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<br /> NOTICE O� DEED RES7'RI.CTIONS; The undersigned understands that this permit may be subject,to"deed" restrictions" �
<br /> which may be more restrictive fhan County reguEations. The unde�signed assumes responsibility�for compliance wifh any
<br /> applicable deed restrictions. ,.
<br /> UNLICENSED CONTR�4CTQ125 AND GONTRACTCIR FtESPONSlBILITiES: lf the oinrner tias hirec!'a contrackor or
<br /> contractors to undertake work, they may bs required to be licensed in accordance wikh state and Iocal.reguiations. if fhe
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state iaw. If the awner ar in#ended cantractar are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermare, if the awner has hired a cantractor or cantrac#ors, he is advised to have the cantractor(s} sign
<br /> portions of the "contractor Black" of this application for which they will be responsibte. (f yau, as the awner sign as #he
<br /> contractor, that may be an indication that he is nat properly licensed and is not entitled to permitting privileges in Pasco
<br /> County. � t � '
<br /> TRANSPORT�►TION IMPACTIUTILITIES IMP�►C'�'AND RESOURCE RECOVERY F��S: The undersigned unders#ands
<br /> that Transpa�tation Impact Fees and Recourse Recavery Fees may appRy to the construc#ion of new buildings, change af
<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, that such fees, as may be due, will be identi�ed at the time of
<br /> permi#ting. It is further understood that Transpartation.Impact Fees and Resource Recovery Fees must be paid prior fo
<br /> receiving a °certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees musf be paici prior ta permif issuance. Furthermore, if Pasco County WaterJSewer Impac#
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicabl�Pasco Counky ordinances.
<br /> CON5TRUCTlON El��i �.AW(Chap#er�13, Flarida Statutes, as arr�ended}: ,!f valuatRon of work is$2,540.00 ar more, 1
<br /> certify that I, the applicant, have been provided wikh a copy of the °Florida Constructian Lien Law—Hameowner's �
<br /> Protectian Guide" prepared by Ehe Florida Department of Agricultcire and Cansumer Affairs. If the applicant is someone
<br /> other than the°owner", I cerfify that I have abtained a capy of the-above described document and promise in good faifh to
<br /> de(iver it to the"owner"prior to commencement. _
<br /> CONTRACTt3R'Slt3WNER'S AFFl�AV1T: 1 ce�#ify that all the information in this application'is accurate and that all work
<br /> will�be done in compliance with all applicable laws regulating constructian, zoning and land development. Application is
<br /> hereby made to obta4n a permit to do work and installation as indicated. 1 certify that na work or ins�allation has
<br /> commenced prior to issuance of a permit and #hat all work w►ill be performed to m�et standards of all laws regufating
<br /> construckion, County and City codes, zoning regulatians, and land development regulations in the jurisdictian. I also
<br /> certify thaf 1 undersfand #haf the regulations of other government agencies may app(y to the infended work, and that it is
<br /> my responsibility#a identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Deparfinent af Environmental Pro#ection-Cypress Bayheads, Wefland Areas and Environmenfally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> � Sou#hwest Flarida Water Managetnent District-Wells; Cypress Bayheads, Wetland Areas, Aftering
<br /> Watercourses.
<br /> - Nrmy Corps of Engineers-Seawalls, Docks, Navigable Waten►vays.
<br /> - Department of Heaith & Rehabilitative Services/Environmentat Ffiealtfi Uni#-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> � US Environmental Profectian Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> 1 understand that the fallowing restric#ions appiy to the use af fill:�
<br /> - Use of fill is not allowed in Ftoad Zone�V"unless expressly permitted.
<br /> - !f the fi!! mate�ial is to be used in Flood Zone °�►", it is understood that a drainage plan addressing a
<br /> "compensating valume" will be subrnifted at time af permifting uvhich is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If fhe fill material is to be used in Flood Zane "A" in cannection with a permitted building using stem wal!
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If ffl maEerial is ta be used in any area, t certify that use of such fill wiA not adversely affect adjacent
<br /> properfies. If use of fill is found fo adversely affect adjacenf properties, the owner may be cited for vialafing
<br /> the conditions of the building permit issued under, the attached permit applicatian, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage pEan is required.
<br /> If I am the AGENT FOR THE OINN�R, I promise in good faith to inform the owner of#he permitting conditions set forth in
<br /> this affdavit prior to commencing canstruction. 1 untferstand that a separate perm9t rnay be required for electrica4 work,
<br /> plumbing, signs, wells, pools, air conditioning, gas; or other installations nof specifically inctuded in the application. A
<br /> permit issued shal! be canstrued to be a license to proceed with the work and not as authority to.violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shal( issuance af a permit prevent the Buildirig Officiai from thereafter
<br /> requiring a correction of errors in plans, canstruction or violations of any cades. Every permit issued shall become invalid
<br /> unless the work authorized-by such permi# is commenced within six months of permlt issuance, or if work authorized by
<br /> the permit is.suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
<br /> rr�ay be requesfed, in.writ4ng, from the Building (7fficial for a period not to exceed,ninety (90) days and wil! demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)cansecutive days,the job is considereci abandoned.
<br /> WARNING TtJ C�WNER: YOUR FAiLURE.TO R�CC}RD A NOTICE OF CONiN1ENCEMENT NIAY F��SULT IN Y011R
<br /> PAYING TWICE �OR InfIPROVEMENTS TO YOUR PROPERTY. iF YOU IN7END TO OBTAIN FINANCINC, CONSULT
<br /> WITN YOUR IENDEi2 t)R AN ATYt�RNEY��FQRE��EC{?F�E}9NC Y4Utt�DOTICE t3E CC1MMEh10EMERII'._
<br /> FLORIDA JURAT(F.S. 117.03) • � � ,/
<br /> OWNEFt OR AGENT_lr�' I�✓����?/_�„��� CQNTRACTOR�1�V���"w�''�'�
<br /> Subscribed and swom to(or affirmed)before me this Subscrlbed and swarn to(or affirmed)before me this
<br /> by by
<br /> Who islare personaily known ta me or haslhave produasd Who islare persanally known fo me ar haslhave produced
<br /> as Identlfication. as idenUfic�6on.
<br /> y�,,, ,,,"�,•, _ o Public _
<br /> • tary Publlc ;« Commission#FF 137073
<br /> 2.; � Commission#FF 13T073 ; • Ex�ir ��
<br /> Com m . : Com ion No. '
<br /> ��'�;R�;.�+°��� eor�ar�m,+�rgf�i�ruaRO.stwaees.totr �P,:�„s.•'` BwidedThuTroyFelnlnsuance8003s5.70fe
<br /> Name of Notary typed,printed or stamped Name of Nokary typed,printed or stamped
<br />
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