:'
<br /> NOTICE OF DEED RE57'RICTIONS: The undersigned understands that this permit may be subject to"deed" restric#ions"
<br /> which may be more cestrictive than County regulafions. The undersigned assumes responsibility for campliance with any
<br /> applicable deed restrictions. � • ,�
<br /> UNLlCENSED CONTRACTORS AND CKJNTE�ACTOR RESPON�lB1LITIES: !f the owner has hired a contrac#or ar
<br /> confractors to undertake work, they may be required to be (icensed in accordance with state and lacal regulations. I##he
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanar violation
<br /> under s#ate law. !f the owner or inte�ded contractar are uncertaEn as ta what licensing requiremen#s may apply for the
<br /> intended work, they are advised to cantack the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermare, if the ov�rner has hi�ed a con#rac#or or con#ractoes, he is advised ta have the contraetar(s} sign
<br /> portians of the "contractar Black" of this application for whiah #hey witl be respansible. If yau, as the owner sign as fhe�
<br /> contractor, #hat may be an indication that he +s nat praperly licensed and is not entitled to permitting privileges in Pasco,
<br /> Caunty, �
<br /> TFt�►NSPORTATION IMPACTlUTILITIES IMPAC'T AND RESOURCE RECOVERY F�ES: The undersigned unders#ands
<br /> #hat Transportation lmpact Fees and Recourse Recovery Fees may apply to the canstructian af new buiEdings, change af,
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and'
<br /> 90-07, as amended. The undersigned aiso unde�stands, that such fees, as may be due, w9H be identified at the time of'
<br /> permitting. lt is further undersfood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a ""certificate af occupancy" or final power release. (f the project does not involve a certificate of occupancy or;
<br /> final power release, the fees must be paid priar to permit issuance. Furthermare, if Pasca County Wa#e�lSewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasca County ordinances. '
<br /> CONSTI�UCTION �I�N l.Al�t(Gha�pter 713, Florida Statutes,as amended}: !f valuation of uvork is$2,500.00 ar more, 1
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's�
<br /> Protectian Guide" prepared by the Florida Depar#ment of Agriculture and Cansumer Affairs. If the applicant is someone�
<br /> other#han#he"owner", i certify fhaf I have obtained a capy of the above described dacument and promise in good faith to;
<br /> deliver it to the°owner"prior to commencement.
<br /> CONTRACTOR'S1tJWN�R'S��FI�AVIT: 1 certify that all the information in#his app4ication is.;accurate and that all work,
<br /> will be done in compliance with all applicable laws regulating constructian, zoning and land develapment. Applicatian is'
<br /> hereby made ta obtain a permit ta do work and #ns#allation as indicated. I cert'tfy that no work ar installation has,
<br /> commenced prior to issuance of a permit and #hat all work wiil be performed to meet standards of alf taws regutating�
<br /> cons#ruckion, County and City codes, zoning regulations, and land development regulations in the jurisdiction. ! also.
<br /> cerfify that I undersfand.thaf the regulations of other government agencies may apply to #he intended work, and that if is;
<br /> my responsibility#o identify what actions I must take to be in compllance. Such agencies include but are not limited to:
<br /> - Department of Environmenfal Protection-Cypress Bayheads, Wetland Aeeas and Enviranmentally Sensifive;
<br /> Lands, WateNWastewater Treatmenk.
<br /> - Southwest Florida Water Management District-We!!s, Gypress Bayheads, Wetland Areas, Altering;
<br /> Wafercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. ,
<br /> - Depar#ment of Mealth & Rehabilifative ServicesJEnvironmentat Flealth Unit-Wells, Vtlas#ewater Treatment,
<br /> Septic Tanks. ,
<br /> - llS Environmenfal Pratectian Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways. ,
<br /> ! understand Ehat the following restrictions apply to the use of fill:�
<br /> - Use of fill is not allowed in F1ood Zone"V"un(ess expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a'
<br /> °campensating valume" vrrifl be submitted at time of permitting which is prepared by a professional engineer.
<br /> licensed by the State of Florida. �
<br /> - If fhe fill material is fo be used in Flood Zone "A" in cannection wriEh a permitted buiiding using stem wa!!
<br /> construction, I certify tha#fill will be used only to fill the area within the stem wall. '
<br /> - !f fif! material is to be used in any area, I cer#ify that use of such fill will not adversely affect adjacent,
<br /> properfies. 1f use of fiit is found ta adverseiy affect adjacent properties, the awner may be cited far vialating
<br /> the conditions of#he building permit issued under the attached permit applica#ion, for lots less than one (1)
<br /> acre which are elevated by fill,an engineered drainage plan is regulred. !
<br /> If I am the AGENT FOR TFIE 01fVNEl2, I promise in gaad faith to inform the owner of the permitting conditions set farth in;
<br /> this a�davi# prior to commencing construction. ! understand that a separate permit may be requiced for electrical work, ;
<br /> plumbing, signs, welis, pools, air canditianing, gas, or other installations not specifically inciuded in the applicatian. A
<br /> permit issued sha!! be construed to be a license to proceed with the work and not as authority to violate, cancel, al#er, or
<br /> set aside any provisions of the tech�ical codes, nor shall issuance of a permff prevent the Building�fficial from thereafter'
<br /> requiring a correction of errors in plans, canstruction or violations af any codes. Every permit issued shall became invalid
<br /> untess the work aufhorized by such permit is commenced within six months of permi# issuance, or if work aufhor'szed by
<br /> #he permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An ext�nsion ;
<br /> may be requested, in writing, fram the Building C}�cial for a pertod nat to exceed ninety {90) days and will demonstrate;
<br /> justifiable cause far the extension. If work ceases for ninety(90}cansecutive days,the jab is considered abandoned.
<br /> WARNIN� TO QWNER: Y�UR FAILURE TC? R�CC?RD A NQTICE �F COMMENCEMENT MAY RESULT IN 1tC}UR
<br /> PAYING TWICE FOR IIVIPROVEM�NTS TO YOUR PROPEFtTY. �I�YOU INTEND TC1 OBTAIN FINANCING, CONSl1LT"
<br /> WITH YOUR LEND�it t)R AN ATTOFZNEY BEFQRE RECflFZDlNG YQUR NOTICE{)F COMMENCE[UlENT.
<br />-- -`FL�RII?A JURAT-{F.S..1_17.43)__ _ __ _ __ _
<br /> p���p{�q�E�; CONTRACTOR
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed}before me this
<br /> �y by
<br /> Who islare personatly knawn to me or haslt�ave produced Who Islare petsonaEfy known to rese or haslhave praduced
<br /> as Identification. as identification.
<br /> �
<br /> Notary Public Notary Public
<br /> Commisslon No. Commission No.
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br />
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