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NO?10E OF DEED RESTRICTIONS: The undersigned understands that this pertnit may be subject to "dced° restridions"
<br /> , � which may be rtwre restrictive than Courrty regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restri�Uons.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPON81BIlITiES: If the owner has hired a contrador or
<br /> contractas to undertake work, they may be required to be licensed in aa:ordance with state and local regulations. If the
<br /> cor►trador is not Iicensed as required by law, both the owner end contrador may be ated Tor a misdemeanor violation
<br /> under state law. If the owner or intended contractor are unoertain es to what Uoensing requirements may appy for the
<br /> intended work, they are advised to confact the Pasco Couoty Buildinp Inspectfon Divisbn—Licensing Section at 727-847-
<br /> 8009. FuKhertnore, if the owner has hired a contractor or contractors, he is advised to heve the contractor(s) sign
<br /> portions of the `contractor Blodc' of this application for whlch they will be responsible. If you. as the owner sign as the
<br /> corttractor, that may be an indication that he is not propeiiy Iicensed and is not enUtled to pertnitGng privileges in Pasco
<br /> Counry.
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEE3: The undersigned understands
<br /> that Transportatfon Impacx Fees and Recourse Recovery Fees may appfy to the constructlon of new buildings, change of
<br /> use in existing buildings, or eupansion of existing buildings, as specifled in Pesco County Ordinance number 89-07 and
<br /> 90-07, � amended. The undersigned also understands, Uiat such tees, as may be due, will be identified at the time of
<br /> pertnitting. It is further understood that Transportation Impact Fees and Resouroe Reoovery Fees must be paid prior to
<br /> ►�ecefving a"ceRHicate of occupancy' or final power release. If the project does not i�vohre a certificate of occupancy or
<br /> flnal power release, the fees must be paid prior to permit issuanoe. Furthertnore, 'rf Pasc:o County WatedSewer Impact
<br /> fees are due, they must be paid prior to pertnit issuance in aabrda�e with appNqble Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW (Chapter 713, Fbrida 3�, as amendad►: If valuation of woric is 32,500.00 or more, I
<br /> Certiiy that I, the appFcant, have been provided with a copy of the "Florida Constnictio� Lien Law—Fbmeowner's
<br /> Protection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicaM is someone
<br /> other than the 'owne�', 1 oertHy that I have obtained a copy of ihe above described document and prort►ise in good faiUi to
<br /> deliver k W the'owner prior to cammencement.
<br /> CONTRACTOR'S/OWNER'3 AFflDAVIT: I certify that all the tr►formation in this applicatan is aocurate and that aB wortc
<br /> wili be done in compliance wRh all applicable laws regulating oonstrudfon, zoning and tand development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I oerdty that no woric or installation has
<br /> commenced prior tio issuance of a pertnit and that all work will be perfom�ed to meet standards of all laws regulating
<br /> constructlon, County and City oodes, zoning regulations, and land devebpment regulations in the jurisdicbon. I also
<br /> certify that I understand that the regulations of other govemment ayenGes may appy to the intended woric, and that it is
<br /> my responaibility to identliy what actions 1 must take to be in complianoe. Such agencies indude but are not limited to:
<br /> - Depardnent of Environmental Protectlon-Cypress Bayheads, Wetlend Areas and Environmentaly Sensitive
<br /> Landa, WaterM/astewater TreaUr�ent.
<br /> - Southwest Florida Water Management DisVict-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Wateroourses.
<br /> - Artny Corps of Engineers-Seawalls, Docks, Naviyable Watervvays.
<br /> - Department of Healfh 8 RehabilitaGve Servioes/Envfro�mentel Heafth Unit-Wells, Wastewater Treatment,
<br /> SepUc Tanks.
<br /> - US Environmental Protedlon Agency-Asbestos abatement.
<br /> - Federal Aviation Authorily-Runways.
<br /> I understand that the folbwing restrictions appy to the use of fill:
<br /> - Use of flll is not allowed in Flood Zone "V' unless expressly pertnitted.
<br /> - If the filt matsrial 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 pertnitting which is prepared by a professional engineer
<br /> lioensed by the State of Fbrida.
<br /> - If the fill material is to be used in Flood Zone "A° in connection with a pem►itted building using stem wali
<br /> const►uctlon, I certiiy that fill will be used ony to 1i11 the area within the stem wall.
<br /> - If flll material is to be used in any area, I oertify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fiN is found to adversely affed adjacent propertles, the owner may be cited for violating
<br /> the conditions of the building pertnit issued under the attached permit applicatlon, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage ptan is required.
<br /> If I am the AGENT �OR THE OWNER, I promise in good faith to iMorm the owner of the permitting conditions set forth in
<br /> this affldavit prfor to oommencing oonstruclion. I understand that a separate pemiit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air condiGoning, gas, or other installatlor►s not speciflcally induded in the application. A
<br /> permR issued shall be construed to be a lioense to proueed with the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisbns of the technical codes, rwr shall issuance of a pertnR prevent the Building O(ficial from thereafter
<br /> requtrinp a correction of errors in plans, consVuction or viola6ons of any codes. Every permk issued shall beoome invalid
<br /> unlesa the work authorized by such pertnit is commenced within six months of permit issuance, or ff worlc authorized by
<br /> the pertnft is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extensron
<br /> may be requested, in writing, irom the Building Official for a period not to exoeed ninety (90) days and will demonstrate
<br /> jusdflable cause fot the exbe�sion. ff work ceases for ninety (90) consecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CONNNENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FlNANCING, CONSULT
<br /> FLORIDA JURAT (F.S. 117.03)
<br /> OWNER OR AOENT CONTRACTO
<br /> Subsaibed and ewom to (or elNmted) beTOre me this Subscribed a ewom W( alflrmed) Defore me this
<br /> bY by �
<br /> Who Is/aro peroonaly knovm to me or haafhave pioduced Who ia/are personally Imown to me or hadheve produoed
<br /> as ide�6Ncatian. �-�--� as identification
<br /> Nofary Public Notary Publfc
<br /> ���N
<br /> comnxssron No. commi �� • ' • JACQUELIN
<br /> s*� ssion EE 040520
<br /> Name d Ndary typsd, PriMed or st�nped Name o�
<br /> �� . • • Feln knunrre B043BS7019
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