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NOTICE OF DECD RESTRICTIONS: The undersigned understands that this permit may be subjecfi to "deed" restrictions"
<br /> which may be more restriciive�fihan County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: fF the owner has hired a contractor or
<br /> contracfors to undertake work, they may be required fio 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 violaEion
<br /> under state law. If the owner or intended contractor are uncerfiain as to whaf licensing requirements may apply for the
<br /> intended work, they are advised to�contact the Pasco County Building Inspection Division—Licensing Section at 727-8�7-
<br /> 8009. Furthermore, if the owner has hired a contracior or contractors, he is advise.d to have fhe contractor(s) sign
<br /> portions of'the "contr�ctor Blocic" of this application �for which they wili be responsible. If you, as the owner sign as fhe
<br /> contractor, that may be an indication that he is riot properly licensed and is nofi enfiitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact 1=ees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as speci�Fied in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, fihat sucl� fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood fihat Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy" or final power release. If the projecfi does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior fo permit issuance. Furlhermore, if Pasco County Water/Sewer 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, 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—f-lomeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Atfairs. I( the applicant is someone
<br /> other than the "owner", I certify thafi 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 fihat all the information in this application is accurate and that all work
<br /> will be done in compliance wiih 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 cerfiify thaf no work or insfallation has
<br /> commenced prior to issuance of a permit and fihat all work will be performed to meefi standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. f aiso
<br /> certify that I understand that the regulations of other government agencies may apply to the intended woric, and that it is
<br /> my responsibility to identify what actions 1 must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress l3ayheads, Wetfand Areas and Environmentaliy Sensitive
<br /> Lands, WaterlWasfiewater Treatment.
<br /> - Southwest Florida Water Managemenfi District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls, Docks, Navigable Wafierways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Env.ironmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to�the use o�f fill:�
<br /> Use of iill is not allowed in Flood Zone "V" unless expressly permitted.
<br /> If the fill material is fio be used in Flood Zone "A", ifi is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at fiime of permitting which is prepared by a professional engineer
<br /> licensed by the Sfiate of Florida.
<br /> If the fiill material is to be used in Flood Zone "A" in connecfiion with a permitted building using stem wall
<br /> construction, I certify that fill wili be used oniy fio fill fihe �rea within the stem wall.
<br /> If fill material is to be used in any are�, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If.use of fill is found to adversely af�ect adjacent properties, the owner may be cited fior violating
<br /> the conditions of the building permit issued under the attached permit application, for fots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR ThIE OWNo1��{� p tion! I de�stan a�separat permifi may be equ'�ired for �electr c I�work,
<br /> this affidavit prior to commencing
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application.
<br /> permit issued shall be construed ch bcal c hall ssua a pe mit�prevent the ildi�g Officlal from ther
<br /> set aside any provisions of the te
<br /> requiring a correction of errors in plans, co{ 5 s x of perm p s a wo authorized by
<br /> unless the work authorized by such perm
<br /> the permit is suspended or abando �he g fo6a per not to exc�� d�n'ne y days and demonstrate
<br /> may be requested, in writing, from
<br /> the ob is considered abandone .
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, j
<br /> WARNING TO OWNER: YOUR FAILURE T OUR PROPERTY. YOU INTEND TO OBTA N NANCING C
<br /> PAYING TWICE FOR IMPROVEMENTS TO Y
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> � (;�, �" -
<br /> FLORIDA JURAT (F:S. .117•03) � l - ; � i �. � t - =��/
<br /> p � CONTRACTOR � '�`�km�
<br /> OWNER OR AGENT�� �` � �� � `�-'`''�
<br /> Subscribed and sworn to (or affrmed) b e f A� C m& this /rZ-7--f
<br /> Subscribed and sworn to (or affirme d e fo m e t h i s /�2- 7� bY 7-� / v /�
<br /> b Y �'� ��� ��� W ho is /— a r� e r s o n a l l y known to me or has/hav�u�?d
<br /> W ho is ar�pers o n a l l y k n o w n to me or haslhave produced ��� L as identification.
<br /> ��L as identifcation.
<br /> � (�,/ f,�JA ����J Notary Public
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<br /> Notary Public �
<br /> Commission No.
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<br /> v �� � "" '"" Name of Notary LYPed� Pnnted or stamped
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