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<br /> N�?TICE OF DEED R�STRICTIONS: The understgned understands that Ehls perm�t may be subject to°deed" rest��ctians"
<br /> which may be more restrictive than County regulatians. The undersigned assumes responsibility for compiiance with any
<br /> applicable desd restrictions.
<br /> UNLICENSED GONTRACTORS AND CO�fTRFiC'TOR F2ESPON�181�lTI�S: If the awner has hired a confractor ar
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and lacal regulations. If the
<br /> contractor is not licensed as required by law, boEh the owner and contractor may be cited for a misdemeanor viola#ion
<br /> under state law. If#he owner or intended contractor are uncer#ain as to what iicensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8005. Furthermore, if the awner has hired a confractor ar contractars, he is advised to have the confractor{s} sRgn
<br /> portions af the "conkractor Block" of this appllcation for which they will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed and is nat entitled to permitting privileges in Pasco
<br /> Caunty.
<br /> 'fFt�NSPORTATION IMPA.CT/UTILITIES lIUV�'AC'T AND RESCIURCE RECQVERY FE�S: The undersigned understands
<br /> that Tcanspar#afion Impact Fees and Recourse Recavery Fees may appiy to the construction af new buildings, 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 uncfersigned aEso t�nders#anc#s, fha#such fees, as may be dtae, will be identified at the time of
<br /> permitting. It is further understoad that Transportakion Impact Fees and Resource Recavery Fees must be paid prior to
<br /> receiving a "certificate of accupancy" or finai power release. If Ehe project does nat invofve a certificate of occupancy or
<br /> final power re(ease, #he fees must be paid prior to permit issuance. Furthermore, if Pasco Gounty WaterlSewer Impact
<br /> fees are due, they must be paid prior ta permit issuance in accardance with applicable Pasco County prdinances,
<br /> CON�TRUCTION �IEN �.F►W{Chapter 713, �larida Statates, as amended): lf valuation of wark,is$2,500.00 ar more, i
<br /> certify that I, the applicant, have been pravided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protectian Guide" prepared by the FlQrida Department of Agriculture and Consumer P►ffairs. Ef the appfican# 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 /> C�PETRACTOR'S/CIWNER'S AFFIDAVIT: I certify that all the information in this application is.accurate and that all wark
<br /> will be done in compliance with all applicable laws regulating construction, �oning and land developmen#. Application is
<br /> hereby made to obtain a pecmit to da work and installation as indEcatec#. 1 certify that na work or insta4lation has
<br /> commenced prior ta issuance of a permit and that all work will be pertormed to meet standards of all laws r�gulating
<br /> construction, Gaunty and Gity codes, zoning regulations, and iand development regulations in the jurisdiction. 1 also
<br /> certify that i understand that the reguia#ions af other government agencies may appiy to the intended work, and that it is
<br /> my respansibility to identify what actions ! must take to be in cotnpliance. Such agencies include but are not limited ta:
<br /> - C?epartmenf af Environmental Protecfion-Cypress 8ayheads, V1/etland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewater Trea#ment.
<br /> - Southurrest Florida Water �Vtanagement District-Wetts, Gypress Bayheads, Wetland Areas, Altering
<br /> Watercaurses.
<br /> - Army Carps of Engineers-&eawa!!s, Docks, Navigable Waterways.
<br /> - Department of Heal#h & Rehabilitafive Services/Environmentai Heaith Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatem�nt, � .
<br /> - "Federal Aviation Autharity-Runways. �
<br /> 1 understand that the Following restrictions apply to#he use o#filf:
<br /> - Use of fill is nat allowed in Flood Zone°V"unless expressly permitted.
<br /> - If the fiU material is to be used in Flood Zane "A", it is understoad that a dcainage plan addressing a
<br /> �ccrmpensating valume" wiH be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be usec3 in Floacl Zone °A" in connectian with a permitted building using stem wail
<br /> canstruc#ion, I certify that fill will be used only to fill the area within the stem wall.
<br /> - !f fiN maEerial !s to be userf in any area, 1 certify ti�at use oF such fi!! v�rif! nat adversely affect ad}acent
<br /> properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building perrnit issued under the atkached permit application, for lats less than one (1}
<br /> acre which are elevated by fitl, an engineered drainage plan is required.
<br /> If I am the�►GENT FOR THE OIIVPIER, I promise in good faith ta inform the awner of the permitting conditions set forth in
<br /> this aifidavit prior #o commencing canstructEon. 1 understand that a separate permit may be required for elec#riaal work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installatians not specifically included in the application. A
<br /> permit issued shafl be construed to be a license to proceed with the wrork and not as authority to violate, cancel, alter, or
<br /> set aside any provisians of the technical codes, nor sha(i issuance of a permit prevent the Building Officiai from thereafter
<br /> requiring a correction of errars in plans, cons#ruction or violations of any codes. Every permi# issued shall become invalid
<br /> unless the work authorized by such permit is camrnenced wifhin six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a pe�iod af six(6) manths after the time khe wark is cammenced. An extensian
<br /> may be requssted, in writing, from the Build9ng Official #or a period not ta exceed ninety {90) days and will demonstrate
<br /> justifiable cause for the extension. If wark ceases for ninety(90)consecutive days, the job is cansidered abandoned.
<br /> WARRtING TCt OWW�R: 'YDUR FAILURE YO R�CORD A iVOTiC� O� CO�IIMENCEMENT MIi�Y RESULT tN YOUR
<br /> � -P/�Y19d.�'I�VI.CE_EORJIVIPRQVEIYi_E_NTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAFVCING, CCIIVSULY
<br /> V1tITH YC}t1R�ENDER QR A►!d�►TTOR�tEY�EF4RE RECUR�i1NG YUUR NOTiCE OF CO�tli�l�NG�t�1E�OT. - °� -- �--'°
<br /> FLORIDA JURAT(F.S. 117.03)
<br /> ONYNER OR AGEid3 GQNTRACTOR
<br /> Subscribed and swom to(ar affirmed)before me this 5ubscribed and swom to(or affirmed)before me this
<br /> by bY
<br /> Who Istare personally tcnawn ta me or haslhave produced Who islare personally known to me or haslhave produced
<br /> as IdenkificaBon. as identification.
<br /> Nokary Public Notary Public
<br /> Commissfon No. Commission No.
<br /> Name of Notary typed,printed or stamped Name of Notary lyped,printed or stamped
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