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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permft may be sub)ect to`deed"restrictions"
<br /> which may be more restrictive than County regulations. The undersfgned assumes responsibility for compiiance with any
<br /> applicable deed re4rictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a cont�actor or
<br /> cont�actors to undertake work,they may be required to be I�ensed in accordance with state and local regulations. Ii lhe
<br /> contractor is not licensed as required by law, both the owner and contrector may be cited for a misdemeanor violation
<br /> under state law If the owner or intended conVactor are uncertain as to what Iicensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Divisfon--Licensing Section at 727-847-
<br /> 8009 Furthermore, if the owner has hired a contractor or conVactors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this appllcation for which they wfll be responsfble. If you, as the owner sign as the
<br /> contractor,thal may be an indication that he is not properly Iicensed and is not entitled to permitting privileges in Pasco
<br /> Counry.
<br /> TRANSPORTATION IMPACTlUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that T�ansportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buitdings,change of
<br /> use in existing buildings, or expansion of existfng buildings,as specified in Pasco Counly Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of
<br /> permitling. It is further understood that Transportatfon Impact Fees and Resource Recovery Fees must be pafd prior to _
<br /> receiving a'certificate of occupancy"or flnal power release. If the project does not involve a certificate of occupancy or
<br /> Tinal power release, the fees must be paid priw to permit issuance. Furthermore, if Pasco County WatedSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with appl�able Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amendad): If valuatlon of work fs 52,500.00 or more,I
<br /> certify that I, the applicant, have been provided with a copy of the 'Flo�ida Conshuction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Department of Agriculture and Consumer Atfairs. If the applicant is someone
<br /> other than the'owner",I certify that 1 have obtained a copy of the above described document and promise in good faith to
<br /> deliver R to the'owner"prior to commencement.
<br /> CONTRACTOR'S/OMVNER'S AFFIDAVIT: I certify that all the information in this epplicatlon is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction,zoning and land devetopment. Application is
<br /> hereby made to obtain a permit to do work and installatlon as indicated. I certity 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 /> ce�tify that I understand lhat the regulaiions of other govemment agencies may apply to ihe 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, WeHand Areas and Envfronmentally Sensitive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Soulhwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navfgable Waterways.
<br /> - Department of Health 8 Rehabifltative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmenlal Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Autho�ity-Runways.
<br /> 1 understand that the following restrictions apply to the use of fili:
<br /> - Use of fil�is not allowed in Flood Zone"V"unless expressly permitted.
<br /> - If the Till material is to be used in Flood Zone "A', it is understood that a drainage plan addressing a
<br /> 'compensating volume"will be submifled at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Fiorida.
<br /> - If the fill material is to be used in Flood Zone "A" in connectfon with a permitted buitding using stem wall
<br /> consUuction,I certHy that fill will be used only to flll the area within the stem wall.
<br /> - If flll material Is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adJacent properties,the owner may be cited for violating
<br /> the condttions of the building permit issued under the attached perm(t application,for Iots 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 promise in good faith to intorm the owner of the permitting conditions set forth in
<br /> this a�davit prior to commencing constructfon. I understand that a separate permlt may be required tor electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specffically induded in the application. A
<br /> permit 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 lhe technical codes,nor shall issuance of a permit prevent the Building OfFicial from thereafter
<br /> requiring a correction of eROrs in plans,construction or viotations of any codes. Every permR issued shali become invalid
<br /> unless the work authorized by such permit is commenced withfn six months of permft 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 be requested, in writing,from the Building OffiGal for a period nvt to exceed ninety(90)days and will demonstrate
<br /> justfiable cause for the extension. Ii work ceases for ninety(90)consecutive days,the 's considered abandoned.
<br /> WARNING TO OWNER: OUR FAILURE TO RECORD A NOTICE OF CO ENCEM SULT IN YOUR
<br /> PAYING TWICE FOR I ROVE YOUR PROPERTY. IF YOU I END TO TAIN FINANCING,CONSULT
<br /> WITH R Y F DI G Y
<br /> FLORIDA JURAT(F.S. 7.0 , �
<br /> OWNER OR A(iENT'- CONTRACTOR
<br /> Subscribed and swom w aRlrtned)before me thla Subsvibed and swom 6 o Ilirmed)before me UNs
<br /> �i-�3�-i�ey L hr��..u� �SC� ;i-�3-�1--by :nr. �-tiP ,�S�a--
<br /> Who Is/arepersonally known lo me r has/heve produced Wfw Isla erspnal y cnown(o m�e r haafhave produced
<br /> ��1�1 L��.nb� as Identlflcatlo�. Yi I,uZT Ct.�e_ as idendfica8on.
<br /> ,a"'';'i;'�,
<br /> Publlc ` Notary Public
<br /> `,�•�.�"_ • � Commissf�n ;.?�' ommiss• �ES
<br /> ,�;z:a: Expires December 12,2014 `'^� �aea m�►'1
<br /> Name ot Nofary lyped, 6bp.�j„��9
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