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<br /> Nt3TiCE OF DEED RESTRICTIONS, he randersigned understands that thEs perm(t may be subject to"deedn CBStf�CitOCISn -
<br /> which rnay be mare restrictive than Go nty regulatians, The underslgned assumes cesponsib(Ilky foc compliance with any
<br /> appficabls deed restrlctions. '
<br /> UNL-IGENSED CONTRACTORS AN CONTRACTOR RESPONSIBIL171ES: If the awner has h(red a contractor or
<br /> cantractors to undertake work, they m y be requlred to be (icensed In accordance with sfate and local regulations. If fhe
<br /> contractor Is not l(censed as requlred by law, bath the owner and contractor may 6e cifed far.a misdemeanar vioiation
<br /> under state law. If fhe'owner or inten ed confractor are uncertain as to what ficensing requiremenfs may apply for the
<br /> intended work, they are,advised to con act the Pasco Caunfy Buliding inspection DivisEon—L#censing Sectfon at 727-847-
<br /> 8409: Furthermore, if,the owner ha hired a cantractor or contractors, he Is advlsed to have the contrackor(s) slgn
<br /> partlons of the "contractor Block" of th s applicatlan for wh(ch they wlll be �espansible. If you, as the owner sign as the
<br /> contractor, that may be an Indication # at he Is not properly Iicensed and is not entitled to permitting privileges in Pasco
<br /> County. � '
<br /> TRANSPORTATION IMPACTIUTIUTi S iMPACT AND RESOURCE RECQVERY FEES: The undersigned under5tands
<br /> that Transportation Innpact Fees and ecourse Recovery Fees may appiy to the const�uction af new buiEdings, change of �
<br /> use in existing buildings, ar expansio. of existing bu3ldings, as spec(�ed in F'asco County ardinance number 89=47"antl
<br /> 90-07, as amended. The undersigne aiso understands, that such fees, as may be due, will be Ident#fied at the time of
<br /> permitting. 1t Is furkher understood th t Transportatlon lmpact Fees and Resource Recovery Fees must be paid prlor to
<br /> receiving a "certificate of occupancy" r final power release. If the proJect does not (nvolve a certificate of occupancy or
<br /> finai power release, the fees must be paid prior to perm(t.issuance. Furfhermore, if Pasca Caunfy Water/Sewer Impact
<br /> fees are due,-they must be paid prior f permit issuance in aeco�dance-with applicable Pasco Counfy ordinances.
<br /> CONSTRUCTit3N LiEN LAW(Chapt r 713, Ftorida Statutes;as amended�: if vaEuatian of work Is$2,500A0 or mare, !
<br /> certify that i, the app!#cant, have b n provided with a copy of the "Florida Constructlon Llen Law—Homeowner's
<br /> Pratection Guide" prepared by the FI (da Department of Agriculture and Consumer Affalrs. If'the appllcant Is someone
<br /> other than the uawner", ! certlfy that I ve obtained a copy of the above described docwment and promise in good faith.to
<br /> deliver it to ths"owner"prlor to comm ncement. ,
<br /> CONTRACTOR'SlOWNER'S AFFID IT: I certify#hat ali fhe information in this appiicafion is accurate and that ail worlc
<br /> will�be done in compliance with ail ap iicable laws reguiating construction, zoning and land de�elopment. Applicatian is
<br /> hereby made to obtain a permit to o wark and instalfation as lndfca#ed. i certify that no work or installation has
<br /> ; cammenced ptlor to issuance of a p rmit and that ail work wll! be performed to mest standards of a!I laws regulat[ng
<br /> ; canstructlon, Gaunty and City codes, zQning regulations, and land developmenk regulations In the Jurisdiction. I al'so
<br /> � cer#ify that ! understand that the regu! tions of atlier government agencies may apply to fhe intended work, and�that`If is
<br /> � my responsibility to identify what.actio s I must take to be(n compl(ance. Such agenc(es include buf are not limited to:
<br /> - Department of Enviramm �tal Profection-Cypress Bayheads, 1JVetland Areas and Environmentaily Sensifive
<br /> Lands,Water/Wastewater Trea#ment.
