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<br /> � NOTtCE OF DEED REST'RtCTlONS: The undersigned uncEerstands that this permit may be subject to"deed" restrictions"
<br /> which may be more restrictive than i:ounty regulatior�s. The undersigned assumes responsibility for compliance with any
<br /> applicabl�dead restrictions � �
<br /> URILtCENSED C4IVTRACTOR� AND CC7NTRAC OR RESPONSiB�LiTIES: (f the owner has hired a contractor ar
<br /> contractors fio undertake work, they may be required to be licensed in accardance with state and local regulations If the
<br /> contractar is not licensed as required by lau,r, both he owner and contractor may be cited fior a misdemeanor violation
<br /> under state law. If the awner or intended contracto are uncertain as to what licensing requirements may apply for the
<br /> intended work, #hey ara advised to cantact the Pasc� County Building inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a can�actar or contractors, he is advised fo have the con#ractor(s} sign
<br /> portions of the "contractor Block" of this applicatian or which they will be responsible. If you, as the owner sign as the
<br /> cantrac#or, that may be an indication that he is not �roperly licensed and is nat entitled to permitting priviieges in Pasco
<br /> County �
<br /> TRANSPORTATlON ![itlpACT/UTlLIT1ES tMPACT ND RESOt1RCE RECOVERY FEES: The undersigned understands
<br /> that Transpartation Impact Fees and Recourse Rec very Fees may appiy to the construction of new buildings, change of
<br /> use in existing buildings, ar expansion of existing b ildings, as specified in Pasca County Ordinance number 89-07 and
<br /> 90-07, as amenc3ed. The undersigned also tanderst nds, #hat such fees, as may be due, will be identified at the tirr�e o€
<br /> permi#ting. It is further understaod that Transportati n Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a °certifcate of occupancy" or final power eEease. !f the project does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to �ermit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due, they must be paid prior ta permit issua`ce in accordance with applicable Pasco Caunty ordinances.
<br /> GO�STRUCTION L�IEN L,AV41(Chapter 713, Florida{Statutes,as amended}: If valuatipn of wark is$2,50d.04 a�more, 1
<br /> certify that I, the applicant, have been provided � ith a copy of fihe "Florida Construction Lien Law—Homeowner's
<br /> Pratectian Guide" prepared by the Fiorida Departm�nt of Agriculture and Consumer Affairs. If the applicant is someor�e
<br /> otl�er than the"owner", I certify that I have abtained a capy of the abave described document and pramise in good faith to
<br /> deliver it to the"owner" prior ta commencement.
<br /> COPlTRA,CTtJR'S/OWNER'S AFFIDAVIT: ( certify hat all #he infarmation in this applieation is accurate and that ail wark
<br /> will be done in compliance with all applicable laws egulating construction, zoning and land d�velopment. Application is
<br /> hereby made ta obtain a permit to c3a work and �nstallation as indica#ecl. 1 certify that no work ar installation�has
<br /> commenced prior ta issuance af a permit and that all work will be performed ta meet standards of all laws regulating
<br /> construcfiion, County and Gity codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
<br /> certify that I understand that the regu(ations of othe� government agencies may appiy ta the intended work, and that it is
<br /> ;�ny responsibility to identify what actions I must take o be in campliance. Such agencies include but are nat limited fio�
<br /> - C}epartment of Environmentai Protectia -Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> L,ands, Water/Wastewater Treatment.
<br /> - Southwest Florida Water Managem�nt District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps af Engineers-Seawalls, Daaks, lVavigable V1(aterways.
<br /> - Deparfiment of Health & Rehabilitative) ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmenta! Pratectian Agency-Asbestos abatement.
<br /> Federal Aviation Au#hority-Runways.
<br /> 1 understand that the fallawing restrictions apply to the use of fiil:
<br /> - Use of fil� is not allowed in Flood Zone"� " unless expressly permitted.
<br /> - If the fill material is to be used in Fl�od Zone "A°, it is understaod that a drainage plan addressing a
<br /> "compensating volume" will be subm�tt d at time of permitting which is prepare d by a pro fess iana( engin e e r
<br /> licensed by the Sta#e of Florida.
<br /> - If the fli materia! is to be usad in Flo d Zone "A'" in connection with a permit�ed building using sfiem wall
<br /> construction,.I certify that fill will be use only to fill the area within the stem wall.
<br /> - If fi!! material is to be used in any a ea, I certify that use of such fill will not adversely affect adjacent
<br /> praperties. If use of fi11 is found ta adv rsely affect adjacent properties, the owner may be cited for vioiating
<br /> the conditions of the building permit is ued under the attached permit application, for lots less� than one (1)
<br /> acre which are elevated by fill, an engin ered drainage plan is required. ,
<br /> If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditians set forth in
<br /> this affidavit prior to commencing construction. 1 u derstand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to roceed with the work and nat as authority to violate, cancel, alter, ar
<br /> set aside any provisians of the technical cades, nor shali 'tssuance of a permit prevent the Buiiding Official from thereafter
<br /> ;equiring a correction of errors in plans, constructiaI or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is comrt'�enceti within six months of permit issuance, ar if work autharized by
<br /> the permit is suspended or abandoned for a period �f six(6) manths aft�r the time the work is comm�nced. An extension
<br /> may be requested, in writing, fram #he Building Otf cia! for a period not to exceed ninety {90) days and wil! demonstrate
<br /> just.ifiabie cause for the extensian. if wark ceases f r ninefy t901 cansec�.�ti�.�e�ay�, th�;ob is cc^�?��red abar,�on�d.
<br /> WARi�ING TO 01oltttVER: YOUR FAI�.URE TO R�CORD A �I01'!CE �F C0�11lt�€E�tC�MENT l�IAY RE�ULT 1R1 YOUR
<br /> PP�YING TINICE FOR IMPROVEMENTS TO YOU12�PROPERTY. IF YOU INTEND TO OBTAIN FINANCIfVG, C(JNSULT
<br /> W4�'H YO��I� !_��!!"���n►�A�!�'??�?o*t�Y 3�=^F���C�.".vV��G1Y3�"v�:iti�i tt:.� u� i.v�ctii���ivC:�i�iE�ifi.
<br /> FLORICIA JUF2A'I"(F.S '117 03}�
<br /> 0�lVNER OR AG�NT G�.�`c'��_�� CONTRACTOR __�1����""'" _
<br /> Subscribed an�svf n ta(or ffirmed} efore me fhis Subscribed and swom ta(ar a�rmed}before me this
<br /> L'3 b Q _�Mb' f °�a_�Y �
<br /> Wlio i ona y nown to 7e or hasthava produced W is a - c�rfafip'K1TOwr�-a me ar haslhava produced
<br /> / as identification. as identificatian.
<br /> Notary Public Notary Public
<br /> Commission No. ��{Y{�A,�}Y$� Commissio No. ��Vl�A.�.OVB�
<br /> Notary pubNc, o ry u ,State af Florida
<br /> , �.
<br /> Name of tVotary t , Name af Notary type ,pr n e s
<br /> Com.No. EE828129 m.No. EE828129
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