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NOTIGE OF DEED RESTRICTIONS: The undersigned und rsCands that this permit may be subject to"deed"restrictions"
<br /> which may be mare restric#ive than County regulations. Th undersigned assumes respansibility for compliance with any
<br /> applicable deed restrictians.
<br /> UNLICENSED CONTRACTORS AND CONTRACTCIR R SPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be 1 censed in accardance with state and tocal regulations. If the
<br /> cantractor is�of licensed as required by taw, both the aw er and contractor may be cited far a misdemeanor violation
<br /> under state law. If the owner or intended cantractor are u certain as to what licensing requirements may apply for the
<br /> iMended wark,they are advised to contact the Pasco Coun Building inspection Division—Licensing Section at 727-847-
<br /> 8409. Furttisrmore, if the owner has hired a cantracior r contractors, he is advised to have the contractor{s} sign
<br /> portians of the"contractor Block°of this application for whi h they will be responsible. If you, as the owner sigh as the
<br /> contrac#or,that may t�e an indication#tiat he is not praperl licensed and is not entiUed to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND R QURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation lmpact Fees and Recourse Recover}r F es may apply to the construction of new buifdings,change of
<br /> use in existing buildings,or expansion of existing buildings as specified in Pasco County Ordinance number$9-07 and
<br /> 90-07,as amended. The undersigned also understands,t at such fees,as may be due,will be identified at the time of
<br /> permitting. It is further understood that 7ransportation Imp ct Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certifrcate of occupancy"or ftnal power release If the project does�ot involve a cettificate of occupancy ar
<br /> final power release,the fees must be paid prior to permit i suance. Furthermore, if Pasco Caunty WatedSewer Impact
<br /> fees are due,they must be paid prior to pertnit issuance in a ordance with applicable Pasco Caunty ordinances.
<br /> GONSTRUCTION LIEAi LAtN(Chapter 7i3,Fiorida 3tatut s,as amended}: tf valuation of work is$2,5Q0.�0 or ri�ore,I
<br /> certify that i, the applicant, have been provided with a opy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Flarida Department of A riculture and Consumer Affairs, If ihe applicant is someone
<br /> ofher than the"owr�er",!cerkify that 1 have obtained a capy f the above descril�ed dacument and promise in good faith to
<br /> detiver it to the"owner"prior ta commencemenk.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT. I certify that ail t e information in this application is accurate and that all work
<br /> wili be done in camp[iance with a!I applicable laws regulati g constntction,zaning and land developmenf. Agplicafion is
<br /> hereby made to obiain a permit to do work and instatiat on as indicated. i certify that no work or instellation has
<br /> commenced prior to issuance of a permit and that all wor will be pertormed to meet standards of all laws regulating
<br /> construction,.County and City codes, zoning regulatians, nd land development regula6ons in the jurisdiction. 1 afso
<br /> certify that 1 understand that khe regulations of other govern ent agencies may apply to tfie intended tivork,and that it is
<br /> my responsibiliry to identify what actipns I must take ta be in ompliance. Such agencies include but are not limited to:
<br /> - Departmenf of E»vironmenta! Protection-Cypre s 8ayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaferiWastewater Treatment.
<br /> - Southwest Florida Water Management Dis ict-Wells, Cypress Bayheads, Wetland Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps af Etiginsers-Seawalis,Docks,Navi able Waterways.
<br /> - pepartment of Health & Rehabilitative Senric s/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Ager�cy-Asbestos batement.
<br /> - Federal AviaGon Authority-Runways.
<br /> i understand that the following restrictions appiy to the use o fill:
<br /> - tlse of filt is not allowed in Flood Zane"V"unles expressly perinitted,
<br /> - If the fill material is to be used in Fiood Zo "A", it is understodd that a drainage plan addressing a
<br /> "compensating volume"will be submitted at tim of permitCing which is prepared by a prafessional engineer
<br /> licensed by the Skate of Florida.
<br /> - If the fill materiai is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction,I certify that fill wiil be used only to ill the area within tlie stem wall.
<br /> - if fill materiai is to !�e used in any area, I ce 'fy that use of such fili wil( nat adverseiy aSect adjacent
<br /> properties. If use of fiil is found to adversely a ect adjacent properties, the owner may be cited for vio(ating
<br /> the conditions of the building permit issued un r the attached perrriit application,for lots less than one (1)
<br /> acre which are elevated by fill,an engineered dr inage plan is required.
<br /> if I am the AGENT FOR THE OWNER,I promise in good fai h to inform the owner of the permitGng conditions set forth in
<br /> this affidavit prior to commencing cons#ruction. I understan Utat a separate permit may be required far electrical wprk,
<br /> plumbing, signs,weUs, poois,air conditioning, gas, or othe insta0ations nat specificaily incEuded in the apgiication. A
<br /> pe�it issued shait be constnaed to be a Iicense to proceed ith ihe work and not as autharity fo viaiate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall iss ance of a permit prevent the Building Official.from ttiereafter
<br /> requiring a correc8on of errors in plans,constn�ction or uiola ions of any.codes. Every petmit issued shal!become invalid
<br /> unless the wortc autharized by such perm9t is commericed ithin six manths of permit issuance,or if work au#horized by
<br /> the permit is suspended or abandoned for a period of six(6) anths after the lime the work is cammenced. An extension
<br /> may be requested,in writing, from the Building O�cial for a period not to exceed ninety(90}days and will demonsttate
<br /> jusEifi�ble cause for the extension. If wark ceases for ninety O)cansecu#ive days,the job is considered abandoned.
<br /> WARNING TQ OWNER: YOUR FAILURE TO RECORD` NOTICE QF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYiNG TWfGE FOR IMFRdVEMEiVTS TO YOUR PR4PE TY. I�YOU INTEhid TO Q8TA1N FlNANCIN�,CON5t7t�T
<br /> WITH YOUR L,ENDER.OR AN ATTORNEY BEFORE RECO DING YOUR NO710E OF CDMM CEMENT.
<br /> FLORIDA JURAT(F:S.1'17.Q3) ��
<br /> OWNER OR A6ENT CON RACTOR
<br /> Subscrihed and swprn to(or aKrmed)4efore me this bs ' and sworn t r aftirmed)bef r me thi
<br /> by by ,�,��,Y4
<br /> Who isfara personaliy known to me or haslhave produced ha are petsonallv knov�n{o me or sihave pro8uced
<br /> as identifica&on. —.r as identification. '
<br /> Notary Public Notary Pubtic
<br /> Cammissfon No. Com ission No,
<br /> Name of Nolary typed,printed orstamped Nam aC Notary typed,printed or stamped
<br /> ,�a�u�M.y 1L� f�
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