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NOTICE OF DEED RESTRIGTIOIdS: The undersigned understands that this permit may be subject to�"desd°rest�ictions"
<br /> which may be more restrictive#han Caunty regulatians. The unciersigned assurnes cesponsibility for campliance with any
<br /> applicable deed restrictions. ,
<br /> UNLlCENSED CC'?NTRACTflRS AND GONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors #o undertake work, #hey may be required to be licensed in accordance with state and-local regulations. If the
<br /> contractar is not ticensed as required by law, both the owner and contractor may be cited for a misdemeanvr violakion
<br /> , �nder state iaw. If fhe owner or intended confractor are uncertain as to what licensing requirements may apply for the
<br /> iintended wark, they are advised to contact the Pasco Caunty Building Inspection Division—Licensing Section at 727-847-
<br /> , 8009. Fu�thermore, if the owner has hired a confrac#or or cantractors, he 3s advised to have the contractor(s) sigrt
<br /> portions of the "cvntractor Black" of#his application for wrhich they will be respansible. If you, as the owner sign as the
<br /> cantractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> ' County.
<br /> , TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE REGOVERY FEES: The undersigned unders#ands
<br /> that Transpa�tatiori Impact Fees and Recaurse Recovery Fees may appiy to the canstruction of new buiiciings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-0? and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, w�ll be identified at the#ime of
<br /> permit#ing. It is further understood that Transparkation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or fina! power release. If the prajec#does no# involve a certificate of occupancy or
<br /> finai pawer retease, the fees must be paid prior to permit issuance. Furthermare, if Pasco County WaterlSewer Impact
<br /> fees are due, they must be pafd prior to permit issuance in accordance with.applicable Pasca County ordinances.
<br /> CONSTRUCTION LIEN �AW(Chapter 7'!3, Flarida Statutes�as amencled): (f valustion af work is$2,500A0 oc moce, f
<br /> certify that I, the applicant, have �been provided with a copy of the "Florida Constructian Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Depattment of Agriculture and Consumer Affairs. if the appEicant is sameone
<br /> other#han the"owner", 1 certify#hat 1 have obtained a copy of the above described document and promise in gaod faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CQNTRACTOR'S/OWNER'S AFFIDAVIT: 1 certify that all fhe information in this application is accurate and that ali work
<br /> will�be done in compliance with all applicable laws regulating construction, zoning and land develapment. Application is
<br /> hereby made to obtain a perrnit #o do work and installation as �ndicateci. 1 ce�tify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> cons#ruction, County and City cades, zaning regulations, and fand development regulations in the jurisdictian. 1 a{so
<br /> certify thaf t understand that the regulafions of other government agencies may apply #o fhe intended work, and that.it is
<br /> my responsibility#a identify what actions t must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Enviranmental Protection-Gypress Bayheads, Wet4and Areas and Enviranenentatly Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wet3and Areas, Altering
<br /> Watercourses. ,
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Heaifh & Rehabilitative ServiceslEnvironmentai Fieaith Unit-We(ts, Wastewater Treatment,
<br /> 5eptic Tanks.
<br /> - US Environmental Pratection Agency-Asbestos aba#ement. "
<br /> - Federal Avia#ion Authority-Runways,
<br /> !understand that the follawing restrictions apply to the use of fill;�
<br /> - Use af fill is not allowed in Flood Zone"V"uniess expressly permitted.
<br /> - If the fill materia! is to be used in Flood Zone "A°, it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permifting vtrhich is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fili material is to be used in Flood Zone "A" in cannection with a permitted building using stem wa41
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - !f fi11 material is to be used in any area, 1 certify that use of such fill wi!! rtot adversely affect adjacent
<br /> properties. If use of fill is found to adversety affect adjacent properties, the owner may be cited for viatating
<br /> the conditions of#he building permit Issued under the attached permit application, for Iots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR 7HE OWNER, I promise in gaod faith to inform the owner of the permitting conditions set farth in
<br /> fhis afficlavit prior to commencing cans#ruction. 1 understand that a separate permit may be requirecf for eleatrical work,
<br /> plumbing, signs, wells, pools, air canditioning, gas, or other installations not specifically included in the applicatian. A
<br /> permiE issued shall be construed to be a license to proceed with the work and not as authority to.violate, cancel, alter, or
<br /> __.set_aside_any proyisions of the technical codes, nor shal) issuance of a permit prevent the�uitding Official frorrf thereafter
<br /> reguiring a correction of errors�in plans; construction"or violatians-of any�codes: Every permit issued=shall-hecome_invalid_�
<br /> unless the work authorized by such permit is commenced withirt six months of permtt issuance, or if work au#horized by
<br /> #he permit is suspended or abandoned for a period of six(6) months after#he time the work is commenced. An extension
<br /> may be requesfed, in tinrri#ing, from the Building tJf#icial for a periad nat ta exceed ninety {90� days and will.demonstra#e
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abancioned.
<br /> WARNING TO OWNER: YOUR �AiLURE TO RfGC1RD A NQTICE C1F COMMENCEMENT MAY R�SULT IN YQUR
<br /> PAYING TVVICE FOR IIMPROVEMf�NTS TO YOUR PFtOPERTY. IF YOU INTEND TO OBTAIN FINARICING, CONSULI'
<br /> V4tITN YOUR�.ENDER OR AN AT"�ORNEY BEFORE RECORDtNG YQUR NOT#CE C}F C�MMENCEtVlENT.
<br /> FLORIDA JURAT(F.S. 117.03) •
<br /> OWl�l�R 012 AGENT CONTRACT01t ��l i�
<br /> ��
<br /> Subscribed and swom to(or affirmed)before me this Subscr1bed and sworn to(or affirmed)before me this
<br /> by bY
<br /> Who is/are personalty knawn to me or haslhave produced Wha Eslare personally knawrt to tne or haslhave produced
<br /> as IdenUficaUon. as identifica6on.
<br /> .��a.b��hy � u�u rn�
<br /> -'�► ota Public .�"��"•y''' � �Notary PubIIC
<br /> ;; ;� Expires June 29,2Ui8 ;�. ?�= Expires 3une 29,2018
<br /> Co ls on o:, Com ss No:
<br /> �R;��•� `oy "
<br /> Name of Notary typed,printed or stamped Name of Notary ryped,printed or stamped
<br /> I
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