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<br /> ., NBTiCE OF DEED RESTRICTtONS: The undersigned unde stands that this permit may be subject fo"deed"restrictions"
<br /> " ' which may be more restrictive than County regulations. The ndersigned assumes responsibiliky for compliance with any
<br /> applicable deed restrictions.
<br /> UNLtCENSED CdNTRACTORS AND CONT#2ACTOR RE PONStBILITtES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be lic nsed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owne and contractor may be cited for a misdemeanor violatian
<br /> under s#ate law. !f the owner or intended contractar are un rtain as#o what ticensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Divisiorr—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractar or contractors, he is advised to have the contrac2or{s} sign
<br /> portians af the"contractor Black"of this applicaGon for whic they will be responsible. If you,as the owner sign as fhe
<br /> contractor,that may be an indication that he is not properly I censed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATlOtd IMPACTNTIliTlES IG+IIPACT AND RES t1RCE RECOVERY FEES: Tha undersigned understands
<br /> that Transportation Impact Fees and Recourse Ftecovery Fee may apply to the construction of new buildings,change of
<br /> use in existing 6uildings,or expanSion of existing buildings, s specified in Pasco County Ordinance number 89-Q7 and
<br /> 90-07,as amended. The undersigned also understands,tha such fees,as may be doe,wi8 be ident�ed at the time of
<br /> permitting. It is further understood that Transportation Impa t Fees and Resource Recavery Fees must be paid prior to
<br /> receiving a"certificate of occupancy°or final power release. If the projeat does not involve a certificate af occupancy or
<br /> final prrwer release,the fees must he paid prior ta permit 9ss ance. Furfhermore,if Pasca Gounty WaterlSewer irnpact
<br /> fees are due,they must be paid prior to permit issuance in ac ordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statute ,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that t, the applieaof, have been pravidecf with a py of the "Florida Canstrucfion Lien Law—Hameowne�'s
<br /> Protection Guide°prepared by the Fiorida Department af Ag culture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner',I certify that I have obtained a copy of he above described document and promise in good faith to
<br /> de►iver it ta the"owne�'prior to cammencement.
<br /> CONTRACTOR'S/BWNER'S AFFIDAVIT• I cartify that ail th information in this application is accurate and that a(I work
<br /> will be done in compiiance with all applicable laws regulating construction,zoning and land development. Application is
<br /> hereby made to obtain a pertnit to do work and installatio as indicated. 1 cerfify that no woric or installation has
<br /> commeneed prior to issuance of a permit and that ail work ill be pertormed to meet standerds of all laws regu�ating
<br /> construction, County end City codes, zoning regulatians, a d land development regulations in the jurisdiction. I also
<br /> certiiy that!understand that the regutatiorts of other gavern ent agencies may apply to the intended work,and that it is
<br /> my responsibility to iden#ify what actions I must#ake to be in c mpiiance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypres Bayheads, Wetland Areas and Environmentally 8ensitive
<br /> Lands,WatedWastewater Treatment.
<br /> - Southwest Florida Watet Management Distri #-We1is, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Artny Corps af Engineers-Seawalls,Docks,lVavig ble Waterways.
<br /> - Deparfinent af Flealth & Rehabilitetive Services Enviranmentat Health Unit-WeHs, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Pratection Agency-Asbestas a atement.
<br /> - Federal Aviation Attthority-Runways.
<br /> I understand that the following restrictions apply to the use of II:
<br /> - Use of fill is not allowed in Flood Zone"V"unless xpressly permitted.
<br /> - If the fitl material is ta be used irt Fload Zone "A", it is understoad that a drainage plan addressing a
<br /> "campensating volume"will be submitted at time f permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fitl material is ta be used in Flaad Zane" " in connection wifh a petmitted building using stem wall
<br /> construction,l certify that fifl will be used oniy to fil the area within the stem wall.
<br /> - If fill material is to be used in any area, I cert fy that use of such fill will not adversely affect adjacent
<br /> praperties. If use af fi1!is found to adversely affe t adjacent properties,the awner may be cited for viala#ing
<br /> the canditians of the building permit issued unde the attached permit application,for lots less than one(1)
<br /> acre which are elevated by fill,an engineered drai age plan is required.
<br /> If!am the AGENT FOR TliE dWMER,!peomise in good faii to infarm the owner of the permitting conditians set farth in
<br /> #his a�davit prior to commencing constnacfion. I understand that a separate permif may be required far electrica)work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or ather nstallations not specifically included in the application. A
<br /> permit issued sha!!be construed to be a license to proceed th the work and not as authority ta violate,cancet,alter,ot
<br /> se#aside any provisians af the technica)codes,nor sttall issu nce of a permit prevent the Building Official from thereaRer
<br /> requiring a correction of errors in plans,canstruction or violati ns af any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced wit in six months of permit issuance,or if wark authorized by
<br /> the permit is suspended or a6andoned for a periad of six{6} onfhs after fhe time the wark is commenced. An eackension
<br /> may be requested, in writing,from the Building Official for a eriod not ta exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the eactension. If work ceases for ninety(9 )consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A OTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TFNICE FOR IMPROVEMENTS 70 YOUR PROPER , IF YOU INTEND TO OBTAIN FlNANCING,CONSULT
<br /> WlTH YOUR�ENDE12 OR AN ATTORNEY BEFORE RECB d1NG YOUR N CE 4F COMMENCEMEN3.
<br /> FLORIDA JURAT(F.S.117.03) � ���_,�
<br /> QWNER pR AGENT CONT CTOR
<br /> Suhscribed and swom to{or affirmed}6efore me this Subsc bed and sw m ta{or atfirmed}before me fhis
<br /> by by
<br /> Who is/are personally known to me or has/have produced Who is are perso Ily known to me r has/have produced
<br /> as identification. as iden2ification.
<br /> I du.q
<br /> .ti:�:r � AC N
<br /> Notary Public ? �s $iary P !ic
<br /> Commission No. Co s n No. 7s+ . �'�,o; �xpires June 29,2�'�8
<br /> , '�n�na�
<br /> Name of Notary typed,prinied or sfamped N f Notacy typed,printed ar stampecf
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