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NOTICE OF DEED R��TRI�TIONB: The undersigned understands that this permit may be subject to"deed"rest�ictlans"
<br /> whi�i rr•►ay be mArs r�e#�ic�Eiue than County regulations. The undersigned assumes responsibility for compliance wifh any
<br /> appN�abie deed rest�ictions.
<br /> UNL•I�ENB�ED �t�N'�iA+CTOR3 AND C�WfiRACTOR RE�PONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and Iocal regulations. If the
<br /> con�actor is not lic;en$�d 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 requirements may apply for the
<br /> intended work, theyar�9,advised to contact the Pasco County Building Inspection Division—Licensing Se�tior�at 727-84Z-
<br /> 800.9. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portfons pf the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly Iicensed and is not enti�ed to permitting privileges in Pasco
<br /> County.
<br /> TRlf►f�(SP(�RTATION iMPACTIUT1LiTIES IMPACT AN� RE80URCE RECtN/ERY FEE8: The undersi�ned understands
<br /> that.Transpartation Impgct Fees and Recourse Recovery Fees may apply to the construction of new buildings, chan e af
<br /> use in existing buildlr��, or.expansion of exiating buildings, as specfffed in Pasco County Ordinance number 89-0�'ai��
<br /> 90-07, as amended.. The undersigned also understands, that such fees, as may be due, will be identffied at the time of
<br /> permitting. It is further understood that Transportatfon Impact Fees and Resource Recovery Fees must be paid pfbr to
<br /> �eceiving a "certi�Cate of oceup�ncy" or flnal power release. if the project does not involve a cert�icate of occupancy or
<br /> final powrer rel�ase, the-fees must be paid prior to permit issuance. Furthermore, ff Pasco County Water/Sewer Imp�ct
<br /> fees.�e.•due,..thtey must tae p.ald prior to permit(ssuance in accordance with applicable Rasco County ordinances.
<br /> CO�I��"RUCTION`L1EN LEKW(Chapter 713, Florida 3t�tutes, as arn�e�nded): if valuation of work is $2,500.00 or more, I
<br /> certlfy that I, the appll+cant, have been provided with a copy of the "Florida Constructlon Lien Lauv�—Mo�evu��er�s
<br /> P�otection Guide" prepared by the Fiorida Department of Agriculture and Consumer Affairs. If the applieant is someone
<br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise in good fait�i to
<br /> deliver it to tfie"owner"prior to commencement.
<br /> CONTR�►CTOR'8/OWNER'8 AFFIDAVIT: I certify that all the information in this application is accurate and that aiF work
<br /> will'be done in compliance with all applicabie laws regulating construction, zoning and land development. Appl(cation is
<br /> hereby r�ade to obtain a permit to do work and fnstallation as (ndicated. I certify 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 �egulations, and land development regulations in the jurisd(ction. i also
<br /> certify that I understand that the regulations of other government agencies may appiy to the inte�ided work, and�tM�� it is
<br /> my responsibflity to identify what actions I must take to be in complfance. Such ageneies inelude but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, VNetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-WeNs, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawails, Docks, Navigable Watervvays.
<br /> - Depa�#tnent of Health 8 RehabNit�ative ServiceslEnvironmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Fede�I�Avlation Authority-Runways.
<br /> I undecstand that the following restrictions apply to the use of flll:
<br /> Use of ffll is not aUowed in �'lood Zone"V" unless expressly permitted.
<br /> If the flll material is to be used in Flood Zone "A", it is undefstood that a drainage pian add�essi"ng a
<br /> "compensating volume" wi�l be submitted at time of permitting which is prepared by a professional 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 perrxiitted building using stem wall
<br /> co�s6�wetion, I certify tHaf flil will be used only to fill the area within the stem wali.
<br /> If fill materiai is to be used in any area, I certify that use of such flll wiil not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect ad)acent propertfes, the owner may be c(ted for violetit�g,
<br /> the conditions of the bullding permit issued under tMe attached permit application, for lots less than one ('F)
<br /> acre which are elevated by flll, an engineered drainage ptan is required.
<br /> If I arri the AGENT I�R TWE OWNER, I promise in good faith to inform the owner of the permitting conditians set fo�tM in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, w�ils, pools, air conditioni�g, gas, or other installations not specffically included in the applica�lorr: A
<br /> permit issued sMall be constrwed to be a Iicense to proceed with the work and not as authority to violate, cancel, alt�r, or
<br /> set�aside any provisions of the technical codes, nor shall issuance of a permit prevent the Bulldirig Official from thereafter
<br /> requiring a correction of�rrors in plans, construction or violations of any codes. Every permit issued shalt become invatid
<br /> unless the work authori�ed by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspertde'd or ab�ndoned for a period of six (6) months after the time the work is commenced. An extert�lon
<br /> ma� be requested, in w�iting, from the Bk iceasesOforininety(0)rc nsec tive days,thn)o isc onsi e ed abalndonedg�ate
<br /> justifiable eausefor tfis extension. If�n►or �,
<br /> '� YQ1JR FAtLURE TO RECORD A N�TICE OF COMMEN�EIN�NT NF�►Y R6SULT IM.1(:Q�R
<br /> WAi�1lNG T�Q O�IV ,., a�'
<br /> P/lYING TWICE FOR.I, ;�.ROVEMENT3 TO Y4U�PROPERTY. IF YDU Il�t"I�Ei�7`O�BT�NN`FH+�At�IV�► CONSULT
<br /> ,. � Q NG lf -
<br /> FLORIF�A'Jlif�AT'(�.S.117:b�)
<br /> OWNER OR A(3ENT CONTRACTOR
<br /> Subscrtbed and swom M(or afflrmed)before me this Subscrfbed and swom to(or afflrmed)before me this
<br /> by by
<br /> Who islare personally krrown to me or ha ave proiiuced Who e/are persoAally kn�wn to tete Or has/ha�ventlfi�ca�
<br /> as Identlflcatlon.
<br /> Notary Public Notary Public
<br /> Commisslon No. Commissfon No.
<br /> ed, rinted or stamped Name of Notary typed,Printed or stamped
<br /> Name of Notary iyp P
<br />
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