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NOTICE OF DEED RLSTRICTtONS: The undersigned understands that this permit may be subJect to"deed"restrjctivns"
<br /> which cnay be more res�tric:tive than County regulations. The underaig�ed assumes responsibHity for compliance with any
<br /> appticable deed resMctivns.
<br /> UNLICEN�ED CaM��TORS AND COW"F�tACTOR RESPONSl81LITlES: if the owner has hired a ca�ntr�ctor or
<br /> contractors to undertake work, they may be required to be I(censed in accordance with state and�locai regulations. If the
<br /> cont€actor is not Iicensed as required by law, both the owner and contractor may be cited for a misdemeanor viotation
<br /> under state law. If the�owner or intended contractor are uncertain as to what licensing reqGirements may apply for the
<br /> intended work, tl�ey are advised to contact the Pasco County Building (nspection Divisfon--Licensing�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 /> portfons of the "contractor Bloccation that heliisaniot p�ope ly licensed Iand is not e tbNed t yper�mittingsprivil gesgn Pasco
<br /> contractor, that may be an indi
<br /> County.
<br /> TR�iNSP01�tTAT10N IMPi1CT1UTILITIES IMPACT AND RE80URCE t��CflV�E1��ngtEStion of newebuHdi�gsnchan�e of
<br /> that Transportation Imp�ct Fees and Recourse Recovery Fees may �pp Y ,� =-
<br /> use in existing buildings; or expansion of e�xuani�nQrstaindsgthat such fees,iasPmay be due willdbe identffied at he time�of
<br /> 90-07, as amended. The undersigned als
<br /> permitting. It is further understood that Transportatfon Impact Fees and Resource Recovery Fees must be paid p�Ytir to
<br /> receiving a 'ce�ti�cate of occupancy" or flnal power release. If the project does not involve a certificate of occupancy or
<br /> final power release, the-fees must be paid prlor to permit issuance. Furthermore, if Pasco County WaterlSewer Imp�ct
<br /> fees ��a due,-they must be paid prior to permit Issuance in accordance with applicabte Pasco County ordinartces.
<br /> CONSTRUCTION LIEN 1.�V11(Chapter 713, Florida St�tutes, as am�ended): If valuatfon of work is$2,500.00 or more, I
<br /> ce�tify that I, the applicant, have been provided with a copy of the "Florida Construct(on Lien Law—Momeow►�er�s
<br /> Protection heiaownerP Ireertify that Ilhave blained ancopy of the above described document nd prompse ntgood fait�to
<br /> other than
<br /> deliver it to tFie"owne�"prior to commencement.
<br /> CONTRACTOR'S/OWNER`S AFFIDAVIT: I certffy that all the information in this appUcation is accurate and that alE 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 instailation as indicated. i certify that no work or instaltation Mas
<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 Jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may apply to the inte�ided work, arrd't�i�t it is
<br /> my responsibility to i en{tof Ern�ontmental Pr tect on Cypress &a�heads,SWetland Areasnand Enviro mentailyt 3ensitive
<br /> Departm
<br /> Lands,WaterlWastewater Treatment.
<br /> - SouthwesE Flo�ida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seav+ralis, Docks, Navigable Wateruvays.
<br /> _ pQpactrnent of Health $ Rehabiiitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
<br /> Septfc Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Federal-Auiation Authority-Runways.
<br /> I undecstand that tMe following restrictions apply to the use of fill:
<br /> Use of fill is not ailowed in Flood Zone"V"unless expressly permitted.
<br /> If the fill material is to be used in Flood Zone "A", it is understood that a drainage p.lan 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 flll material is to be used in Flood Zone °A" in connection with a perrriitted building using stem waN
<br /> const�uction, I certify that flli will be used only to fili the area within the stem wall.
<br /> If fill materiai is to be used in any area, I ce�tify that use of such ��theiowner mayrbelcited for vi�olali�g,
<br /> properties. If use of fill is found to adversely �ffect adJecent properties,
<br /> the condi�ions of the buiiding permit issued uncier tMe attached permit application, for lots less than one (4)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the A6EMT F`�R TWE OWNER, I p�o nis�iundestand thatna�epahrat permit tmay be riequ�ir d fortielectrecal work,
<br /> this affidauJt prior to Eommencing constructio
<br /> plumbing,��signs, wells;poots; air conditioning, gas, or other installations not spec�icaliy induded in the applica�ion. A
<br /> permit issued shall be cAr�gtr�ed to be a Ifcensenor shaii i sua`ncehof a pe mitprevent thehBu ding jOfficeal from theFeafter
<br /> set aside any provisions of the tecFinical code ,
<br /> requiring a correction of errors in plans, const c tmmenced wi#hin sixamonths of permi P suaince uor�if wo'rk au h ezed by
<br /> un less t h e w o r k a u t h o r i�e d b y s u c h p e r m i t i s
<br /> the permit is suspended or ab��donhe Buildinerio��fali fo8a period notto ex tceed tn nety r(9Q) da.ys and will demonst te
<br /> may be requested, In writing, from t 9
<br /> th�job is considered abandoned.
<br /> justiflable cause for the extension, If work ceases for ninery(90)consecutive days,
<br /> WA��G Tq p�lyl�k�t�; YQUR FAILURE TO RECORP�A�T'�Y��,����O�T��.���p},��,CONY3 LT
<br /> PAYtNG TWICE FOR.INERROVEIVALNTS TO YOUR PROe �Q � T.
<br /> . ,.; QRNE a
<br /> FLORidA JURAT(F.S.117: �) __
<br /> CONTRACTOR
<br /> OWNER OR A(iENT this Subscribed and swom to(or atflrmed)before me lhis
<br /> Subsat and swo - (or iflrm b r bY
<br /> s ` _ h sJhave produoe �' Who Islare pe�sonally knovm to rne or hasfiad nPtiflca�tlond.
<br /> ° s iden cBUon.
<br /> i"
<br /> �..d._ � ,
<br /> ' � ' Notary PubUc
<br /> . �
<br /> c
<br /> � y""' Commission No.
<br /> Commissl n, �"'> anaaiF� S ET►-AND _
<br /> �;�. Commission#EE 140709
<br /> *� 2016 d, rinted or stamped
<br /> Name of ' eoa3as-'o,9 Name of Notary tyPe P
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