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<br /> NOTIGE OF DEED RESTRiCT10P1S: The undersigned understands that this permit may be subject to°deed"restrictions"� �
<br /> which may be mvre restrictive#han County regutations. The uncfers4gned assumes responsibility for campliance with any
<br /> applicable deed restrictions.
<br /> UNLlCENSED GClNTR�4CTURS AIVD CONTRACTtJR RESP4NSIBIL,lTIES: If the owster has hired a contractor or
<br /> contractors to undertake work, they may be required ta be licensed in accordance with state and (ocal regulations. If the
<br /> contractar is nat licensed as required by law, bath the owner and contractor may be cited for a misdemeanor violakion
<br /> under state iaw. if fhe awner or intended contractar are uncertain as to what licensing requiremenfs may apply for the
<br /> intended work, they are advised to contac#the Pasco County Building Inspectian Division—Licensing Section at 727-847-
<br /> 80Q9. Furthermare, if the owner has hired a contracfar or contractors, he is advised ta have the contractor{s) sign
<br /> portians of the "contrackor Black" of this applicakion for which they will be responsible. If you, as the owner sign as the
<br /> cantractor, that may be an indication tha# he is not properly licensed and is not entitled to permikting privileges in Pasco
<br /> CounEy. . ,
<br /> 7RANSPORTATICIN IMPACTIUTILITIES IMPAC�'AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation impact Fees and Recourse Recovery Fees may apply to#he cons#ruction af new buildings, change of
<br /> use in exis#ing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-0? and,
<br /> 90-07, as amended. The undersigned also understands, that suGh fees, as may be due, will be identified at the time of
<br /> permit#ing. It is further understood that Transparkation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "ce�tificate of occupancy" or fina! power release. !f the project does not involve a ce�tificate of occupancy or
<br /> final power reiease, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counfy Water/Sewer lmpact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LA1f�J{Ghapter 713, Florida St�tutes, as arrtended}: If valua#ian of work is$2,500.00 ar more, 1
<br /> certify that I, the applicant, have been provided wikh a capy af the "Florida Construction Lien Law=Homeowner's'
<br /> � Pratection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is sameane
<br /> other than #he"owner", I certify that I have abtained a copy af the above,described document and promise in good faith to
<br /> deliver it ta the"owner"prior to commencement.
<br /> COtVTRACTOR'S/OWN�R'�AFFICtAV1T: 1 certify that all the infarmafian in this applicatian is accurate ancf that all work
<br /> will be done in campliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby rnade to ob#ain a permit to do work and installation as indicated. t certify that na work or instaliatian has
<br /> commenced prior #o issuance of a permit and #hat all work will be perfarmed to meet standards of all laws regulating
<br /> construction, Gounty and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> cerfify that ( und�rstand thaf the regulations of other gavernment agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Departmen# af Environmental Protection-Cypress Bayheads, WetEand Areas and Environrnentally Sensifive
<br /> Lands, Water/Was#ewater Treatment.
<br /> - Southwest Florida Water Nfanagement Qistrict-Welis, Cypress Bayheads, Wetland Areas, Rltering
<br /> Watercourses.
<br /> '' - Army Corps af Engineers-Seawa!!s, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative ServiceslEnvironmental Health Unit-Wel(s, Wastewater Treatment,
<br /> Septic Tanks. ,
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following t�estr9ctions apply to the use of fill: �
<br /> - Use of fill is not allowed in Flood Zone°V°unless expressly permitted.
<br /> - If the fil! materia) is to be used in Flood Zone "A", ft is understood that a drainage plan addressing a
<br /> "compensating valume" will be submitfed at fime o#permifting which is prepared by a professional engineer
<br /> licensed by#he State of Florida.
<br /> j - If the fill material 'ss to be used in Flood Zone "A" in connection with a permifted buiEding using sfem uva!!
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fi1! material is ta be used in any area, ! certtfy that use of such fill will not adversely affect adjacent,
<br /> properties. If use of fill is found to adversely affect adjacent propert'res, the owner may be cited for vialafing
<br /> the canditions of the building permit issued under the attached permit applicatian, far lots less #han one (1)
<br />' acre which are elevafed by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR 7HE OWN�R, I promise in good faith to inform the owner of the permitting conditions set forth in'
<br /> this affrdavit prior ta cammencing construction. I unclerstand that a separate permit may be required far electrical work,,
<br /> lumbin si ns, wells ools, air canditianin , as, or ofher installafions not speci�cally included in the ap lication. A
<br /> p 9� 9 � P 9 9 _ P
<br /> permit issued sha!! be construed to be a license to praceed with the work and not as authority to violate, cancel, alter, or�
<br /> set aside any provisions of the#echnical cades, nor shalf issuance of a permit prevenf the Building.Official from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any cades. Every permit issued shall become invalid
<br /> untess the work autharized by such permit is cammenced within six rnonths of permlt issuance, or if work authorizecf by
<br /> #he permit is suspended or abandoned for a periad of six(6) months after the time the work is commenced. An extension
<br /> may be requested, in writing, f�om the Builcling Qfficia! far a period not to exceed ninety {8Q) days and will demanstrate
<br /> justi�able cause for the extension. If work ceases for ninefy(90)consecutive days, fhe job is considered abandoned.
<br /> WARNING TO ClWNER: 1fCiUR �AiLURE TO R(�GfJRD A N�TtCE UF CQMIUIENCEMENT IViAY RESUE.T iN Yt}U '"
<br /> PAYING TWICE �OR IIYIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TCl OBTAIN FIN�►NCING, CONSULT
<br /> __W�T}t 1(t1t��L�PICbER Or1�A(�A�'e}R�EY����'O�E 1ZECOi�GiNG Y�t:i��i��TiGI�-O�-C43��tMEN�EME1��. - -------
<br /> FLORIDA JURAT(F.S. 1 .03
<br /> U1t1ttNEEt OR AGENT ,, CONTRACTOR �'
<br /> Subscribed and swom to(or aff e before � thl Subscribed and swam to or affir e before me s
<br />� ay _ by � ,
<br /> Who islare persanaily known tn me o astfiave produced Who islare petsanally knawn to me haslhave produced
<br /> as ldentlfication. as identification.
<br /> Notery PublIc Notary Public
<br /> Commisslon No, Commission No.
<br /> Name af Notary typed,prfnted or stamped Name of Notary typed,printed or stamped
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