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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit rnay be sub)ect ta"deed"restricttans" �
<br /> � which may�be mare:restcictive than C unfy ragulations. Tfie understgned assumes respansibility for compiiance with any
<br /> appiicabie deed restric#ions.
<br /> UNLICENS�D C+DN7RACTORS AN CQNTRACTOR RESP�NS18{LlTIES: If the owner has h[red a contraator or
<br /> contractors to undertake work, they y be requlred to be licensed in accordance wlth state and°local regulations. If the
<br /> contractar !s not licensed as requlred�by law, both the owner and contractor may be cited for a misdemeanor vtolation
<br /> under state law. If the�owner or inte ded confracto� are uncertaln as�to wha# licensing requlrements may appiy far the
<br /> � intended-work, they are,advised to co tac#the Pasco County Building Inspectian Division--Licensing Sec#ion at 727-847-
<br /> ; 8009. Fu�#hermore, if fhe owner ha hired a contractor or contractors, he Is advfsed fa have the cantractar(s) slgn
<br /> po�tfions of the "contractar Black" afi t is appEicatian far which #hey wIIE be reaponsEble. tf you, as the owner slgn as the
<br /> can#ractor, that may be an lndlcat{ort hat he (s not properly Ilcensed and !s nnt entltled to permittIng pr.lvileges In Pasco
<br /> County. � .
<br /> � TRANSPORTATION IMPACTtU71U ES IMPACT AND RESOURCE RECOVERY FEES: The underslgned understands
<br /> , that Transportation Impact Fees and ecaurse Recovery Fees may apply to the construction of new buildings, change of
<br /> ! use In existing buiidings; ar expansio. of exlsfing.buildings, as specified in Pasco County Otdinance number 89=07'and
<br /> , 9p-07, as amended. The undersigne aiso understands, that such fees, as may be due, wiil be Iderttified at the time of
<br /> permitting. fit is iu�Eher understood t t Transpottation impact Fees and Resource Recovery Fees must be pald prlor to
<br /> � receiving a "cer#ificate nf occupancy" ar final power release. If the project does not involve a certlflcate af accupancy or
<br /> final power�relsase, the-fees mast b paid prior ta permft:issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prioc o permit issuance In accordance•wi#h appQcable Pasco Counfy ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapt `r 713, Ftarida Statutes, as amendedj: if valuat(on of work is $2,500.00 or more, i
<br /> certify that 1, the applicant, have b en provided with a capy of the "Flarida Cans#ruction Lien Law�—Homeowner.`s
<br /> Protection Guide" prepared by the FI rida Deparfinent of Agrlcuitttce and Consumer Affairs. If the app!lcant is svmeone
<br /> other than the uowner", i certify that! ave obtalned a copy of the above descrlbed document and promise!n good-f.aith:ta
<br /> deliver It to the°owner'�prlor to comm ncement, ' .
<br /> CONTRACTOR'SlOWNER'S AFF1D VIT: ! certify that all the infarma�lan In this application is accurate and that alt work
<br /> will�be done in campliance with all a plicable Iaws regulafing consfruction, zoning and (and development, Application is
<br /> hereby made to obtain a permi# fo do work and insfa(iation as indicated. I cerfify that no work ar Insfallation has
<br /> cammenced prior to issuance of a e�mit and that all work wN! be perfarmed to meet s#andards of af! iaws regu{ating
<br /> construction, County and Cify code , zoning regulatians, and land develapment regulations in the jurisdlct(on. ! alsa
<br /> certify that ! understand,that the reg la#ions of ottier government agencles may apply to the interided work, and`tliat it is
<br /> my respansibllEty#o identify what acti ns 1 must take fo be In compUance. Such agencies include but are not limited to:
<br /> - Departmen# of Enviromm �tal Protection-Cypress Bayheads, VVetiand Areas and Environmentaiiy Sensitive
<br /> Lands,Water/Wastewafe Treafinent.
<br /> - Sauthwes� Florida Wa er Managemen# pist�ict Wells, Cypress Bayheads, Wetiand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Eng#neers Seawails, Qacks, Navigable Waterways.
