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<br /> �JO'TICE OF DEED Rf��"�'�ICTION�: The undersigned understands that this permit may be subject to"deed" restrictions" `'
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance w�ith any
<br /> applicable deed restrictions. `
<br /> llR1LIC�fdSfED CONTI��CYO1�� d�R1D CO�➢'��,C7�� f����ORl�If�ILYYIf�S: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance writh state and local regulations. 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 state law. If the ovvner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended wiork, they are advised to contact the Pasco County �uilding Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they wilt be responsible. If you, as the owmer 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 /> County.
<br /> �'�NSPORT�►�'iOR9 I�id��CYl�1�IL9YO�� Vf�l�e�CY l��� �tE�OU�Cf� �tf�CO�lI��t�f F���: The undersigned undersfands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings, as specified in F'asco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also unders4ands, that such fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> Ireceiving a "certificate of occupancy" or final povver release. If Qhe project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impacf
<br />' fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONS7F�iJG710fd L.B��9 l.�►Ifil(Cha�pQ�r 7��, �IaPid��t�4u���, �� ��nenderdj: If valuation of work is $2,500.00 or more, I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeo�nrner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer pffairs. If the applicant is someone
<br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner" prior to commencement. '
<br /> COfdTR�G'fOFt'S101ii9P��R'� �►�FFI��►VIY: I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do vvork and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and 9hat all work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to idenfify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress �ayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, VilaterNVastewrater Treatment.
<br /> - Southwest Florida Water �anagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Nrmy Corps of Engineers-Seawalls, Docks, Navigable VIlatenrvays.
<br /> - Department of Health & �tehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-fZunways.
<br /> I understand that the follovuing restrictions apply to the use of fill:�
<br /> - Use of fill is not allowed in Flood 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 volume" will be submit4ed at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction, I certify fhat fill will be used only to fill the area within the stem wall.
<br /> - If fill material 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 cited for violating
<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 plan is.required.
<br /> If I am the AGIEPIT�O�Y�VE OWI�V�M�, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the v�rork and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Officia!from thereafter
<br /> requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced witFiin six months of permit issuance, or if work authorized by -
<br /> the permit is suspended or abandoned for a period of six(6) monfhs after the time the work is commenced. An extension
<br /> may be requested, in vvriting, from the �uilding Official for a period not to exceed ninety (90) days and will demonstrate
<br /> justif'iable cause for the extension. If wrork ceases for ninety(90)consecutive days, the job is considered abandoned.
<br /> W/ARFdIPI� TO OIflIP1fEf�: lfOl�� I��YL.�9�� TO ��CO�� l�1 6�0�'IC� O� COflflflfl��IC�flfl�P1T HHi�Y ���IJLT' IPl Y011it
<br /> ��YING �lIGE �OF3 EfW�RObEfiH�Gd�� �'O 1(O1��2 ��0�'ER7Y. If�YOII IRlY�I�D YO O�YI�IPi FIiVA�ICYR9G, COiVSf��.Y'
<br /> wro�� �ou� ��tv��� o�e ��ro���� ���o�� o-���o��tw� �ou� ���ic� o� c��+���c����r.
<br /> FLORIDA JURAT(F.S. 117.03)
<br /> OVilPdER Oit AGEPl7 COPJi'RACYOFZ
<br /> Subscribed and swom to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
<br /> by by
<br /> Who is/are personally kno n to me or has/have produced Who Is/are personally known to me or has/have produced
<br /> as fdentificaGon. as identification.
<br /> „
<br /> ;� ��y,� �I Not Public Notary Public
<br /> =;� �o•: Expires June 29,2018
<br /> CO mi �Ofl Cl'.�`��.pdr��'�� BondedTlwTr Fainlnau Commission PJo.
<br /> Na e of Flotary typed,printed or stamped Name of Notary typed,printed or stamped
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