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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pemutt may be subjed�o°deed"restrictions"
<br /> which may be more restrictive than CouMy regulations. The undersigned assumes respons�ilily for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CON7RACTOR RESPONSIBILiT1ES: If the owner has hired a contractor or
<br /> coMradors to undertake w�ork,Uiey may be requied to be lioensed in acoordanoe with state and bpl regulations. H the
<br /> coMrador is not lioerised as required by law,both ttie owner and coMractor rrrey be cibed for a misdemeanor violation
<br /> under state law. If the owner or intended contrador are uncerfain as fo what lioensing requiremerds may apply for the
<br /> intended work,they are advised to corrtad the Pasco CouMy Budding Msped'an Division—Lioensng Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contrador or oontradors, he is advised to have the coMractor(s) sign
<br /> portions of the"oontractor BIocK'of this appNc��tion for which they wAi be respo�ible. If you,as the owner sign as tfie
<br /> contrador,that may be an indicatan tl�at he is not properiy licensed and is not errtitied to pertrritting priviteges in Pasco
<br /> CouMy.
<br /> TRANSPORTATION IMPACTN7ILITIES IMPACT ANO RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impad Fees a�d Reoowse Recovery Fees may apply 4o the constnictio�of new buildings,change of
<br /> use in existing buildings,or expansion of existing buildings,as spec�ied in Pasco Couniy Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be iderdified at the time of
<br /> permitting. ft is further understood that Trar►sporlation Impad Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy'or final power release_ If the projec!does rat imroNe a oert�icate of occupancy or
<br /> final power release,the fees must be paid priw to perrrk issuance. Furlhemare,if Pasoo Cowdy Vl�tedSewer Impact
<br /> fees are due,they must be paid prior to pemit issuar►ce in aocordance with applicable Pasoo County oMinances.
<br /> CONSTRUCTION LIEN U1W(Chapter 715,Florida Statutes,as amended): If valuation of vwrk is 52,500.00 or rrwre,I
<br /> certiry that I, the applicaM, have been provided with a copy of the 'Florida Construc6on Lien Law—Homeowner's
<br /> Protec�ion Guide"prepared by the Florida Departrnent of Agricukure and Coosumer Affaits. If the applicant is someone
<br /> other than the'owner,I ceAity that I have o6fained a oopy of the above described documeM and promise in good iaith tc
<br /> deliver k to the"owner"prior to cortrr�encemeM_
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify tl�at all the information in this appNcation is aocurate and that all vwrk
<br /> will be done in compliance wiih all appicabie laws regulatiig construction,zoning and land devebpmeM. Application is
<br /> hereby made to obtain a pemrt to do work and �staYation as irdicated_ 1 oerGfy tliat ra wurk or installation has
<br /> commenced prior to iss�noe of a perm�t and tlmt a�work wil be pertomied to meet standards of all laws regulating
<br /> construction, County and Ciy codes,zonv�g regulations, and land devebpment regulations in the jurisdiction. I also
<br /> certify that I understand that the reg�ations of other govemme�agenaes may apply to the iMended work,and that it is
<br /> rtry responsibilily to ideMify what actions I must take to be in oompliance. Such agenaes ndude but are not limited to:
<br /> - DepartrneM of Environmental Protection-Cypress 8ayheads,VYetland Areas and Environmerhally Sensitive
<br /> Lands.lNaterMfastewater Treatment.
<br /> - Southwest Fbrida Water ManagemeM District-WIeNs, Cypress Bayheads, VYetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers�eawaNs,Dodcs,Navigable VHabeiways.
<br /> - DepartrneM of Health 8 Rehabaitative ServioestErnironmerrtal HeaMh Unit VYeNs, Wastewater Treatment,
<br /> Se�ic Tanks.
<br /> - US Emironmeraal Protedion AOency-Asbestos abatemerrt.
<br /> - Federal Aviation AuThotity-Rurnvays.
<br /> 1 understand lhat the following restrictions apply tio the use of fill:
<br /> - Use of fill is rat albwed in Flood Zone'V'unless expressy pemrtted.
<br /> - If the fill material is to be used in Flood Zor►e °A', it is understood Uwt a drairmge plan addressing a
<br /> "oompensati�g volume"will be submitted at time of pemrtbng which is prepared by a professional engineer
<br /> licensed by the S1ate of Florida.
<br /> - If the fill material is to be used in Fbod Zone"A"in cormection wMh a pemMted build'mg using stem wall
<br /> construction,l cer[ify that fill wil be used only M fdl the area wiThn the stem vralt.
<br /> - If Tdl material is to be used in any area, 1 certily that use of such fill will not adversety afrect adjacent
<br /> properties. M use of fill is found to adversely afFed adjaoerrt properties,the owner may be cited for violaHng
<br /> the condiions of the build'mg pemiit issued under the atfached pemrt application,for b1s less than one (1)
<br /> acre which are elevated by fill,an engineered drairrage plan is required.
<br /> If I am the ACiENT FOR THE OWNER,1 promise in good faith�o irdortn the owner of the perm�tirg conditions set forth in
<br /> this affidavit prior to commencng oonstruction. I understand tliat a separate pemrt may be requ'ned fir electrical work,
<br /> plumbing, signs,wells, pools,air oond�ioning, gas,or other i�Yatio�s rat speafically included in the application. A
<br /> permk issued shall be construed to be a icense to proc8ed wAh 1he wwk and not as autlarily�o vi�late,cancel,aRer,or
<br /> set aside any provissions of U�e technical codes,nor shall iss�noe of a perm't preverd the Buiding ORicial from thereafter
<br /> requiring a corredion of errors in plans,construction or valations of any oodes. Every pemrit iss�d shall become invalid
<br /> unless the work autFarQed by such pemrt is oomrnenoed within scc moMhs of pemiit issuanoe,or iF work authorized by
<br /> the permit is suspended or abandoned for a period of sbc(6)morMhs aftet the trcne the worlc is commenced. An extension
<br /> may be requested,in wridng,from ihe Bu�irg Official for a period not to exceed ninety(90)days and will demonstrate
<br /> just�able cause for the extensan. If work o�ses for ninety(90)oonsecutive days,the job is considered abandoned.
<br /> WARNING TO ONMER: YOUR FA�URE TO RECORD A NOTfCE OF COMMENCEMENT MAY RESULT I YOUR
<br /> PAYIN(3 TWICE FOR IMPROVEINENTS TO YOUR PERTY. IF YOU W7E11D T0 OBTAIN FNUINCIN(i, NSULT
<br /> WI YOUR RE(ARq YOU MENC T.
<br /> FLORIDA JURAT(F.S.117.03) l
<br /> OWN�OR AO@IT � ��T
<br /> Subsaibed and srwrn to(or affirmed) efuie me tltis Subsaibed and�an Eo(a belore me is
<br /> by bY
<br /> Who is�are personaAy Ivwwn to me w haslhave poduoed VNa' laiown to rre a hasTave p�oduoed
<br /> as�. � �.i�CF � as ider�fir�0on.
<br /> i
<br /> �A
<br /> No1ary Wblic �c
<br /> Commission No. � � �� ^�' C' • •
<br /> �a: Expires D9cember 12,2014
<br /> Name of NotarY tYP�.P�rrted a stamped Name of NataY 70t9
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