,500.00 ar.more, I
<br /> Eertify th�t i, the applicant, have been provided with a copy of the "Fiorida Construction Lien Law--Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the appiicant is someone
<br /> ather tha . �the "owner", I certify that I have obtained a copy of the above described document and promise in gvod fialth to
<br /> deiiver it t1q the "owner" prlor to commencement.
<br /> CONTRAI�TOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that aH work
<br /> wiil be do'ne in compliance with ali applicable laws regwlating construction, zoning and land d�velopment. Applfcation is
<br /> hereby r�ade to obtain a permit to do work and installatlon as (ndicated. I certify that no work or (nst�llat(on has
<br /> commenGed prior to Issuance of a permlt and that all work will be pertormed to meet standards of ali laws regulating
<br /> constructipn, County and City codes, zoning regulations, and land development regulations in the jurisd(ction. ( also
<br /> certify thait I understand that the regulativns of otHer government agencies may apply to the intended work, and that it is
<br /> my respo�s(bility to Identify what actions I must take to be In compliance. Such agencfes include but are not limited to:
<br /> - Department of Environmental Protectlon-Cypress Bayheads, Wetland Areas and Environmenta(ly Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, V4/et�and Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Se�walls, Dvcks, Navlgable Watervvays.
<br /> - ' Department of Health & Rehabilltative Services/Environmental Health Unit-Weiis, Wastewater Tre�tment,
<br /> �' �` I Septic Tanks, N
<br /> ., -..���.. . � US Environmental Prvte�tion Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I underst hd that the foliowing restrictioFlS apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone "V" uniess expressiy permitted.
<br /> If the� fill materlat is to be used in Flood Zone "A", ft fs understood that a dra(nage plan a.ddress}.ng a
<br /> "compensating volume" will be submitted at time of permftting which is prepared by a.professfonal englrteer
<br /> licensed by the State of Flor(da.
<br /> , - i if the fiil materiai is to be used in Flood Zone °A" in connection with a permitted building using stem wall
<br /> , construction, I ce�tify that fiil will be used vnly to flll the area within the stem wali.
<br /> ' If fill material fs to be used in any area, I certify that use of such fill wili not adversely affect arciJacent
<br /> ' properties. If use of fiil (s found to adversely affect adjacent properties, the owner may be cited itsr Violating
<br /> � the conditions of the building permit issued under the attached permit application, fqr Iots less than one (1)
<br /> ' acre which are elevated by fili, an engineered drainage plan is required.
<br /> If I am th AGENT FOR THE OWNER, I promise in good fafth to inform the owner of the permitting conditions 5et forth in
<br /> this a�d vit prior to commencing construction. I understand that a separate permit may be requlred for eleetCt+�al. w:qrk,
<br /> plumbing signs, welis, pools, air conditioning, gas, or other ir�stallations not specifically included In the application. A
<br /> permit is, ued shall be construed to be a license to proceed with the work and not as authority to vfolate, cancel, aiter, or
<br /> � s�t aside any provisions of the technical codes, nor shall issuance of a permit prevent the Bufiding Official from thereafter
<br /> requirin� correction of errors in plans, construction or vfolations of any codes, Every permit issued shall become Invalld
<br /> unless th work authorized by such permit Is commenced within six months af permit issuance, or if work autharfzed by
<br /> the perm is suspended or abandoned for a period of six (6) months after the time the work is commeneed, An extension
<br /> may be r quested, in writing, from the Building Official fot a9 er consecutive days, th Job dered aban neds
<br /> )ustt�ab� cause for the extension. If work ceases for nine y( ) �
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO �BTAtN FIN� ���NG, GQ����-T
<br /> U LENDER AN ATTOR EY BEF E E ORDING YOU t� �'
<br /> FLORIDA URAT (F.S 117.03) ,, ��,�--
<br /> OWNER O AGENT GONTRACTOR
<br /> Subscrlbed, and swom to (or affirmed) before me this Subscribed and awom to (or afflrmed) bj f�o�r� e thls
<br /> b , b .�., v�:� r��
<br /> Y Who Is` �a�e personally known to me or has/have produced
<br /> Who Is/are personally known to me or has/have produced as IdenUficatlon.
<br /> as identlflcaUon.
<br /> Notary Publlc
<br /> Notary Public
<br /> Commissiqn No. Commission No. '
<br /> Name of N tary typed, printed or stamped
<br /> Name of Notary typed, printed or stamped
<br />
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