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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 /> applicahle deed restrictions.
<br /> UNLICENSED CONTRRCTORS 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 ticensed as required by law, both the owner and coniractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor a e uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco ounty Building Inspection Division--Licensing Section at 727-847-
<br /> 8009. Furthermore, 'rf the owner has hired a contra tor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this application fo which they will be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indication that he is not pro edy licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AN RESOURCE RECOVERY FEES• The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recove Fees may apply to the construction of new buildings,change of i
<br /> use in existing buildings, or expansion of existing buil ings,as specified in Pasco County Ordinance number 89-07 and I
<br /> 90-07, as amended. The undersigned also understan s,that such fees, as may be due,will be identified at the time 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 rel ase. If the project does not involve a certificate of occupancy or
<br /> final power release,the fees must be paid prior to per it issuance. Furthertnore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuanc in accordance with applicable Pasco County ordinances. �
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida S�atutes,as amended): If valuation of work is$2,500.00 or more,I I
<br /> certify that I, the applicant, have been provided with a copy of the °Florida ConsVuction Lien Law—Homeowner's �i
<br /> Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner',I certify that I have obtained a c py of the above described document and promise in good faith to
<br /> deliver it to the"owner'prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT. I certify tha all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws reg lating construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certiiy that no work or installation has
<br /> commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
<br />, construction, County and City codes, zoning regulati ns, and land development regulations in the jurisdiction. I also
<br /> certify that I understand,that the regulations of other g vernment agencies may apply to the intended work,and that it is
<br /> my responsibility to identify what actions I must take to e in compliance. Such agencies indude but are not limited to:
<br /> - Department of Environmental Protection-aypress Bayheads, WeUand Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
<br /> Wate�courses.
<br /> - Army Corps of Engineers-Seawalls,Docks Navigable Waterways.
<br /> - Department of Health & Rehabilitative Sgrvices/Environmental Health Unit Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbelstos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the�se of fill:
<br /> - Use of fill is not allowed in Flood Zone"V"Ynless expressly permitted.
<br /> - If the fill material is to be used in Floo� Zone "A", it is understood that a drainage plan addressing a
<br /> "compensaGng volume"will be submitted t 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 one "A" in connection with a permitted building using stem wall
<br /> construction,I certify that fill will be used o ly to fill the area within the stem wall.
<br /> - If fill material 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 advers ly affect adjacent properties, the owner may be cited for violating
<br /> the condikions of the building permit issu d under the attached permit application, for lots less than one(1}
<br /> acre which are elevated by fill,an enginee�ed drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,I promise in g od faith to inform the owner of the permitting conditions set forth in
<br />' this affidavit prior to commencing construction. I und rstand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, o other installations not specfically induded in the application. A
<br /> permit issued shall be construed to be a license to pr ceed with the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of the technical codes,nor sh�ll issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,construction o violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is comme ced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of ix(6)months after the time the work is commenced. An extension
<br /> may be requested,in writing,from the Building Offici I for a period not to exceed ninety(90) days and will demonstrate i
<br />, justifiable cause for the extension. If work ceases for inety(90)consecutive days,the job is considered abandoned. I
<br /> WARNING TO OWNER: YOUR FAILURE TO REC RD A NOTICE OF COMMENCEME Y RESULT IN YOUR ,
<br /> PAYING TWICE FOR IMPRdVEMENTS TO YOUR P�OPERTY. IF YOU I�O OBT �G,CONSULT
<br /> VIIITH YOUR LENDER OR AN ATTORNEY BEFORE ECORDING YOU TI OF C ME E 7 NT.
<br />, FLORIDA JURAT(F.S.117.03) , �
<br /> OWNER OR AGENT CONTRAC
<br />' Subscribed an b�dom to(or affirmed)before me this $ybs���nd bwor tp �ffirmed) efor this r,
<br /> /
<br /> Who is/are personalty known to me or has/have produced Who is/are rs np al krW�nrn to me or has/have produced �
<br /> as identificaUon. 7'GrS C.�cokC2_ as identificatlon.
<br /> Notary Public otary Public
<br /> �Y �;,,, JACQUELI B
<br /> Commission No. C mis p .�•
<br /> :�a- �;•; Expires December 12,2018
<br /> Name of Notary typed,printed or stamped Name of ot �' �prirdedeAd�tahvp€+P�Insurance Boo�385�7019
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