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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 compliance with any
<br /> � applicable deed restricdons.
<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 licensed as required by law, both the owner and contractor 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 apply for the
<br /> intended woric,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermare, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block°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 properiy licensed and is not entiUed 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 construction of new bufldings,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 the Ume of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid 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. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to pertnit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of wark 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—Homeowne�s
<br /> Protection Guide°prepared by the Florida Department of/\qriculture and Consumer Aifairs. If the applicant is someone
<br /> other than the"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owme�'prior to commencement.
<br /> CONTRACTOR'SIOYYNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all woric
<br /> will be done in compl(ance with all appllcable laws regulating construction,zoning and land development Application is
<br /> 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 regulating
<br /> construction, County and City codes, zoning regulations, and land development regulaUons in the jurisdiction. I also
<br /> certify that I understand that fhe regulations of other govemment agencies may appty 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 limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
<br /> Lands,WateNWastewater Treatment.
<br /> - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br />, - Department of Health 8 Rehabilitative 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 following restrictions apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly pertnitted.
<br /> - If the fill material is to be used in Flood Zone "A°, it is understood that a drainage plan addressing a
<br /> "compensating volume"will 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 used in Flood Zone "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 fill matedal is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affect adjacent properties,the owner may be ated for violating
<br /> the canditions of the building permit issued under the attached permit appiication,for lots less than one (1)
<br /> acre which are elevated by fill,an engineered drafnage plan is required.
<br /> If I am the AGENT FOR THE OWNER,I promise in good faith to infortn the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs,welis, pools, air conditioning, gas,or other installations not specffically included in the application. A
<br /> pertnit 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 pertnit prevent the Building Offidal irom thereafter
<br /> requiring a cort�ection of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such pertnit is commenced within six months of pertnit issuance,or ff work authorized by
<br /> the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
<br /> may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for 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 ,�a+�•�
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANCING,CONSULT �„�[�
<br /> WITH Y R LEND R AN ATTORNEY BEF RE E O DING Y R N TI OF E CE ENT. ?017�c
<br /> FLORIDA JURAT(F.S.117.03) 'hp,���
<br /> OWNER OR AGENT CONTRACTOR �n��Z
<br /> Subscribed end swom to(ar eftirtned)before me thls S s ed end m to(or aftirtned be me fh� 'o.� � °�,
<br />, by Y����_by,-rYl A t��2i� SS�itZ-Ez'�- c3 0�.�
<br /> Who Is/are personaiy knawn to me or hes/have produced o f ere personalty known to me or hes/heve produced N 3 <�
<br />, as IdenUficatlon. as identlfiption. �3•�g
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<br /> Name of Notery typed,printed or stamped Name of Notery ,printed or stamped
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