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<br /> �iOTICE OF D��D RESTRlC'f10N15: The und�rsigned understands that#his permi#may be subject to"deed"restrictions"
<br /> which may be mare �estrictive than County regulations. The undersigned assume� respansibility for camp4iance writh any
<br /> applicable deed restrictions. "' -
<br /> t1N�.iC�N�E� CON'FR�iCI't?R� AN� CfJ(�T�2A�TC1R R�S�ClN�1t�1�.IT11��: If the owner has hired a confractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by taw, both the owner and contractor may be ciked for a misdemeanar vialakion
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> 9ntended work, they are advised to contact the Pasco County Building Inspection Divislon—Licensing Section at 72?-847-
<br /> 80�9. Fur#hermore, if the owner has hired a contractor or cantracfors, he is advised to have the contractor(s} sign
<br /> portions of the "contractor Block° of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractor, thaf may be an indication that he is not praperiy licensed and is not enti#ted to permit#ing privileges in Pasco
<br /> County. � '
<br /> TR�►1N5PORTATION t�WPSC'�'/UTIL.ITI�S IM�AC'�AtV� RE�OURCE I�ECOVERY PEES:�The undersigned understands
<br /> that Transporta#ian impact Fees and Reoourse Recovery Fees may appiy to the constructian of new buildings, change of
<br /> use in exisking buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such#ees, as°may be due, will be ident�ed at the time af
<br /> permitting. It is further understood that Transpartation Impact Fees and Resource Recavery Fees must be paid prior ta
<br /> receiving a "certiftcate of occupancy" ar firtai power release. 4f the project does nat invoive a certificate of occupancy ar
<br /> final power release, the fees must be paid priar to permit issuance. Furfhermore, if Pasca County Wafer/Sewer (mpact
<br /> fees are due, they must be paid prior to permit issuance in accordance writh applicable Pasco County ordinances.
<br /> COP15TRt1CTiON ll�tV L�1�1(Chapter T13, �ioriela 3tatutes,as amended}: if valuatian of wark is$2,500.00 or more, f
<br /> cer#ify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeawner's
<br /> Protection Guide" prepared by the Florida Departrnent of Agricufiture ai�d Consumer Affairs. if the appficant is someone
<br /> other than #he"awner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deEiver it to the°owne�"prior to commencernent.
<br /> COIVTFU�I,CTOR'SIO�VtV�R'Si A���ID�iVI�': 1 certify that ail the infarmation in this application is accurate and that all work
<br /> will�be dane in campliance with all applicable laws regulating constructi��, zpning and land development. Npplication is
<br /> hereby �made to abtain a permit to da work and installattan as indicated. 1 certify fhat na wark or installation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> canstruction, Caunty and City cades, zan�ng regulations, and land develapment regulations in the jurisdicfion. i aEso
<br /> certify that I understand that the regulations of ather government agencies may apply to the intended work, and that it is
<br /> my respansbility to identify wrhat ac#ions !mus#take to be In compliance. Such agencies include but ace not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentalty Sensitive
<br /> Lands,WaterNV'astewater Treatment. . - -
<br /> - Southwest Florida Water C1�anagement District WeEls, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps af Engineers-Seawatls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Fiealth Unit-Weiis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Fedecal Aviation Autharity-Runways.
<br /> 1 understand that the following restrictions apply to fhe use of fill:
<br /> - Use of fill is not allowed in Flood Zane"V"unless expressly permi#ted.
<br /> - if the fill rnateriai is to be used in Flood Zone °A", it is understood that a drainage plan addressing a
<br /> "compensating valume" wilt be submitted at time of permifEing which is prepared by a prafessianal engineer
<br /> licensed by the State of Florida.
<br /> - ti fhe fiil material is to be used in Flood Zone "A" in connection with a pecmifted building using stem tinrall
<br /> construction, I certify that fill will be used only ta fill the area within the stem wall.
<br /> - tf fiil materiai is ta be used in arty area, 1 certify tha# use of such fill wilt not adversely affect adjacent
<br /> properties. If use of fill is found ta adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building perrnit issued under the aktached permit application, for Iots less than one {�)
<br /> acre wrhich are elevated by fill, an engineered cirainage plan 3s required.
<br /> If I am the AGEN7 fFOR YHE OIiV�l�lt,_I promise in good faith to inform the owner af the permitting conditions set forth in
<br /> fhis a�davit prior to commencing constrttctian. 1 understand that a sepacate permit may 6e required for etectrical vuork,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other inskallatians nat specifically included in the applicatian. N
<br /> permit issued shali be cons#rued to be a license to proceed with the work and not as authority to.vialate, cancel, alter, ar
<br /> set aside any provisions of the fechnical codes, nor shali issuance of a permit prevent the Buildirig Officiai from thereafter
<br /> reguiring a correction of errors in pfans, canstruction ar violations af any codes. Every permit issued shall become irnalid
<br /> un(ess the work authorized by such permit is catnmenced within six monfhs of permit issuance, ar if work authorized by
<br /> the permi# is suspended or abandaned far a period of six(6) months after the#ime the work is commenced. An extension
<br /> may be requested, in writing, from the �uilding Official for a perlod not to exceed ninefy (90} days and will demanstrate
<br />--_.__.justifiable_cause_.foc.the extension...if work_ceases for ninety_(90)consecutive_day_s,_#he.`ob is_considered abandoned. ________�.___
<br /> W�►itNING T`O OIiVN�R: YOUR �A�LI�R� YO RECO�D A NQTICE O� CUMiViENC�iViEPlT �1Y iRESULT iW YOt1(�
<br /> PAYlNG'1'WWIICE FOR IiVIPROVEfl�EIYTS TO YC11112�'ROPERYY. I�YOU INTEND TO OBT�11N FINAPICINIC, COPISULI�
<br /> VIttTN YQl1R LEtV�ER t}R f�iN A'T'i'�RN�Y BiEFORE��ECQR�ItdG Yt)UR N{?TiC���CtJ[�IIViENCE�t#�WT.
<br /> _ ._FLORIDA.JUF2AT_(F4$. 117�03)_� ______�__._ _-- - - ,- --------- — -- - -- -___ _ —_____ --- - ._._�____
<br /> ONYPf�R Oft At9EN7 CONTRACTOR
<br /> Subsc�ibed and swom to(or affirmed)before me thls Subscr(bed and swom to(or a�rmed)before me#his
<br /> by by
<br /> Who islare personaily known to me ar haslhave produced Who isJare personally known fo me or hasJhave produced
<br /> as Identlflcadon. as identification.
<br /> Natary Pubiic Notary Pubfic
<br /> Commission No. Commissian No.
<br /> Name of Notary typed,prfnted or stamped Name of Notary typed,printed or skamped
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