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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subJect to"deed"restrictions"
<br /> which may'be more restrictive than County regulat�ons. The undersigned assumes responsibilify far compl'tance witfi any
<br /> applicable deed restrickions.
<br /> UN�.ICENSED CQNTRA�T'CtRS AND CQNTRACTC9R RESP{)NSIBII»ITIE�: If the owner has hired a confractor ar
<br /> contractors to undertake work, they may be required to be licensed in accordance with sta#e and local regulations. If the
<br /> contractor is na# licensed as requlred by law, both the owner and contractor may be cited for a misdemeanor vialation
<br /> under state iaw. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contack the Pasco County Building Inspection Division--Licensing Section at 727-847-
<br /> 8009. Fur#hermore, 3f the owner has hired a contractor or contractors, he is advised #o have the can#ractor{s} sign
<br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as the awner sign as the
<br /> contractor, that may be an indication that he is not praperly licensed and is nat entitEed to permitting privileges in Pasco
<br /> Counfy.
<br /> T�NSPORTATION IMPACT/UTI�ITIES IfNP�4,C'T APID RE�OURCE RECOVERY FEES: The undersigned understands
<br /> that Transpartation impact Fees and Recourse Recovery Fees may apply to the construction of neuv buiidings, change of
<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 understands, that such fees, as may be due, will be identified at#he time of
<br /> permitting. It is further understood #hat Transportatian Impact Fees and Resaurce Recovery Fees must be paid prior to
<br /> �eceiving a "certificate of occupancy" ar final pawer �elease, If the project daes not involve a certificate of accupancy or
<br /> final power re(ease, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterJSewer lmpact
<br /> fees are due, they must be paid prior to permit issuance in accordance vuith applicable Pasco County ordinances.
<br /> CCINSTRUCTION E.IEN LAVit(Ghapt�r T'13, F'I�s�id�Statute�, as aenended): Ef valuation of uvork is$2,500.44 or more, 1
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Canstruction l.ien Law—Homeawner's
<br /> Protection Guide" prepared by the Florida Depa�tment af Agr9culture and Cansumer ATfairs. Ef the appiicant is sameone
<br /> other than#he"owner", I certify that I have obtained a copy of fhe above described document and promise in good faifh ta
<br /> deliver it to the"owner"prior ta commencernenk.
<br /> CONTRACTOR'SIOWNER'S�►F�IDAVI'f: 1 cerkify that ail the information in fhis applicatlon is accurate and thaf a11 work
<br /> will'be done in campliance with all applicabie laws regulating construction, zaning and land development. Application is
<br /> hereby macfe to abtain a perm'rt ta do war4c and instaltatlon as indicated. 1 certify that no work or instalEafian has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet skandards of all laws regulating
<br /> construction, Caunty and Gity codes, zanin� regulations, and fand development �egulations in the jurisdiction. I also
<br /> certify tha# 1'undersfand�that #he regulatians of ather government agencies may apply fo the infended worlc, and that if is
<br /> my responsibility to identifyiw,,hat actions I must take ta be in compliance. Such agencies include but are not limited to:
<br /> - Department af EnvironmentaE Rrotection-Cypress Bayheads, V1/et4and Areas and Environmentally Sensifive
<br /> Lands, lNa#er/Wastewa#er Treatment.
<br /> - Southwest Florida Water lUfanagement Dis#rict Vt(elis, Cypress Bayheads, Wetland Areas, Aitecing
<br /> Watercourses.
<br /> - Army Corps of Engineets-SeawaNs, Dacks, Navigable Waterways.
<br /> - Deparfinent of Health & Rehabilitafive SenriceslEnvironrnenfal }�eafth Unit-Vile(Is, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Envicanmental Pratection Agency-Asbestos abatement. �
<br /> - Federal Aviation Autharity-Runways. .
<br /> 1 urrderstand that the follawing restrictions appiy to the use of fiii:
<br /> - Use of fifl is not allowed in Flood Zane"V"un(ess expressly permifted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating vo(ume" will be submifted at time of permitfing which is prepared by a peafessional engineer
<br /> licensed by the State af Florida.
<br /> - , tf the fill ma#er'ral is to be used in Flood Zone °A" in connection with a permitted buitd9ng using stem wa11
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is ta be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties, If use of fill is faund tv adversely affect adjacent properties, fhe owner may be cited for violafing
<br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br /> acre which are eievatecf by fill, an engineered drainage plan is required.
<br /> If I am the AGENT FO(R THE OWNER, I promise in good faith to inform the awner af the permitting canditions set forth in
<br /> this a�davit prior to cammencing canstruction. 1 unders#and that a separa#e permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the apptication. A
<br /> permit issued sha11 be construed ta be a license to proceed with the wark and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes, nar sha11 issuance of a permit prevent the Building Officfa!from thereaffer
<br /> requiring a correction af errors in plans, construction or violations 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 vuark authorized by
<br /> the pe�mit is suspended or abandaned far a period of six(6) months after the time the work is commenced. An extension
<br /> may be requested, in writing, f�om the Building Q�clal for a perlad not to exceed ninety (90} days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)cansecutive days, the job is considered abandaned.
<br /> 1iitARNING TO CiWN�gt: YC1UR FA1LUi�E TC7 �EC�DRD � N�"�'1�� C9� Ct3ii�tlifiEhlCE�f1E4tT �AY E2ESU�T 1N Y4UR
<br /> PAYIING TWICE FOR IfVIPROVEflflENTS TO YOUR PROPER'fY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YQUR LEtdDER OR�1N�►TTQRN�Y B�FOFtE RECQRDING YC}UF2 NQTICE OF CONtiUiENCEMENT.
<br /> --�FLORIDAJUF2AT(F.S. 117.q3) �- - - -- --- - __
<br /> OWNEft OR AGENT ��%G'��'� CONTRACTOR —� ' � ' �
<br /> Subscribed and swo o(or a ed)before me th(s Subscribed and s m to(o affir d}before me this
<br /> by Y
<br /> Who lslare persanally knowr�to me or haslfiave produced Who islare personr y known to me ar haslhave produced
<br /> as IdenUfication, as iden6Bcation.
<br /> ���,,, ..�'::�.,
<br /> Notary Public ��°y . L�.BACON Notary Public
<br /> 01�.:�;�.` . :�, :�: or�missioo#FF 137Q73
<br /> Commi n�.�= Commission#FF 137073 Camml i n �' '�= Expires June 29 201
<br /> :�};,-�^�' ',�`-Exptres",hme�9;�A�B�--- ,.P,,,�,.` Baded Tlw Troy Fefn Insu�ance 800�395•7019
<br /> '�.P;;ya�' sonaeanuui�ea�,�ns�xancesoo-sesaoxa
<br /> Name o a ary ped,printed or stamped Na of Nokary typed,printed or stamped
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