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NOTICE OF DEED R�STRICTIONS: The undersigned understands that this permit may be suliject to°deed"restrictions"
<br /> which may be more restrictive than Caunty regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions. ' , � � �
<br /> UNL.ICENSED CONTRACTQRS 1�lND CQNTRACTC?R RESPONSlBI�ITlES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. if fhe
<br /> contractar is not licensed as required by law, bath the owner and contractar may be cited for a misdemeanor violation
<br /> under state iaw. if the owner or intended contractor are uncertain as to what licensing requirements may apply far the
<br /> intended wark, they are advised to cantac#the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8409. Fu�thermore, if the awner has h�red a confcactor or contractors, he is advised to have fhe cantractor{s) sign
<br /> portions of the "contractor Black" of this application far which they will be responsible. If you,,a� the`owner sign as the
<br /> cantractor, that may be an indication tha# he is not properly licensed and is not en#itled to permitting privileges in Pasco
<br /> County. � • ` `
<br /> TRANSPORTATION IMPACTIUTIUTIES IMP�►C'T AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> � fhat Transportation Impact Fees and Recourse Recovery Fees may apply fo#he constructian of new bu9ldings, change af
<br /> use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
<br /> 90-07, as amended. The urtdersigned also unders#ands, that such fees, as may be due, w911 be identified at the time of
<br /> permitting. It is further understood that Transportation Impac# Fees and Resource Recovery Fees must be paid prior ta
<br /> receiving a °certificake of occupancy" or final power release. If the pro}ect does not involye a pertificate of occupancy or
<br /> finai pawer re4ease, the fees must be paid prior#o permit issuance. Furthermare, if Pasca County WaterlSewer (mpact
<br /> fees are due, they must be paid prior to permit is�uance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUGTION l.1EN LAW{Chapter T13, Florida Statutes�as amencfed): tf valuation of work is$2,540.00 or more, t
<br /> certify that I, the applicant, have been provided with a capy of the "Florida Canstruction Lien Law—Hameowner's
<br /> ^_ Protectian Guide" prepared by the Fiarida Qepartment af Agriculture and Consumer Affasrs. If the applicant is someone
<br /> other#han the"owner", 1 certify that 1 have obtained a copy of the above described document and promise in good faith ta
<br /> deliver it to the"owner"prior to commencement.
<br /> CQNTRAGTOR'S/OWNER'S AFFIDAVIT: 1 certify that a41 fhe information in#his applicatian is�accurafe and #hat aH worlc
<br /> will be done in campiiance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a perm�t to da work and installation as indicated. t ce�tify fhat no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be perfnrmed to meet standards of all laws regulating
<br /> canstruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. !:also
<br /> certify that ( understand that the regulations of other government agencies may appSy to the intended work, and that it is
<br /> my responsibility#o identify what actions I must take to be in compliance. Such agencies include but are not limited ta:
<br /> - Deparkment of Environmental Protectian-Cypress Bayheads, Wetland Areas and Enviranmentatly 5ensitive
<br /> Lands, Water/Wastewater Treatment. ,
<br /> - Southwesf Florida Water Management Distric#-VtteEls, Cypress Bayheads, ,Wetland Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Departmenf of Health & Rehabi(itative ServiceslEnvironmentai Heafth Unit-Wel(s, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protectian Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> i understand that fhe following restrictions appiy ta the use of fili:�
<br /> - Use of fili is not allowed in F(aod Zone°V"unless expressly permitted.
<br /> - !f the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensafing valume" will be submifted at time of permifting which is prepared by a professionai engineer
<br /> licensed by the State of Florida.
<br /> - If fhe fill material is ta be usecf in Flood Zone "A" in cannection with a permitted building using s#etn wall
<br /> cons#ruction, I certify that fill will be used anly to�II the area within the stem wall.
<br /> - if fiii materiai is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill.is found to adversely affect adjacent properties, the owner may be cifed for violating
<br /> the conditians of the building permit issued under the attached permit application, far lots less than one (1)
<br /> acre which are elevateci by fifl, an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in gaod faith to inform the owner of the permitting conditions set farth in
<br /> fhis a�davit prior to cammencing construction. I understand that a separate perm'st may be required far electcical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, ar other installafions nof specifically inc(uded in the applicatian. A
<br /> permit issued shall be construed to be a license to praceed with the work and not as aukhority to.violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nar sha11 issuance of a permit prevent#he Building Official from thereafter
<br /> reyuiring a correction of errors in plans, canstruction or violations of any codes. Every permit issued shall become invalid
<br /> unl�ss the wark aufharized by such permit is commenced within six months of permif issuance, or if work�authorizecf 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 /> rnay be reques#ed;�iri writing,:ftarn the Building C?fficial for a peciad not to exceed ninety {90) days and will:demonstrate
<br /> justi�able cause far the extension. If work ceases for ninety(90)cansecu#ive days,the job is considered abandoned.
<br /> WARN!(VG TO t3WNER: YOUFt �AILUFtE TO Rf�GORD A NOTICE OF COMMENCEMENT NIAY R�SU�T IPI Yt�UR
<br /> PAY�NG TWICE FOR-IIVtPROVEMENTS TO YOUR PROPERTY. IF YOU tNTEND TO OBTAIN FINANCING, CON�ULY
<br /> WtTN YOUtt LENDER OR AN�►TTQRNEY�EFt?RE RECt?RD1NG YOU�t-NQ iCE-C1F-CC1 N�ENCE�ENT.
<br /> FLORIDA JURAT(F.S.117.03) _/1 ` �"`'����
<br /> OWNER flR AGENT CONTRACTOlt
<br /> Subscribed and swom to(or affirmed)before me thls Subscribed and om to(or affirmed)bef e me this
<br /> by by
<br /> Who istare persanally knawn to me ar haslhave produced Who tslare onally known to me or slhave produced
<br /> as tdentification. s identification.
<br /> ,�s�:'���.,, a .e cor
<br /> ;«= �o mfssi r � 137073
<br /> Notary Public �: Expires J , 18.+.�, Notary Public
<br /> + ,����,�` 8andadilwTmyF�Dwnna 9
<br /> Commisslon No. Commiss n
<br /> Name of Notary typed,printed or stamped Name of ary typed,printed or stamped
<br />
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