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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictians"
<br /> which rnay be more restrictive than County regulatfons. The undersigned assumes responsibiHty for complian�e wifh any
<br /> aRplicable deed restrictions.
<br /> UNLIC�N�ED C�NTRA�TORS AND CON'�ItACTOR RESPONS181LITlES: If the owner has hired.a cqntract�r or
<br /> contractors to undertake work, they may be required to be licensed in accordance wiEh state and local regulatfons. If the
<br /> contractor is nvt licensed as required by law, both the owner and contractor may be cfted for a misdemeanor'vtf�t't�he
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may app y
<br /> intended work, they are advised to corttact the Pasco County Building Inspectlon Division—Licensing Se�tion 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 "contractonBndication that heliisaniot p operly licensedi'a d is not enttled to permittingeprivileg si�in Pasco
<br /> contractor, that may be a
<br /> County.
<br /> TRdNSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE �tECOVERY FEE3: The undersigned understan s
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, chan e of
<br /> �y '
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Cot�nty Ordinanee number 89-0 '°artt!
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transpo�tation Impact Fees and Resource Recovery Fees must be paid p�it�r to
<br /> receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> finai pvwer release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Imp�et
<br /> fees are due,they must be p.aid prior to permit issuance in a¢cordance with applicable Pasco County ordinances,
<br /> CONSTRUCTION LIEN L�W(Chapter 713� Florida StBtutes, 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 Const�uction Lien Law--Momeow�er?s
<br /> Prote�han hefaownerP IFeerti�that I'have obtai ed a copy of thetabove described documient and prompse intgood fait�to
<br /> other
<br /> deliver ft to the"owner"prio�to commencement.
<br /> CONTRACTOR'SIOWNER'3 AFFIDAVIT: I certify that ail the information in this application is accurate and that alE�nrork
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permft to do work and installation as indicated. I certffy 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 regutating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the )urisdictfon. ( also
<br /> certify that I understand that the regulations of other government agencies may appiy to the inte�ided work, and thaf it is
<br /> my responsibility to identify what actions i must take to be in compliance. Such agen�fes include but are not limited to:
<br /> Department of Environmental Protection-Cypress Ba�rheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Fiorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
<br /> - Department vf Health 8 Rehabfiitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Federal A�fation Authority-Runways.
<br /> i understand that the following restrictions apply to the use of flll:
<br /> Use of flll is not aliowed in Fiood Zone"V" unless expressly permitted.
<br /> If the fill material 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 permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> If the fili material is to be used in Flood Zone "A" in connection with a perrnitted building using stem walf
<br /> consttuction, 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 any area, I certify that use of such fill will not adversely affect adjacent
<br /> - the owner may be cited for violat��g,
<br /> properties. If use of flll is found to adversely af#ecfi adjacent properties,
<br /> the conditions of the building P n ent iineered dr�ainage p an ise equiredt application, for lots less than one (1)
<br /> acre which are elevated by flll, a g
<br /> If I am the AGENT FOR T�1E OWNER�tructi nis I iunderstand that a�separat permft may be riequi�red fortiel ctr cal work,
<br /> this affidavit prior to commenci g
<br /> plumbing, signs, wells, pools, air c�e'�tioCe 9�e to p oceedewith the work and not as aut hority ao.�u�olateec npcel�, ailt�r, vr
<br /> permit issued shall be constrWed to
<br /> set aside any provisions of the technnsal onst uction oriviolations of any ecodesPrE ery perrriitf Isisued sha�ll'be ome'Invai d
<br /> requiring a correction of errors in pla ,
<br /> unless the work authorized by suchea for�aise od of s z (6) mhontMs after the timeethetworkas co�mmenced An exte slon
<br /> the permit is suspended or abandon p
<br /> may be requested, in writing, fr nm f work IceiaseOforininety(90)rcon ecutive days, th�Job is�c ns dee d abando edgtrate
<br /> justiflable cause for the extensio
<br /> WpR1�1MG TO OWNER: YOUR FAILURE TO�R�E pR�P�R�T�F Y�U IN7xEN�TO BT�ktN'FtI�A�� CON ULT
<br /> PAYtNG TWICE FOR IMPROVEM�NT3 TO YO �,T.
<br /> ...�T�s.-�.��Q 1 cyp��QR AN ATTQRNEY�E R�CORQI�_ ,�
<br /> ����f. r.�f.�,-�..
<br /> FLORt[�A JURAT(F.S. 117.03) ; - '�1/1i1 ,
<br /> CONTRACTO �� �
<br /> OWNER OR AGENT Subscribed and s r�ro(or amrmed�before ma thi �
<br /> Subscribed and swom to{or affirmed)before me this by S o W�f'f �-y�
<br /> bY Who Is/are pe�sona mown to r�e or hasJhave prorde�;ed
<br /> Who is/are personally known to me or has/have produced as identlflcatlon.
<br /> asidendBcaBon.
<br /> / ��•� �� �-- Notary Public
<br /> Notary Pubiic
<br /> Commis lon No.
<br /> Commission No,
<br /> ,��'+'�"''': JACQUELINE
<br /> Name of 5�
<br /> Name of Notary tyPed�Printed or stamped ,,� �'�a',.--' ires DeCember 12,2014
<br /> � ea,a�an,n,rmyFdnmrre�eeoo3esaois
<br /> .�.�.�.�
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