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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 regulations. The undersigned assumes responsibility for complfance with any
<br /> _ applicable deed restrictions.
<br /> ' UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not Iicensed as required by law, both the owner and cantractar 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 appty for the
<br />, intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009: Furthertnore, ff the owner has hired a contractor or contractors, he fs advised to have the contractor(s) sign
<br /> portions of the"contractor Blodc°of this application 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 propedy licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the canstructlon of new buildings,change of
<br /> use fn existing buildings,or expansion of exlsUng 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 the time of
<br /> permitting. It ts further understood that Transportatlon Impact Fees and Resaurce Recovery Fees must be pald prior to
<br /> receiving a"certificate of occupancy°or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release,the fees must be paid prior to pertnit issuance. Furthertnore,'rf Pasco County Water/Sewer Impact
<br /> fees are due,they must be pald prior to permit Issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florlda Statutes,as amended): If valuaUon 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—Homeowners
<br /> Protection Guide°prepared by the Florida Department of Agricuiture 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°owne�'pdor to commencement
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all worlc
<br /> will be done in complfance with all appllcable laws regulating consVuction,zoning and land development. Application is
<br /> I hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regulatlng
<br /> construction, County and City codes, zoning regulations, and land development regulations fn the jurisdiction. I also
<br /> certify that I understand that the regulations of other govemment agenc(es may apply to the intended work,and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not Iimited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilltative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the fallowing restrictlons apply to the use of fill:
<br /> - Use of fill is not allowed in Fload Zone"V°unless expressly permitted.
<br /> - If the flll materlal is to be used In Flood 2one "A°, it is understood that a drainage plan addressing a
<br /> °compensaUng volume"will be submitted at time of pertnitting wh(ch is prepared by a professional engfneer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flaod Zone "A in cannection with a permitted building using stem wall
<br /> construction,I certify that flll will be used only to fill the erea withln the stem wall.
<br /> - If fill matedal is to be used in any area, I certify that use of such fill wlll not adversely affect adJacent
<br /> properties. If use of flll is found to adversely affect adjacent properties,the owner may be cited for vialating
<br /> � the conditions of the building permit issued under the attached permit application,for lots less than one(1)
<br /> acre whfch are elevated by fill,an engineered drainage plan is requlred.
<br /> If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the pertnitting conditions set forth in
<br /> this aifldavit prior to commencing,construction. I understand that a separate pertnit may be required for electrical work,
<br /> plumbing, signs,welis, pools, air conditioning, gas, or other installations not specffiplly included in the appllcation. A
<br /> permit issued shall be construed to be a Iicense to proceed with the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,construction or violations of any cades. Every permit issued shall become invalid
<br /> unless the work authorized by such pertnit is commenced within six months of permit issuance,or if worlc authorized by
<br /> the permit is suspended or abandoned for a period of six(6)months after the time the work ls commenced. An extenston
<br /> may be requested,in wridng,from the Buiiding OfBcial for a period not to exceed n(nety(90)days and will demonstrate
<br /> justifiable cause tor the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANCING,CONSULT
<br /> IT Q LENDE R N ATTO NEY BEF E RE RDIN R OTI F EN EMEN
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and swom ta(or aRrtned)betore me this Subs ed end m to(or atfirtned)be me thie
<br /> by ! f � by !'rl A Yte r TiZfJ�
<br /> Who islare personally known to me or has/heva produced o i re personelty known to me or hae/heve produced
<br /> es Identflfcatlon. es Identlflptlon.
<br /> Notary Publ(c • ' ��"1 Notary Public
<br /> Commission No. Cammission No. � 1 � �O 1 � �O
<br /> 1'��A� V S�Pu��'
<br /> Name of Notery typed,printed or atemped Name of Notery typad,printec}�
<br /> P
<br /> yr•�'p4eL Notary Public State of Florida
<br /> � ; Mary V Stewart
<br /> l •�, �'�o� My Commission EE 2i663o
<br /> �'of p.� Expires 07/16/2016
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