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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 /> applicabie 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 misdem�an�opyiolation
<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 Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, 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 will 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 IMPACT/UTILITIES IMPACT AND RESOURCE RECOV�ERC�FEES{1 n of new b 9d ngsnchange of
<br /> that Transportation Impact Fees and Recourse Recovery Fees may app y
<br /> use in existing buiidings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned aiso 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 invoive a ce�tificate of occupancy or
<br /> final power re lease, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco Coun t y or dinances.
<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—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture 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 ali 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 identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<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-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental 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" unless expressly permitted.
<br /> _ If the fill material is to bi� be submitted at time ofpermitting whch�s p eparedrby a9professionalrengneer
<br /> "compensating volume" wi
<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 wa
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is to be used in anydve sel' affect adjacent prope►tiesf Ithe'Iowner mayrbelcit d for vaolat ng
<br /> prope�ties. If use of fill is found to a Y
<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 flll, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promis��understanld thatna�sepah at permit may be retq 9 ed for'electr cal work�,
<br /> this affidavit prior to commencing construction lication
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations n�t specifically included in the app
<br /> permit issued shall be construed to be a licensenor shall essua'ncehof a pe mitprevent thehBu ding Officeal from therteafter
<br /> set aside any provisions of the technical codes, ermit issued shall become invalid
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every p
<br /> unless the work authorized by such permit is com of s z 6Wmhonths after the t me the workas comme ced Anhext nsate
<br /> the permit is suspended or abandoned for a penod ( )
<br /> may be requested, in writing, from the Building D���niner a90)rconsecutive days, the job isocons de ed ablandonedstr
<br /> justifiable cause for the extension. If work ceases tY�
<br /> WARNING TO OWNER: YOUR FAILURE TO RECOROPE TM T�F YOU INTENDETO OBTAIN F NANCING, CONSULT
<br /> PAYING TWIC E F O R I M P R O V E M E N T S T O Y O U R P R
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N O T I C E O F C O M M E N C E M E N T.
<br /> FLORIDA JURAT(F.S. 117.03) - -� � ",_,
<br /> � CONTRACTOR ��
<br /> �AGENT 1� Subscrlbed and swof�,�to( r,� rmed)beforQ�ne th�si!���
<br /> �... � �cribed and s r t (, re m v� � �Z—by ��'', f)��Vrt �•(- I'/lCai f l
<br /> �3'p-(Ti by - Who islar�pe��a��to me or haslt�ave produced
<br /> yyha is� e persona l ly k n o w n t o m e o r h a s�ave produced as identificaHon.
<br /> �A`C,P��, as ldentlfica8on.
<br /> , Notary Public
<br /> � tary Public
<br /> ,,,�.„,,, JACQU
<br /> .""' "' JACQUELINE B ES Co is ton N *;� � ��#EE 040520
<br /> Commi slo � ��q
<br /> � '�: Explres DeCember 12,2014 • �' �o Fa�m�soo.3es�ois
<br /> ro�o Name of Notary ry {
<br /> Name of No �-�
<br />
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