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NOTICE OF DEED R�STRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictio�s"
<br /> which rnay be more res#ticEiv�than County cegulatfans. The undersfgneci assumes cesponsibility for compliance with any
<br /> appkiaable deed restrictions.
<br /> UNL'I�ENBED CQN°f'i�4�TORS' AND CON'TRACTOR RE3PONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertak�work, they may be required to be licensed in accordance with state and local regul�tions. If the
<br /> contractor-is not licen$ed as required 6y 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, tMey ar� advised to contact the Pasco County Buiiding Inspection Division—Licensing Se�tion at 727-847-
<br /> 8009. Furthermore, if fhe owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> po�tfons of the "contractor Block" of this application for which they will be responsibie. If you, as the owner sign as the
<br /> contraetor, that may be an indication that he fs not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRdNSPf1RTATION IMP�►CTIUTILITIES IMPACT AND RESOURCE RECOVERY FEE3: The undersigned understands
<br /> that Transportation Imp�ct Fees and Recourse Recovery Fees may apply to the construction of new buil�ings, chan e af
<br /> use in existing buildings, or,expansion of exiating,buildings, as speci�ed in Pasco County Ordinance number 89-0�ar�� "'
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identi�ed at the time of
<br /> permitting. It is further understood that Transportatfon Impact Fees and Resource Recovery Fees must be paid pr`br to
<br /> receiving a "certifir,ate of occupancy° or final power release. If the project does not involve a cerkificate of occupancy or
<br /> final power release, t.he-fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Imp�et
<br /> fees �re due,they mLSt tae:p.aid prior to permit issuance in aecordance with applicable Pasco County ordinanees:
<br /> CON�TRUCTION LIEN�►W(Chapter T13, Florida Statutes, as amended): If valuation ofiwork is $2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—MomBOwr�er�s
<br /> Protection Guide" prepared by the florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I eertify that I have obfiained a copy of the above described document and promise in good faitkt�to
<br /> deliver it to~the"owner"�prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this appiication is accurate and that alk=wo�k
<br /> will be done in compliance with ali applicable laws regulating construction, zoning and land development. App�ication is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be pe�formed to meet standards of all laws reguisting
<br /> construction, County and City codes, zoning regulations, and land development regulatfons in the jurisdiction. ( also
<br /> certify that I understand that the regulations of other government agencies may apply to the inte�ided work, and thaE it is
<br /> my responsibiliry to identify what actfons I must take to be in comptiance. Such agencies inelude but are not limited to:
<br /> - Department of Environmental Protection-Cypress Ba�rheads, Wetland Areas and Environmentally Sensf#ive
<br /> Lands, Water/Wastewate�Treatment.
<br /> - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetiand Areas, Altering
<br /> Watereourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Depark�nent of Health � Rehabilit�tive Services/Environmental Health Unit-Wells, Wastewater Tr�atment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal A�iation Authority-Runways.
<br /> I undecstand'that the following restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
<br /> - If the fill material fs 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 professionai engineer
<br /> licensed by the Stete of Florida.
<br /> - If the fili material is to be used in Flood Zone "A" in eonnection with a permitted building using stem wal�
<br /> construction, I certify thaf fill will be used only to fiil the area within the stem walL
<br /> - If fill material is to be used in any area, I certify that use of such fitl wiil not adversely affect adjaeent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for viola#ing;
<br /> the eondi�ions of the building permit issued under the attached permit application, for Iots less than one (4)
<br /> acre which are elevated by fill, an engineered drainage plan 1s required.
<br /> If I am the AQENT FOR'TWE OWN�R, I promise in good faith to infor-m the owner of the permikting canditions set forth ir�
<br /> this affidavit prior to commencing construction. i understand that a separate permft may be required for el�ctrical work,
<br /> plumbing, signs, weNs, pools, air conditioning, gas, or other installations not specifically included in the applicakyor� A,. -
<br /> permit issued shaii be constr�ed to be a license to proceed with the work and not as authority to:vlolate, cancel, alt�r,�ar `
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authori�,ed by such permit is commenced wi#hin six months of permit issuance, or if work authorized by
<br /> the permit(s suspende,�d or ab�ndoned for a period of six (6) rnonths after the time the work is commenced. An extension'
<br /> may be requested, in w�iting, from the Building Official for a period not to exceed ninety (90) days and wilt demonstrate
<br /> juslifiable cause for the extension. If work ceases for ninety(90)consecutive days, th�job is considered abandoned,
<br /> WARMI�G TO OMINE�: YOUR FAILURE TO RECORD A' NOfiiCE OF C4MMENEEM�NT MAY F�6SULT IN Y�IUR
<br /> PAYING TWICE FOR IMP-ROVEMENTS 30 YOUR PROPERTY. IF YOU INTEMD TO OBT/ktM FIMAMCIN�, CONSULT
<br /> yyITM�Q���p����C�AN ATTQRNEY B�.FORE R�COl�DING YOUR NOTI�E OF �ONlMLN�LIKAEN`�•
<br /> FLOFtt[�A JURl1T(F.S.117.t��)
<br /> OWNER OR A(iENT CONTRACTOR
<br /> Subsatbed and swom M(or affirmed)before me this Subscrfbed and swom to(or afflrtned)before me this
<br /> by bY
<br /> Who islare personally known fo me or has/have produced Who Is/are Pe�sona�ly knovmto rne br hasRiave prodtl�ed
<br /> as IdentlflcaUon. as IdentlBcation.
<br /> Notary Pubifc Notary Pubifc
<br /> Commisslon No. Commisslon Na
<br /> Name of Notary lyped�printed or stamped Name of Notary typed,printed or stamped
<br />
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