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N�TIC�OF DEED R�$TRICTIONS: The undersigned understands that this permit may be subJecf to"deed"restrictiat�s"
<br /> whi�h�rnay�ie=mor'�e��'icti�s th�n County regulations. The undersig�ed assumes responsib(lity for compliance wfth any
<br /> appkicable deed restrictions.
<br /> UNLIt3�6D CON'F�►�TORB AND C0N�fi1�1CTOR RE�PONSIBILITIES: If the owner has hfred a cqntractor or
<br /> contractors to undertake work, they may be required to be licensed (n accordance with state and local regulations. if the
<br /> contrac�or is not Iicen�ed as required by law, troth the owner and contractor may be cfted for a misdemeanori��fo��the
<br /> under state law. If the�owner or intended contracto� are uncertain as to what licensing requirements may app y
<br /> intended wor•k, they are advised to contact the Pasco County Building Inspection Division—Ucensing Seation at 727-847-
<br /> 8009. Furthermore, if the owner has hired a co�tractor or contractors, he is advised to have the contractor(s) sign
<br /> po�tions of the "contraetan fidication that heliisaniot properly Iicensediland isenot e tbtled t permittingsprivilegesgn Pasco
<br /> contraetor, t#�at may b
<br /> County.
<br /> TRId1t�tlSpf�RTATI�N IMWACTIUTILITIES IMPACT AN�RE�OtiRCE �ECOVh�onstruction of n webu�de gsnchan�ae of
<br /> that Transportation Imp�ct Fees and Recourse Recovery Fees may�pp Y :�� ��=
<br /> use in existing building�; or expansion of existing buildings, as spec�ied in Pasco County Ordinanc:e number 89=U �t��
<br /> 90-07, as amer�ded. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br /> permitting. It (s further understood that Transportation Impact Fees and Resource Recovery Fees must be pgiit pi`br'td
<br /> receiving-a"certifl�cate of occupancy" or final power release. If the project does not involve a certfficate of occupancy or
<br /> final powrer rel�ase, the fees must be paid prior to permit-issuance. Furtherrr�ore, if Pasco Coun�y Water/Sewer Imp�t
<br /> fees��s.due,.they must be p,aid prior to permifi("ssuance in a¢cordance with applicable Pasco County ordfnarrces.
<br /> CO�f$TRUCTION LIEN UR�fll(Chapter 713, Fiorida St�atuCes, as arrrended): If valuation of work is $2,500.00 or more, I
<br /> cert[fy that I, the applicant, have been provided with a copy of the "Florida Conshuction Lien Lavu--Mor�eow�er�s
<br /> P�otection �uide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I ee�tify that I have obtained a copy of the above described document and promise in goad faik��to
<br /> deliver ft to tMe"owne�"prior to commencement.
<br /> CONTRACTOR'S/OWNER'3 AFFIDAVIT: i certify that ail the information in this application is accurate and that aIF•�n►ork
<br /> will'be done in compliance with all applicable laws regulating construction, zoning and land development. Applicatfon is
<br /> he�eby made to obtain a permit 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 wiil be performed to meet standards of all laws reguF�iting
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisd(ction. I also
<br /> certify that I understand that the regulations of other government agencies may apply to the inte�ided work, �nd�tMart it is
<br /> my responsibility to identify what actions I must take to be in compliance. S�et�and Areasnand Environmen'taNytSens�ive
<br /> - Department of Environmental Protection-Cypress Ba�hedds,
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Man�gement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - D�partment of Heaith 8► Rehabfiitative Services/Environmental Health Un�t-Wells, Wastewater Treatment,
<br /> Septic T'anks.
<br /> - US Environmentai Protection Agency-Asbestos abatement.
<br /> Feder�i A�lat�on Authorit�-Runways.
<br /> I understand that�tMe following restrictions apply to the use of flli:
<br /> Use of flll is not allowed in Fio.od Zone"V"unless expressly permitted.
<br /> If the flll materfal is to be used in Flood Zone "A", it is unders#ood that a drainags plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professionai engineer
<br /> licensed by the State of Florida.
<br /> If th� flll material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> cons�rwctfon, i certify that fiil will be used only to flll the area wfthin the stem wall.
<br /> If fili materiai is to be used in any area, I certify that use of such flll wili not adversely affect adjacent
<br /> prap�rties. If use.of flll is found to adversely affect�adJace�t properties, the owner may be cited for viola�i�g;
<br /> the cond}tions of the bufiding permit issued u�der th�e attached permit application, for lots less than one�(4.)
<br /> acre which are elevated by fill, an engfneered drainage plan is required.
<br /> If I am the A(3�MT FflR TI���WNER, 1 promise in good faith to inform the owner of the permitting GQnditions set forth�r�
<br /> this affidavit prfor to commencing construction. 18Sn oero her installationsr not sp ci�ically bncludedr n he aippiica�i�ork�,
<br /> p lum b i n g, s i g n s, w e 1 1 s, R o o l s, a i r c o n d i t i o n i�g, g ,
<br /> permit issued sMail be construed to be a license to proceed with the work an d no t as au t hor i ty t o v i o l a t e, c a n c e l, a l t��, o r
<br /> set aslde any prov is ions o f t h e t e chnical codes, nor shall issuance of a permit prevent the Build(ng Official from theFeafter
<br /> requfring a correction of errors in plans, �i{is�tmmencedlwithfn sixe onthseof perm t P suaince,uoa�Wo��k a tno Zea by
<br /> unless the work aathorized by such per
<br /> the permit is suspended or abf om t e BufldfngiOfficial fo8a perfo�d notto exeeedtninetyr(90) days and wiil demonst ate
<br /> may be requested, in wciting,
<br /> just�iable eause for the extenslon. If work ceases for ninety(90)consecutive days, th�job is considered abandone .
<br /> �.•.,, ^ .
<br /> WAt�IaG T4 O�lIIN�� YDUR FAtLURE T OU�t PROPER'TY.TIF Y�U IhITEI+�Tfl OBT/ktM FMlANGII�CONSULI'
<br /> PAYING TVYICE FOR.�, �ROVEMENTS TO Y ���� �i�NpTI'CE 0F�0���•
<br /> ���.��►���,�.E.��R�R�h'ATTC�FLN�Y B�# l:f�RQ11�G Y
<br /> FLORIC�A JURNT°(F.S.117.b�)
<br /> OWNER OR A(iENT CONTRACTOR
<br /> Subsaibed and swom to(or afflrtned)before me this Subsaibed and swom to(or aiflrmed)before me this
<br /> dy by
<br /> Who Is/are personaily known Eo me or ha' ave produced Who s/are pe�sonalty known to rne or has/f�fa np�%d�d
<br /> as identlflcatlon.
<br /> Notary Publtc
<br /> Notary Public
<br /> Commisslon No.
<br /> Commisslon No.
<br /> ed, rinted or stamped Name of Notary typed,Printed or stamped
<br /> Name of Notary iyp P
<br />
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