<br /> • Department of Health Rehab!litative Servlces/Envlronmental Health Unft-Wells, Wastewater Treatment,
<br /> Septfo Tanks. _ _ .
<br /> - US Environmental Prote tion Agency-Asbestos abatement. .
<br /> - Federal Aviatian Authori -Runways. '
<br /> 1 undersfand thaf the following restric ions apply to the use of f�ll:� `
<br /> • - Use of fill is not ailawed i Fiaod Zone"V°unless expressly permltted.
<br /> - !f the fl!I-maEerfal is ta e used in Flood Zone "A", it Is understaod that a drainage plan addressing a
<br /> "compensating,volume" ili be submitted at tfine of permitting whlch is prepared by a professional engineer
<br /> Iicensed by the State of larida.
<br /> - If the flll mater(al is to e used in �iood Zone "A" in cannect�on with a perrriifted buiiding using stem wail
<br /> � cans#ruction, I certify flia fl11 wiif be used oniy to flll the area wtthin the s#em wali.
<br /> - If fill material is ta be sed in any area, i certify that use af such fi1! will nat adversely affect adjaoent
<br /> properties. E#use of flii i . found ta adversely affect�=adjacent properties, the owner may be'ci#ed for vialating.
<br /> the aondltlons of the bui ding permit issued under the attached permit application, for lots less fhan one (1)
<br /> acre whlch are elevated y fill, an engineered drainage plan is requlred.
<br /> If I am the AGENT FOR THE OWN , I promise in good faith t4 inform�fhe owner of the permitting.conditians set for#h in
<br /> this affidavit prlor to commencing co s#rucfion. i unders#and that a separate permit may be required far electrical work,
<br /> plumbing, signs, wefls; pools, air ca ditioning, gas, or other lnstaEEations nat spec�f�calfy included En the appllcatlon: A
<br /> permit issued sha11 be canstrued to e a ilcense tc� proceed with ttie work and nat as authocity to,vlalate, cancel, alter, or .
<br /> set aslde any provisians of the techn ca! codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requfring a correction of errors ir� pla s, construction or violations of any codes. Every permit issued•shall become (nvalitl
<br /> unless the work authorized by such erm(t is cammenced within six monfhs of permit (ssuance, or if work aufhorized by
<br /> the permit is suspende;d or abandon d for a period of six(6) months aftar the time the work is commenced. An exfenslon
<br /> may be requesfed, in w�iting, from f e Bui(ding,Official for a periad not to exceed ninefy (90) days�and.wili demonstrate
<br /> justifiable cause for the.,extensian. lf ork ceases for ninety{90)consecutive days,th�Jab is considered abandoned.
<br /> WARNlNG TC! flWNER; YOUR E II.URE TO RECC?RD A NOTICE AF COMMENCEMENT MAY RESULT IN YOUR
<br />� P�4YDNis'l�'6�E-F�R DlVIPRCl�/E9NlE TS T4)�YO.UR P_�tOPEFdT1C. IF YOU 1NTEND TO OBTAIN FiNANCtNG� CONSULT �
<br />� WITH YOUR�L.E DER OR . N ATT RNEY 8EF0 E RECQRDtNG YOUR t3TTCE t3F CO ENCEMENT. �
<br /> F40RibA JURAT'(F.S:147.03) '
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<br /> OWNER OR AGENT »�c��� " �"� CONTRACTOR' ,o_.��' �
<br /> Subscribed and swo , o(or a�irmed}before e thls Subscrlbed and sw . a{or af�rrr�ed)before me thls .
<br /> by bY
<br /> Who Is/are personally known'to me or has/ha e produoed Who(§/are�personaliy known�fo me or haslhave produced
<br /> as tden�flca on. as[denHfica#lon.
<br /> NotB Pub!!c � Notary Public
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<br /> Commisston No. CommSssion Na.
<br />, Name of Notary typed,prtnted or sfarnped Name of Notary fyped,printed"ar stamped
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