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<br /> NOTICE OF DEED RESTRICTIONS:` The undersigned understands that this permit may be subject to"deed" restrictions" s
<br /> , which may be more restrictive than County regulations. The undersigned assumes �esponsibility for campEiance with arty
<br /> applicable deed restrictions.
<br /> UNLICENSED Gt�NTRACTUltS AND CC►NTl�ACTCiR RE5PON5181L1'TI�S: If the owner has hired a cantractor or
<br /> �, confractors fo undertake work, they may be required to be licensed in accordance with state and locai reguiations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under stafe taw. If the owner or intended contractor are unce�tain as to what licensing requirements may apply far the
<br /> intended wark, they are advised to cantact the Pasco County Building Inspectian Division—Licensing Section at 727-847-
<br /> 8009. Fur#hermore, if the owner has hired a contractor ar contracfors, he is advised fo have the cantractor(s} sign
<br /> portions of the "cantrackor Black" of this applicakion for which they will be responsible. If you, as the owner sign as the
<br /> contractor, #hat may be an indication-that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> Coun#y, '
<br /> "TRANSPORTATION IMPACTIUTIUTIES INAPAC'�AND RESOURCE RECOVERY F�ES: The undersigned understands
<br /> that Transportation }mpact Fees and Recourse Recovery Fees may apply to the construc#ion af new buildirigs, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-OT and
<br /> 90-07, as amended. The undersigned aiso understands, Ehat such fees, as may be due, will be identified at the time of
<br /> permit#ing. It is further understood that Transpartafion fmpact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a °ce�tificate of occupancy" or final pawer release. If the project does not involve a certificate of occupancy or
<br /> fina! power release, #he fees must be paid prior ta permit issuance. Furthermore, if Pasca County Wa#erlSewer lmpact
<br /> fees are due, they must be paid prior to permit issuance in accordance with appiicable Pasco County ordinances.
<br /> CONSTRUCTION �I�N l.P►1�1(Chapt�r�13, Flarida Statutes, as amended): If valuation af v�rork is$2,500.00 ar more, f
<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 Department of Agricutture and Cansumer Affairs. !f the appiicant is someone
<br /> other than #he"owner", 1 certify thaf I have obfained a copy af the above described dacument and promise in good faifh to
<br /> deliver it to the"owner"prior to commencement.
<br /> C4NTRAGTOR'S10WNER'S AF�IDAVIT: 1 cartify that a41 the informatian in#his appltcafion is accurafe and that all worEc
<br /> will be done in campliance with all applicable laws regulating constructian, zoning and land develapment. Application is
<br /> hereby mac#e to abtain a pern-Eit to do wark and installation as indicated. 1 certify that na vuork ar insta4lation has
<br /> commenced privr to issuance of a permit and that atl work will be performed to meet standards of all laws regulating
<br /> construckion, County and City codes, zoning regulations, and land development regulations in the jurisdictian. I also
<br /> certify that 1 undersfand that fhe regulations of ather government agencies may appiy ta the intended work, and that it is
<br /> my responsibility ta identify whaf actians I must take to be in campliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protecfion-Cypress Bayheads, Wef4and Aceas and Enviranmentally Sensitive
<br /> Lands, Water/Wastewater Trea#menk.
<br /> - Sau#hwest Flarida Water Management District-WeEls, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> � - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways:`"
<br /> - Depar#ment of Health & Rehabilitative Services/Enuironmental Health Unit-Welfs, Wastewater Treatment,
<br /> 5eptic Tanks.
<br /> - US Environmental Protectian Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> 1 understand that the#ollowing restrictians apply�ta the use of fi41;
<br /> - Use of fili is not aliawed in Fioad Zone"V"unless 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 /> "compensating valume" wi11 be submitfed at fime of permifting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is ta be used in Flood Zone "A" 'sn connection with a permitted building using stem wall
<br /> construction, I certify tha#fill will be used only to fill the area within the stem wall.
<br /> - !f fitl materia! is to be used in any area, 1 cerkify that use of such fi!! will not adversely affect adjacent
<br /> properties. if use of fitl is found to adversely affect adjacent proper#ies, the owner may be cited for vialating
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage pian is required. -
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of#he permitting conditions set farth in
<br /> this a#fidavit priar to commencing construct9an. I understand that a separate permit may be requlred for e(ectrica! work,
<br /> plumbing, signs, wells, pools; air canditianing, gas, ar other installations nof specificaliy inciuded in fhe applicatian. A
<br /> permit issued shal! be construed to be a license to proceed wfth the work and not as authority to.violate, cancel, alter, or
<br /> set aside any provisions vf the#echnical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, construction or violatians of any codes. Every permit issued shall become invalid
<br /> t orizecf b such ermit is commenced within sPx months of erm'st issuance ar if warlc authorized b
<br /> unless the work au h . Y
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<br /> the permit is suspended or abandoned for a periad of six(6) months after the time the work is commenced. An extension
<br /> may be reques#ed, in wri#ing, fram the Building Q�cial far a period not ta exceed ninety (90) days and will demonstrate
<br /> jusfifiable cause for the extension. If work ceases for ninety(9d)consecutive days, fhe job is considered abandoned.
<br /> WARtVING TO OWNER: YOUR FAiE.URE �U �t�CORD A NQTICE OF CUMNEENC�MENT NIAY RESU[.T IN YtaUR
<br /> I PAYING TWICE �'OR IfYIPROVEINENTS TO YOUR PROPER7Y. IF YOU INTEND TO OBYAIN FIN�►iUCING, CONSUL7'
<br /> WITFI YQUR LENDER QR AN A�ORNEY��FOR�RECQ�RDIN�YOUR NO'TIGE O�COM14fiEhlCE�iENT.
<br /> FLORIDA JURAT(F.S. 117.03)
<br /> OWN�12 OR AGEE2T,����If E.�� �'�'�''�• CON7E211CTOR����4��t.,.f �i��^
<br /> Subscribed and swom to(o a irmed)before me this Subscribed and sworn to(or a�rmed)before me this
<br /> by by
<br /> Who istare personally known to me or has/have produced Who Eslare personally nown to rrze or haslhave praduced
<br /> s 1denUfica#ion. _as identifica6on.
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<br /> E�E, - ublic •�" p���, Notary Public
<br /> .+� .._ amm ss on FF 37073 :*:, :�= Commission#FF 137073
<br /> Com is ' ro= Expires June 29,2018 Commis ion o.
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<br /> Na e of Notary typed,printed or stamped Nam of otary typed,printed or stamped
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