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<br /> NOTICE OF QEED REaTRICTiONS: The underslgned under.�tands�that this.p�rm3E:may be sub�ect to"dee�"restricttons" M
<br /> which may be:more r.estcictive than County regutations. 'The undersigned assumes responslbflity for comp�iance with any
<br /> applicable deed restrictbns. � -� ; ., � ,
<br /> UNLICENSED CClNTRACTt►RS AND CCINTRACTQR RESPONStBIL1TIES: Ef,#tie ovvner has hired a contraator ar
<br /> contractors to undertake work, they may berequlred•.to be�l(censed In accardance vuith state.and�lacal regulat(ans. If the -
<br /> contfactar is not licensed as requtced by Eaw} both the owner and contracfor may; be cttsd for a misdemeanor viotation
<br /> under state iaw. If the awner or intended�contractor are uncertain as to�what licensing_requirements may apply�for the
<br />� intended work, they are advised to contact the.Pasco County 8uilding Inspeckion D(vislan-L.icensing Sectlon at 727-847-
<br /> 8009. fur#he�more, if the owner has h{rec3 a contractar or �ontractors, he is advised to have-the cantractar{s) sign
<br /> portions of the "cantractor Block° of this application for which they will be responsible. If yau, as.#he awner sign a� the
<br /> contractor, that may be an Indicatlon that he is not.properly licensed and is not enti#led to permitting privlleges in Pasco
<br /> County. � ' '
<br /> TRAN�PORTATIQN lMPACT/UTIlITIES IMPACT AND RESOURCE RECQYERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and.Recaurse Recave.ry Fees may�apply�to.the construction of new buildings, change af
<br /> use in exisking bulldings, or expansian.of:existing':buildings, as speclfled in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. Ths undersigned also understands, that such fees� as:may�be�due,:witl.be ident�ied at the t�me of
<br /> permitting. It is further understood that Transporkation Impaat Fees and Resource Recov.ery Fe�s must be paid prior to
<br /> receiving a "aertificate of occupancy" ar flnat power release. :4f the,pro�ect does not invoive a certifiicate of occupancy or
<br /> final power reiease, the fees must be paid prlor#o permit issuance. Ft�cthermore, if. Pasco Couniy 1Nater/Sewer impact
<br /> fees are due, they�must be-pald prior to permit�lssuance-In accordance w(th appllcable Pasca'County ordinances.
<br /> CONSTRUCTIflN l.iEN 1.�►W{Chapter 713, Flar�c�a Statutes�as amend�d); if.vatuat�an af�nrork is�2,500.00 ar mare, 1
<br /> certify that I, �he applicant, have-been provlded with a copy� of the "Florida Constrvction Lien Law—Hameowner's
<br /> Protection Guide" prepared by the Flarlda Depar#me�t of Agricutture and Consumer Affairs. If#hs applfcant Es someone
<br /> other#han the"owner", i certify that i have abtained a copy of the above.descri�ed document°and promise in.good faith.to
<br /> deliver it to the°awner"prior to�commencemsnt. '
<br /> CONTRACTOR'SIOWNER'S AFFtDAVtT: i cettify that ali the infarmation in this appticatiott.is�accurate and that ail work
<br /> will�be done in campliance with all.appitcable laws �egulating construction, zoning and land deirelopment. Applicatian is
<br /> hereby made to obtain .a permit to do work and tnstaitation as Ind[aated. `t cert4fjr that no work or installatton has
<br /> commenced prlor to issuance of a permlt and that.all work will be perfarmed to meet standards of all laws regula#ing
<br /> constructian, County and City codes� zoning regulations, and land development regulations-in the jurlsdictian. ! also
<br /> certify thaf 1 unders#and that the regulations of other gavernment�gencies may apply�to the intended wotk, and fhak it is
<br /> my responsibility ta identiry�what:actions I must take to be in:.campllance. Such agencles include bwt are not limited to:
<br /> - Depatt�tent of Er�vironmental Profection-Cypress.Bayheads, Wetland Areas and Emrlronmerttally Sensit�ve
<br /> Lands,Water/Wastewater Treatment. ,
<br /> - 5authwsst Florida Wate� Nfanagement .D�strlct-Weiis, Cypress. -Bay.heads; Wetiand Areas, Aitering
<br /> Watercourses. '
<br /> - Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
<br /> - Depa�tment of Health 8� Ret�abllitative ServiceslEnviranmenfal Health Untt Wells� VYastewater Treatment,
<br /> Septtc Tanks. -
<br /> - US Envlronmenta#Protect�on Agency-Asbestas abatement.
