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Jul 18 11 03:39a SHELLI LOUGHREY 352-236-7068 p,3
<br /> NOTIGE OF DEED RESTRICTIONS: The undersigned understands fhat lhis permit may be subjea to "deed" reslrictions"
<br /> which may be more restrictive than CouMy rsgulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSlBILITfES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance wilh state and local regulations. lf the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited tor a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to whai licensing requirements may apply for the
<br /> intended work, lhey are advised to contact the Pasco CouMy Building Inspection Division—Licensin9 Sedion at 727-847-
<br /> 8009 Furthermore, ff the owner has hired a contractor or contractors, he is advised to have the corrtractor(s) sign
<br /> portions of the "contractor Block" of this application for which they wNl 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 eniitled to permitting privileges in Pasco
<br /> Counry.
<br /> TRANSPORTATION IMPAC7/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that lransportation Impact Fees and Recourse Recovery Fees may apply to the oonstrudion oi new build'mgs, change of
<br /> use in existing buildings, or expansion of existing buildings, as specifed in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, tt�at such fees, as may be due, wili be identified at the time of
<br /> permitting. It is further undarstood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy" or final power release. 1f the project does not invoNe 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 pafd prior to permit issuance in accordance with appl(cable Pasco County ordinances.
<br /> CONSTAUCTION LIEN LAW {Chapter 713, Flortda Statutes, as amended): If valuation of work is $2,�00.00 or more, I
<br /> ceriify that I, the applicant, have been provided with a copy of the "Florida ConstrucGon Lien L.aw—Homeowner's
<br /> ProtecGon Guide" prepared by the Florida Departmen! of Agriculture and Consumer Atfairs. If the applicant is someone
<br /> other than the "owner", I cerlify 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'SlOWNER'S AFFIDAVIT. I ceriify that all the information in this application is accurate a�d that ali work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Applicatlon is
<br /> hereby made to obtain a permit to do work and installation as indiCated. I certify that no work or instaflation has
<br /> commenced prior to issuance of a permit and that all work will be perfarmed to meet standards of atl laws regulating
<br /> construction, County and Cfty codes, zoning regulations, and land development regulaUons in the ju►isdiction. I also
<br /> certity that I undersiand that The regutations of other government agencies may apply to the intended work, and that It is
<br /> my responsibtlity to idenYrfy what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Departrnent of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Waier/Wastewater TreaVnent.
<br /> - Southwest Florida Water Menagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Heatth & Rehabilitative Services/Environmental Heafch Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> • US Environmental Protection Agency-ASbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> f understand that the tollowing resUictions apply to the use of flll:
<br /> - Use of fill is not allowed in Flood Zone "V" untess expressly permitted.
<br /> - !f the fikl 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 perrnitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fiif material is lo be used in Flood Zone "A" in cannection wiU� a permitted building using stem wall
<br /> construction, I certify that fill wiil be used �nly to fill the area within the stem wati.
<br /> - if fill materiat is to be used in any area, I certity tfiat use of such fill will not adversely affect adjacent
<br /> properties. lt use of fili is found to adversely affect adiacent properties, the owner may be cited for vialating
<br /> the conditions of the building permit issued under the attached permit applicanon, for lots less than one (1)
<br /> acre which are elevated by tiil, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise En good faith to inform the awner ot the permitti�g conditions set forth in
<br /> this aiNdavk prior to commencing construcdon. I understand that a separate permR may be required for electrical work,
<br /> plumbing, signs, wells, pools, air condi6oning, gas, or other installations nat specitically induded in the application. A
<br /> permft issued shall be Construed to be a license to proceed with the work and not as authority to violate, canCel, alter, or
<br /> set aside any provisions of the technical cbdes, nor shafl issuance of a permit prevent the Building OiGcial from thereaiter
<br /> requiring a correcUon of eROrs in plans, consiruction or violatfons oi any codes. Every permit issued shail become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br /> may he requested, in writing, irom the Building Oiflcial for a period not to exceed ninety (90) days and will demonsVate
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEN7 MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS Tp YOUR PROPERTY. IF YOU INTEND TO 08TAIN FINANCING, CONSULT
<br /> WITH YOU R AN ATTO EFO RE R RDING R NO OF MME ENY
<br /> FLORIDA JURA7 (F.S. 717.03)
<br /> OWNER OR AGENT CONTRACTORV
<br /> Subscrl6ed and swom ro(or affirmed) before ma Mis Subs�xibed swwn M(or atfirmed) e is
<br /> Who islare perso�nally Imown ro me or NesJhave produced Who islare personalty known to me or has�have produaed
<br /> as itlentificatan. as identlBrabon.
<br /> Nolary Public Notery PuGic
<br /> Cammisaion No. Commission No.
<br /> Name of Notery ryped, priMed or stamped Name of Notery lypetl, printed or stamped
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