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<br /> NOTIC�OF DEED RESTRICTIONS: The undersigned understands that this permi#may be subject#o"deed° restrictions"
<br /> which may be mare restric#ive than Caunty regulations. The undersigned assumss respons9bility for compliance witti'`any
<br /> applicable deed resfricfions.
<br /> UNLICENSED CONTRACTORS AND CON'TRACTOR RESPONSIBILITIES: If`the ,owner has hired a contractor or
<br /> cantrac#ors to under#ake work, they may be required to be licensed in accordance with sEate and iacal regulafions. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violatfon
<br /> under stafe law. If fhe owner or intended contractor are trncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Fu�thermore, if the owner has hired a contractor w contractors, he is advised to have the contractor(s) sign
<br /> portions af the "contracfor Block" of this apptication for which they wili be responsibie. ff you, as fhe awner sign as the
<br /> contractar, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> CouMy. ,
<br /> TRANSPORTATION IMPACT/U7ILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> #hat Transpo�tation Irttpact Fees and Recourse Recovery,Fees may appiy to the construction of new buildings, change of
<br /> ' use in existing buildings, or expansion of exis#ing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br /> permitting. 1t is further understood fhat Transportation Impact Fees and Resource Recavery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" ar final power release. If the praject daes not invalve a certificate of occupancy ar
<br /> fnai pawer release, the fees must be paid priar fo permit Issuance. Furthermore, if Pasca County WaterlSewer Impact
<br /> fees are due, they must be paid prior to permit issuance ln accordance with applicable Pasco Caunty ardinances.
<br /> CONSTRUGTl�N LIEN.LAW(Chapter 743, FlorEda Statutes,as amended}: !f valuatian of work is$2,500.40 or more, !
<br /> certify tha# 1, the apptican#, have been pravided with a copy of the "Florida Construcfion Lien Law—Homeawner's
<br /> Protection Gulde" prepared by the Florida Department of Agriculture and Consumer Affairs. If the�applicant is someone
<br /> other than the"owner", 1 cerfif}r thaf 1 have obtained a capy of the abave described documenf and promise in good faith to
<br /> deliver ik to the"owner" priar to commencement.
<br /> CQNTRACTOR'S1�WNER'S AFFIDAVIT: 1 certify that ail the Information in this appl9cation is accurate and that all v►rork
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land devefopment. Application is
<br /> hereby made ta obtain a permit to do work and insta!latiQn as indicated. I certify that na work or installation has
<br /> commenced prior ta issuance of a permit and that all wotk wili be performed to meet sfandards of ali laws regulating
<br /> construction, Caunty and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> cer#ify tha# 1 understand that#he regulations o#other government agencies may apply fo the intended work, and that if is
<br /> my respansibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetiand Areas and Environrrxen#aily Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - SouthwesE Flarida Water Management District-Wells, Cyp�ess Bayheads, We#land Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Depa�tment of Health � Rehabll�tative ServiceslEnvironmen#a1 Health Unit-We!!s; Wastewater Treatment,
<br /> Septic 1'anks. - .
<br /> - l!S Environtnental Ptotectian Agency-Asbestos abatement.
<br /> - Federal Aviatian Authority-Runways.
<br /> I understand that the following restrictions apply to the use af fill:�
<br /> - Use of fiil is not atlowec3 in Flood Zone"V"unless expressly permitted.
<br /> - If ihe fill material is to be used in Flood Zane °A", it is understoad that a drainage plan addressing a
<br /> °compensating voiume° will be submitted at#Ime of permitting which is prepared by a professianai engineer
<br /> licensed by the State of Florida.
<br /> - If the �1! trtaterial is to be used r`n Flood Zone "A" in cannection with a permitted building using stem wal!
<br /> construction, i certify fhat fill will be used only to fi8 the area within the stem wait.
<br /> - If fill ma#eria! is to be used in any area, I certify that use of such fill wili not adversely affect adjacent
<br /> properties. if use of fili is found to advetsety affect adjacent properties, the owner may be cited for violating
<br /> the condi#ibns of the building permit issued under the attached permit application, for lats less than one (1)
<br /> acre which are elevated by filt, an engfineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good faifh to inform the awner of the permitting conditions set forth in
<br /> this affidavit prior to commencing constfvctian. I understand that a separate permit may:be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or ofher insfallatirrns not specifically included in the applicatian. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate,�cancel, aiter, ar
<br />' sEt aside any pravisions of the technica# cades, nar shall issuance of a permit prevent the Suilding Official from thereafter
<br /> requiring a correction of errars in plans, construction or vialations of any codes. Every'p'ermit issued shall become invalid
<br /> uniess the work aufhorized by such permit is commenced within siic rnonths of permtt issuance, or if work authorized by
<br /> the permi#is suspended or abandoned for a period af six(6) mvnfhs affer the time the work is commenced. An extension
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
<br /> just�able cause for the extension. If work ceases for ninety(80)consecutive days,the job is considered abandoned.
<br /> WARNtNG TC► OWNER: YOUR FAtLURE TO RECORD A NC)TICE OF CQMMENCEMENT MAY RESULT 1N YOUR
<br /> PAYING TWICE FOR IMPROV�MENTS TO YOUR PROF'ERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUL.T
<br /> --iNITH Y�tUR�4:�ND�R QR-tAN-A'�'i�R��Y�l��ORE RECQRDING YC?4!R-lNOTl�CE-�E-COM tdClEMEN'�. -
<br /> FLORtDA JURAT(F.S. 11�.03) �` _
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<br /> OWNEtt OFi AGENT CONTRAGTOR".—_ .._
<br /> Subscrfbed and swom to(or affirmed)before me th(s Subscribed and s fa(or affirme }before me this
<br /> by
<br /> Who islare personally knawn to me or haslhave prodnced Who Istare personatEy kno to me or has/have produced
<br /> as idenUficaBon. as ldentificafion.
<br /> Notary F'ublic Notary Public
<br />� � �,•,• s•,•, JOEL E.BACON
<br /> Commisslon No. Commissi . .'�'•-
<br /> � ; �a: Expires June 29,2018
<br /> r
<br /> Name of Notary typed,printed or stamped Name of -
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