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NOTICE OF DE�D RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restricti�ns°
<br /> whi�h�c►�ay be more:re�Mictiv�than County cegulatfcros. The undecsigned assumes responsibility for complian�e with any
<br /> app�i�abie deed restricttons.
<br /> UNLI�EN#�ED CAW'CR�1+�TORS AND ��W'"�►CTOR REBPON$I�ILITIES: If the owner has hired a contractor or
<br /> con#ractors to undertake wor{c, they may be required to be Iicensed in accordance with state and local reguletions. If the
<br /> cont€actor (s no# Ifcensed as required by law, both the owner and contractor may be cited for a misdemeanor viotsrtion
<br /> under state law. if the owner or intended contractor are uncertain as to what Iicensing requirements may apply for the
<br /> intended work, they are advised to cor�tact the Pasco County Building Inspectlon Division—Ucensing Se�tior�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 /> poetions of the "contractor Block" of thfs applfcation for which they will be responsible. If you, as the ov�ner sign as the
<br /> contractor, that may be an indication that he is not prope�ly licensed a�d is not �entitled to permitting privlleges in Pasco
<br /> County.
<br /> TRI�I�fSPORTATtON IMPACTIUTILITIE8 IMPACT AN�RE3t)IiR�E RECO�/ERY FEES: The undersigned understands
<br /> that Transportation impact Fees and Recourse Recovery Fees may�pply to the construction of new buildings, chan e af
<br /> �`�==
<br /> use in existing building�, or expansion of existing buildings, as specffied in Pasco County Ordinar�ce number 89-0 `�rti�f
<br /> 90-07, as amended.. The undersigned aiso understands, that such fees, as may be due, wili be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be p�id pr`it�r't�
<br /> receiving a "certf��cate of occupancy" or final power release. If the project does not invoive a ce�t'rficate of occupancy or
<br /> final power release, the fees must be paid prlor to permit issuance. Furthermore, if Pasco County Water/Sewer Imp�et
<br /> fees are.due,#hey must be�ald prior to permit i8suance In ac�ordance with applicable Pasco County ordina►tces.
<br /> CO�i�'�RUCTION LIEN LAW(Chapter 713, Fio�ida StatCrtes, aa atrrended): if valuation of work fs $2,500.00 or more, I
<br /> ce�tlfy that I, the applicant, have been provided with a copy of the "Florida Construction Lien Lav�--Momeov�r��'s
<br /> Protection Guide" prepared by�thetFlhave bta ned a copy of theltabove d scribed docuffment nd prompsfe in good fait�to
<br /> other than the"owr�er", I certify tha I
<br /> deliver it to�tMe"owner"prior to commencement.
<br /> CONTRACTOR'SlOWNER'S AFFIDAVIT: i ce�tify that all the information in this application is accurate and that all•work
<br /> will�be done fn compliance with ali appHcable laws regulating construction, zoning and land development. Application is
<br /> hereby r�ade to obtain a permit to do work and installation as indicated. I certify that no work or instailation has
<br /> commenced prior to issuance of a permit and that ail work will be performed to meet standards of all laws reguFating
<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 gove�nment agencies may apply to the inteRded work, and��f�i�rt`it is
<br /> my respons�Dle art enttof Environtmental Prot�c ion Cypress Bayheads SW tland Areasn nd Enviro menta lyt 3ens�ve
<br /> - P
<br /> Lands,WaterlWastewater Treatment.
<br /> - Southwest Florida Water Manegement District-Welis, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Depa�rnent of Health 8 Rehabilitative Services/Envfronmental Health U�it-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Feder�l.a�iation Authority-Runways.
<br /> I understand tMat tt�e following restrictions apply to the use of fill:
<br /> Use of flN is not aliowed in Fio.od Zone"V"unless expressly perFnitted.
<br /> If the flll materiai is to be used in Flood Zone "A", it is understdod that a drainag� plan addressing a
<br /> °compensating volume" will be submitted at tfine of permitting which is prepared by a professional engineer
<br /> licens�d by the St�te of Florida.
<br /> If th� flll material is to be used in Flood Zone "A" in connection with a perrriitted building using stem wall
<br /> co�s�uction, I�ertify tM�f�ili wili be used only to flli the area with(n the stem wall.
<br /> _ If fill material is to be used in any area, I ce�tffy that use of such ��he��owner mayrbel cit d for vao at��g
<br /> pFOperties. If use of fill is found to adversely affoct adjacent propertfes,
<br /> the condi#ions of the building permit issued u�de� tMe attached permit application, for lots less than one (4)
<br /> acre which are elevated by flll, an engineered drainage plan is required.
<br /> if I am the AL�NT�C�R TWE�WNER� � promise in good faith to inform-the owner of the permitting cvnditians set forth i�
<br /> this affidavit prior to commencing �ndit ontinn, 'asn oerother instaliationsr not specifi elly ncl ded�in the a�plica�fon°r�
<br /> plumbing, signs, w�Ns, pools, alr con 9 9
<br /> pe�rnit issued sMall be constr�ed to�e��codesenor shall i s ancehof a permitprevent thehBu ding lbfficial fror�thereafter
<br /> set aside any provisions of lfie tech
<br /> requiring a coRection of eITOrs in plans,r�oi{i�ctmmencedlwithin sixamon�thseof Perm t pss a�nce, or�if wolrk a`u�tho ized by
<br /> unl�ss the work a�tthorized by such pe
<br /> the permit is suspertded o�ab��doned BuildineriO�Cialf fo8a periofid notto extceedtninetyr(9Q) days end will demons ate
<br /> may be requested, in writing, from the 9
<br /> just�i�ble cause�for the extensior�, If work ceases for ninety(90)consecutive days, th�Job is considered abandoned.
<br /> �� .:
<br /> WA,��� T�p pYyN�R: YOLlR FlklLURE O��P����TIF YDI� IN'1��TO 8��N�p►�� CQNSULT
<br /> ppyiNG T'W.lCE FOR IMRROV�MENTS TO � Q , Y T.
<br /> FLORIdA JI�F�/tF''(F.S.117.03) � 4 ��
<br /> CONTRACT �
<br /> OWNER OR AQENT Subsaibed an m to(or aHirmed)before me this
<br /> Subscribed and swom to(or aHirmed)before me thfs by S����} �ry� (.,,p�
<br /> �bY Who s/are persoAalty krwwn fo rne or haslhave pro�f�ed
<br /> Who is/are personally known to me or ha ve produced as Identlflcatlon.
<br /> as IdenBficatlon.
<br /> Notary Public
<br /> Notsry Public
<br /> Commissfon No.
<br /> Commisslon No.
<br /> Name of Notary typed�Printed or stamped
<br /> Name of Notary typed�Printed or stamped
<br />
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