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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictians°
<br /> which may be mof�restrictive than County reguiat4ons. The undersigned assumes responsibilify far compliance with any
<br /> applicable deed restrictions. . -
<br /> UNLlCENSED CONTRaACTORS �►ND GON'FRACTOR RESPONSIBIL171ES: If the owner has hired a contractor or
<br /> cantractors ta under#ake work, they may be required to be licensed in accardance with state and local regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contraator may be cited for a misdemeanor violation
<br /> under state taw: If the owner ar intended contrac#or are uncertain as ta what licensing cequirements may apply for the
<br /> intended work, they are advised to contact the Pasco.Co�ur�ty B�ilding Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the ownee has hired a contracto� or contracfors;_ he is advised to have the contractor�s) sign
<br /> portions af the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br /> cant�actor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> Caunty. -
<br /> TRANSPORTATION iMPACT/UTILITIES IIIflPACT APdD FtESOl1RC�RECOVERY FEES: The undersigned understands
<br /> that Transportatian lmpact Fees and Recourse Recovery Fees may apply to the co�structian of new buildings, change o#
<br /> �-use�in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understanc4s, that such.fees, as may be due, will be identified at the time of
<br /> permitting. It is further understaod tha#Transpo�tation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or final power release. !f the project does not inuolve a certificate of occupancy ar
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Gounty WaterJSewer Impact
<br /> fees are due, they must be paid prior ta permit issuance in accordance with applicable Pasco County ardinances.
<br /> CQIVSTRUCTIUN �IEN �AVi►(Chapter 713, �lortda Statute�,as am�nded): If valuat�on of work is$2,500.00 or mare, !
<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.FEarlda Department of Agciculture ar�d Gonsumer Affairs. !f the applicant is someorte _
<br /> other than the"owner�, 1 certify that 1 have obtained a copy of the abave described document and promise in good faith to
<br /> deliver it to the"owner"prior to cammencement.
<br /> CONTRACTOR'SIC}WNER'S AFFIDA,VIT: 1 certify#hat all the information in this application is accurate and fhat atl work
<br /> will be dane in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a pecmit to da wra�k and instaElation as indicated. 1 certify that no work o� insta4latian has
<br /> cammenced prior ta issuance of a permit and that all wark wrill be pertormed ta meet standards of all laws regulating
<br /> construction, Caunty and City codes, zoning regulations, and land development regulations in the jurisctiction. I also
<br /> certify thaf I understand fhaf #he reguiations of other government agencies may apply to the intended work, and that it is
<br /> my respansibility to identify what actions I must take to be in compliance. Such agencies fnclude but are not limited to:
<br /> - Department of Environmental Pro#ection-Cypress Bayheads, Wetland Areas and Environmentally 5ensifive
<br /> Lands, WaterMlastewater Treatment.
<br /> - Southwest Florida Water Management District-V11eNs, Cypcess Bayheads, Wetland Areas, Altering
<br /> Watercaurses. � -
<br /> - Army Cnrps vf Engineers-Seawalls, Dacks, Navigable Waterways.
<br /> - Departmen# af Health 8� Rehabiiitafive ServiceslEnvironmental Heal#h Unit=Wefis, Wasfewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmen#al Pra�ection Agency-Asbestos abatement.
<br /> - Federal Aviation Autharity-Runways. ' ,
<br /> !understand that the foltawing restrictions apply to the use of fill:�
<br /> - Use of fill is na#allowed in Flood Zone"`V"unless expressly permitted.
<br /> - If the fill material is to be used in Flood 2one "A", it is understoad that a drainage plan addressing a
<br /> "compensafing valume" will be submitted at time af.pecmitting which is prepared by a professiana( engineer
<br /> licensed by the State of Florida.
<br /> - If the fill mater'sal is to be used in Flood �orte °A" in connection with a permitted building using stem wall � .
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If �N material is to be used in any area, 1 certify that use of such fill wi!! not adve�safy affect adjacent
<br /> properties. if use of fii( is found to adversely affect adjacent properties, the owner may be ci#ed for vioiating
<br /> the conditions of the building permit issued under the aktached permit application, for lats less_than one (1�
<br /> acre which are elevated by fi11, an engineered drainage plan.is required.
<br /> If I am the AG�NT FOR THE OInINER, I promise in good faith to inform the owner of the permitting canditians set forth in
<br /> this a#f9davit prior to commencing cons#ruction. ! understand that a separate permit may be reqttired for efecfricat wark,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other ins#allations nat speaifically included in the application. A
<br /> permit issued shall be construed ta be a license to proceed with the wrork and not as authority to vialate, cancel, alter, or
<br /> set aside any provisions of the_technscai cades, nor shall issuance of a permit prevent the 8uilding OfficiaE from thereafter
<br /> requiring a'correction of errars in plans, cons#ruction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is aommenced w�thin six tnon#hs of permit issuance, or if wark aufhorizecf by
<br /> the permit is suspended or abandaned for a period of six(6) manths after the time the work is cammenced. An extensian
<br /> may be requested, in writing, #rom the Build�ng OfFciai for a perfad not to exceed n�nety (94) days and will demonstrate
<br /> justifiable cause for the extension. If-work ceases far ninety(90)consecutive.days, the job is cansidered abandoned.
<br /> WARNING TO QWNER: �fOUR FAILURE TQ RECORD A Nt�TIC� O� COiVIMENCEiV1ENT MAY RESULT IW Y4UR
<br /> PA►YING TWICE FOR IIVIPROVEIIAENT� TO YOUR RROPERTY. IF YOU INTEND TO OBTAIfV FINAiVCING, COWSUI.'T
<br /> WI7H YC?UR�ENDER OR AN ATTORNEY�EFQRE RECQRDlNG YtaUR Nt}TIC�OF CQMMENCE�ENT.
<br /> FLORIDA JURAT(F.S. 117.Q3) ���-�
<br /> OWNER t3it AGEN7 CONTRACTOR _
<br /> 5ubscribed and swam to(ar affirmed)befare me this Subscribed and swo n ta(or affirmed)before me this �
<br /> by by
<br /> Who lslare personally known ta me or haslhave prodaced Wha islare personally known ta me or haslhave prodnoed
<br /> as Idenkfficatlon. as identification.
<br /> E�BANakary Public •. J4 Notary,Public
<br /> _�; `t`= atTl�ltt
<br /> Commisslon No. ` Com'm(ssi � �o: Expires June 29,2d18
<br /> '��R���,,
<br /> � �
<br /> Name of Nakary typed,prinked or stamped Name of atary typed,printed or stamped
<br />
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