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NOTICE OF' DEED RE�TRICYIONS: The undersigned understands that this permit may be subject to"deed" restric#i�s': , ry
<br /> which may be more restrictive than Gounty regulations, The undersigned asstames responsibltity foc compliance writh any
<br /> applicable deed restrictions.
<br /> iJt�LiCENSED CGIIVT�IC'fORS AND Cl�NT�ACTOR F�f�SPONSI�ILI'TIE�: !f�4he owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accorciance with state and loca! regulations. tf the
<br /> contractor is not licensed as required by law, bath the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. if tfie ovuner or intended contractar are uncertain as to what licensing requicements may appty far the
<br /> intended work, they-are advised to contact#he Pasco County Building Inspection Division—ticensing Section at 727-847-
<br /> � 8409. Furtl�ermore, if the owner has hired a cantractor ar contractors, he is advised to have the contractor(s) sign
<br /> portians of the "contractar Slock° of#his application far which they wiit be responsible. if you, as the aw�er sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> Counfy.
<br /> TR�INSPOF�'fATIC1N INIPAC'TIl1TILl'�'IE� INiPAGY�NC1 RE�OURCE R�COV�RY F��S: The undersigned unders#ands
<br /> that Transportation Impact Fees and Recourse Recavery Fees may apply to the construction vf new buildings, change of
<br /> use in existing buiidings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 9Q-07, as amended. The undersigned also understands, that such fess, as may be due, wi!! be identified a# the time of
<br /> permitting. It is fu�ther unciersfood that Transpottafion tmpact Fees and Resource Recovery�Fees mUSt be paid prior ta
<br /> receiving a "certiflicate of occupancy" or final power release. If the project does not involve a certificate of occupancy.or ,
<br /> final power release, the fees rnust be paid prior ta permit issuance. Furthermore, if Pasco County WaterlSewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance with applicabie Pasco County ordinances.
<br /> CONSTRUCTION LIEN ��►VY(Gha#�ter�13, floPida�itatut�s, as atnended}: if valuation of wark is$2,500.00 or more, !
<br /> certify that i, the applicant, have been provided with a copy of the "Florida Construction Lien L�wr—Hameowner's
<br /> Prokectian Guide" prepared by the Flo�ida Department of Agriculture and Consumer Affairs. !f the applicant is someone
<br /> other then the°awner", 1 certify that # have abtained a cQpy of the above described document and pramise in good faith to
<br /> deliver it to khe"owner"prior ta commencement. '
<br /> CQN'TRACTQR'SlOVIth1EF�'S AF�IDAVIT: 1 certify that all the informatian in this applicatiort is accurate and that all wark
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obta9n a perm'st to do worlc and installation as indicated. t certify that no wark or instatlation has
<br /> commenced prio� to issuance of a permit and that ai( work uvill be performed to meet standards of a(t (aws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
<br /> certify that 1 understand thaf the reguEafions of other government agencies may apply to the intended work, and fhat it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are.not limited ta:
<br /> - Depa�finent of �nviranmentat Protection-Cypress Bayheads, V1(et4and Areas and Environrnentally Sensitive
<br /> Lands, VVateNWastewater Treatment.
<br /> - Southv�rest F}arida Water i�anagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Depar#ment of Health 8 Rehabilitative ServicsslEnvironmenta! Nealth Unit-Wefls, Wastewater Treatment,
<br /> Septic Tanks. _
<br /> - US Envi�onmentai Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authori#y-Runuvays.
<br /> ! underskand that the following restrictions apply to the use of fill:�
<br /> - Use of fiil is not allowed i�t Flood Zone"V"unless expressly permitted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood #hat a drainage plan addressing a
<br /> "compensating voiume" vvill be submifted at fime of permitfing which is prepared by a prc�fessianat engineer
<br /> licensed by#he State of Florida.
<br /> - !f the fill material is to be used in FEood Zane "A" in connection.with a permitted buiiding using stem vtiraf!
<br /> construction, I certify that fill wilf be used only to fill the area within the stem wafl.
<br /> - !f fill material is to be used in any area, 1 certify that use of such fiA will not adversely affect adjacent
<br /> prope�ties. If use of fill is faund to adversely affect adjacent properties, the owner may be oited for vialating
<br /> the canditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fi8, an engineered drainage plan is required.
<br /> If I am the�►CENT FOR THE 011VNE�t, I promise in gaod fai#h to inform the owner of#he permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permi# may be required far electrica! work,
<br /> plumbing, signs, welis, pools, air condifianing, gas, ar other instaliafions not specifically inciuded in the applicafion. A
<br /> permit 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 provisions of#he technical codes, nor shall issuance af a permit preven#the Building Official from fhereafter
<br /> requiring a correction of errors in plans, construction or violations af any codes. Every permit issued shall become invalid
<br /> unless the wock autharized by such permit is commenced within six months af perm�t 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 /> may be requested, in writing, #rom the Building O�cia! for a period not to exceed ninety (90) days and wil! demonstrate
<br /> jusfifiable cause for the extension. If rn�ork ceases for ninefy(90}eansecu#ive days, the jab is considered abandoned.
<br /> V4iAR�dING--"�'t}-d?N�IN�Ft:-Y�tUR-��DL-t�R�-TC?-RECf3�E� �(��TiCE-�E� �C1M�diEN�EM��1�t�lA�(-RESULT lN YQUR-- -
<br /> P'AYING NVICE IFOR I�IiPROVENI�NY�YO Y011lt PF�OPER'Tl(. If�YOU �NTEND TO O�TAIN FINA�VCING, CONSUL�"
<br /> VYITH YC�IJR��ND t'�F�1�N ATTO�N�1(�E�+DR��2E�OI��1NG YOt1 OT'IC C!�CQ�NlENCE�tlENT.
<br /> FLORIDA JURAT(F: . 1 :Q3)—- - --- - - - - _ _
<br /> _ __ _ �-- _._ __ - - - - _.__ - --
<br /> QtfitNER O�t AGEN'T CONTR�CTOR
<br />� Subscribed and swom fo(or a med)b ore me this Subscrfbed and sw to(or �rme efare me fhis
<br /> by
<br /> Who islare personally known o me or asltrave produced Wha Islare e�sanally kno ta me r haslhave produced
<br /> as Identlfication. � as idenGfica6on.
<br /> , . �.
<br /> Nota Public e��r� Nota Public
<br /> ry ry
<br /> ;,.u�n,
<br /> Commisslon No. Com ' s�l •,
<br /> =*: ' - Commission#EE 04p32Q
<br /> :;�' :�
<br /> Name af Notary typed,printed or stamped Nam 'f ° fy�a ' �,
<br /> ro�s
<br />
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