<br /> ; - Southwest Fiorida Vtlat r Management Distrlct-WeHs, Cypress Bayheads, Wefland Areas, Altering
<br /> Watercourses. �
<br /> - Army Gorps of Engineers- eawa!!s, Docks, Naviga6le Waterways. '
<br /> - Department of Health & Rehabilitative Services/Environmenta( Health Unit-We(Is, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmentai Pratec on Agency-Asbestos abatemen#. ,
<br /> - Fede�a(Aviafion Authority Runways.
<br /> 1 undersfand that the fallowing restricti ns apply ta the use of fl!!:
<br /> - Use of fil!is not allowed in �lood Zone"V"unless expressly permitted.
<br /> - !f the fll! materlal is to � used in Flood Zone °A", it Is undersfood thaE a drainage plan addressing a
<br /> ' °compensating volume" ill be subm(tted at time of�permifting which is prepared by a professfional engineer
<br /> licensed by the Stafe of� rlda.
<br /> i - If the fill maferial is to b used in Fload Zone "A" in connection wlth a permitted bulldir�g using stem wall
<br /> ' � construcfion, i certify that !I wIN be used oniy ta fiif the area within the stem wall.
<br /> - If fiN material Is to be u ed fn any area, 1 certlfy that usa of such flq w1ll not �adversely affect adjacent
<br /> properkles. !f use af fill ! found to adversely affecb�adjacent properties, the owner may be clted for viotating,
<br /> khe candltions of the buil ing permit Issued under tMe aftached permit application,.for lats less than one ('i.)
<br /> acre which are elevated b fill, an engtneered drainage plan is required.
<br /> If I am the AGENT PC1R TNE OWNE , 1 promise in gaad faith ta inform�the owner af the per:mitting.eanditlons set forth In
<br /> fhis affidavit prior ta commencing co struction. ( unders#and that a separate perml# may be �equired for electrical work,
<br /> , piumbing, signs, welis; poois, air co-diEianing, gas, or ather insta!latEons not specifically inciuded in the application: A.
<br /> permi# Issued shali be construed to b a licertse to proceed with the work and not as authority,to.violate, cancel, alter,�or
<br /> set aside any provlslons of the techni al codes, nor shall lssuance of a permit prevent the Buildirig Officiai from the�eafter
<br /> requiring a correction of errors in plan , construc#lon or vlalafions of any codes. Every permit issued•shall become invaiid
<br /> unless the work authorized by such ermft is commenced wi#hin six mon#hs of permi# issuance, or if wark authorized by
<br /> the permff is suspended or abandone for a period of six{8)mc�nths affer the tlme the work�s commenced. An extenslon
<br /> may be requested, in writing, from fh Building.Of€icial for a perlad not to exceed ninety (90) days.and wlll demonstrate
<br /> justifiable cause for the extensian, if ork ceases for ninety(90)cansecutive days, #h�Jab is cansidered abandoned.
<br /> WARNlNG 70 OWNERt YOUR FA LURE TO RECORD_A NOTICE OF COMMENCEMENT MAY RESULT iN YQUR
<br /> I PAifiPDG TWOCE FOFt IMPdtOdEME '�5 T�1(a!!R PRnPERTY. IF YOU�INTEND TK}OBTAIN�FtNANCIN.G, CONSUC.T
<br /> WITH Yt�.UR<<LE DE, t�R. N A G► NE BEFt3 E RECORD{NG YOUR NOTICE OF COMMENCEMENT.
<br /> FLC3RiDA'JURAT'(F.S.11 3) � .,
<br /> OWNER OR AGENT ,�`.�/U'���,, CONTRAC'fOR �_��, � .,_
<br /> Subscrfbed and swom#o(or affirmed)befors r e t is Subscribed and. om to(or afflrmed��before me this .
<br /> ay by
<br /> Who islare personally known to me or has/hav produced Who is/are personafiy ltnowfl to me or has/hava.iproduced
<br /> as ldendflcaU n. as IdenBflcatlon.
<br /> i ' Notary Publ)c Notary Pubitc
<br /> I , .
<br /> Commisslan No. Commfssian No.
<br /> Name of i3otary fyped,pdnted or s#amped Name of Natary�tyPed,-printed'or stamped
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