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<br /> NOTICE OF DEED RESTRICTIOtVS. The undersigned un erstands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive than County regulations. Th undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions. '
<br /> UhILICENSED CONTRACTORS AiVD CONTRACTOR R SPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be icensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the ow er and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco Coun�y Building 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 wh�ch they will be responsible If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properl licensed and is not entitled to permitting privileges in Pasco
<br /> County. •
<br /> TRANSPORTATION IMPACT/UTILITIES I�PACT AND R SOU�2CE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery F es may apply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing building , as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, t at such fees, as may be due, will be identified at the time of
<br /> permitting It is fu�ther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power releas�. If the 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 Impact
<br /> fees are due, they must be paid prior to perrriit issuance in �ccordance with applicable Pasco County ordinances.
<br /> CO�lSTRUCTION LIEN LAW (Chapter 713, Florida Statu�es, as amended): 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—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. 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 /> CONTRACTOR'S/OWNER'S AFFIDAVIT: 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 regulati g construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and install tion as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all wo k 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 gover ment agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be i compliance. Such agencies include but are not limited to�
<br /> - Department of Environmental Protection-Cypr ss Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management Di trict-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Na igable Waterways.
<br /> - Department of Health & Rehabilitative Servi es/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbesto abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use f fill�
<br /> - Use of fill is not allowed in Flood Zone"V" unle s expressly permitted.
<br /> - If the fill material is to be used in Flood Z ne "A", it is understood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at ti e of permitting which is prepared by a professional e.ngineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zon "A" in connection with a permitted building using stem wall
<br /> construction, I certify that fill will be used only t fill the area within the stem wall.
<br /> - If fill material is to be used in any area, I ertify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely ffect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building permit issued u der the attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill, an engineered rainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I promise in good ith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I underst nd that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or ot er installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to procee with the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nor shall i suance of a permit prevent the Building Official from thereafter
<br /> ;equiring a correction of errors in plans, construction or vio ations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six( ) months after the time the work is commenced An extension
<br /> may be requested, in writing, from the Building Official fo a period not to exceed ninety (90) days and will demonstrate '
<br /> justifiable cause for the extension. If work ceases for ninet (90l conser,utive da���, th�;oh ;s cc^�i�er�d abar�oned.
<br /> WARfVING TO OVVNER: YOUR FAILURE TO RECORD A IVOTICE OF COMMENCEMEN� MAY RESULT IPV YOUR
<br /> PAYING TVNICE FOR IMPfaOVEMENTS TO YOUR PROP�ERTY. (F YOU IIVTEND TO OBTAIfV FIN�41VCIfVG, CONSULT
<br /> �����n�..�� �_��L��.�-{ n1? /.1!!I ,Q.T�(l�A1C!/ G�l1[?C SJC /T�S�'-icc.o �ii..i..� ,�n .ti� .•��. .; .._,
<br /> �.. .g�. v��� .�L" V��Y:CIVV i va,ii�i�v 91L�V� �.r4JiVl bi�1�VL�1Vdt�11.
<br /> FLORIUA JURA"f(F.S. '117.03)
<br /> OWNER OR AGENT ���- C� NTRACTOR ��Gt-����
<br /> Subscribed and s n to(or irmed) efore me this S bscribed and sworn to(or affirmed)b�efore me this
<br /> VZI�by�.v10�_�1��(GZ ��' by�n,�ric,l--P �h1a
<br /> �o i /are person�y° own to me o��as/have produced W is/ re personally i no�or has/have produced
<br /> as identification. as identification.
<br /> ( �.� A����o_tary,Public �� r— ��d otary Public
<br /> Notary State Florwa
<br /> Commission No. ��' fi C mmission No. �t1b�tC,State of Ftorida
<br /> My Comm�sswn ' My Commission Expires u , 6
<br /> ^O�No, EE828129
<br /> Name of Notary typed,printed r s amped N�me of Notary typed,printed or stamped ' • •
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