<br /> - Federai Avlation Authorlty-Runways.
<br /> !understand that the following.restrtctions apply to the use of flU:
<br /> - �Use of fill is not atlowed in Fload Zone"V"unless exprassiy permitted.
<br /> - If the fill material is ta b.e used in Fload Zone "A", (t is understood #hat a drainage plan addressing a
<br /> "compensating volume" will be submlttecf at t�me af permftting which is prep�red by a professfonal engineer
<br /> Iicensed by the State-of Florida.
<br /> - If #he �!1 material is to be used in Flood Zane "A" in�connec�ion�wlth.a permltted building using stem wafl
<br /> � construction, i cartify that fiN�will bs used only.to fill the area within the stem wail.
<br /> - If fill materlal is ta be used In any area, I certify that .use of such fill will nat adversely affect adjacent
<br /> properties. If use of f�ll is found to adversely:affecf ad�acent properties� the owtter may be cited for violating
<br /> the conditians of the building,permi# Issued under the attacNed permit application, far lots less than one (1)
<br /> acr�which are elevated by flil,an engineered drainage pian is requlred,
<br /> tf 1 am the AGENT FOR THE OWNER, i;promise in goad fai#h to Inform the owner ofi#he permitting conditions set farth in
<br /> thls a�davik prtor to cammencing canstruction. I understand tha# a s�parate permlt may be required for electrical work,
<br /> plumbing, signs, wells, pooSs; air co.ndittoning, .gas.. or otk�er instatla#ions not,spec�ic�lly included-�n #he appl3cation. .A
<br /> permit issued shall be canstnued to be a Iicense to p�aoeed with the work and not as authority to.violate, cancel, alter, or ,
<br /> seE aside any provtsfons of the technIcal codes; nor shall tssuance�of a pecmit prevent the Bultdtrig Q#�1cla!fcom thereafter
<br /> requiring a conection af errors in�pians, canstructlon or violatlons af any.codes. Every permi#Issued shail tiecome invalid
<br /> unless the work authorixed.by such permlt is-commenced�.withtn sbc monkhs af permit tssuance, ar lf work authorized by
<br /> the permit is suspendad ar.abandoned for a-petiod of six{8)months after the time the�work�ls,commenc An e�ctensian
<br /> may be requested, ln writing; from the Building,Offlcial for a perlod.�not #o exceed nlnety�(90) days an ill demonstrate
<br /> �ust�fiable cause�for the enslon: If wortc ceasesrfor nine#y(90�consecutive daysr-the�ob�is consEder 6andoned.
<br /> WARNING TQ C1W ; YOUR.-FAlLURE�TO.=RE.C.ORD A.NOTIGE CtF COMMENCEM M `RESULT !N YI?UR
<br /> PAYING'tWIC F �IMPROVEMENTS Tt3 YC1Ui�PROPERTY. IP YO.U�tNTEND`TCi 0 �� ANCING�'CONSULT
<br /> WITH YOUR AN RNEY�B YOU � O�'ICE'O CE E T
<br /> FIORIDA J 17.03) - , - - . ._ ____- - - - - - --�-, ---- ---- . _ -
<br /> OWNER O G CONTRACTOR
<br /> Su�scrfbe d m to(or a efore me this Substxibed and swom to aifi ed e r� '
<br /> y �b
<br /> Who isl pe n r has/have produaed Who Is/are p ona� wn ave�praduced •
<br /> as iden�flca8on. as iden88catian.
<br /> Notery Pubflc Notary Public
<br /> r�%•:
<br /> GommissEon No. ���m 5� n. '� �; Commissian#FF 1 22
<br /> - ' .,; ' ,
<br /> °p`� Boridod ThN Ttay Fein Insumnce 0�85•7��g
<br /> '•.;�P„i�'�`'.
<br /> lVame of Notatry typed,pdnted or stamped Name of Not pe ,p n e or slamped
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