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9d0'i'10E OF DEED RE3'�'RICTIONS: The undersigned understands that#hfs.p�rmlt.may be,subject to"deed"restrictions" <br /> whlch may be�mor�-rest�ictive-than Gounty regulations. 'The undersigned assurvies responsibility for compOlance vdith any <br /> applicable deed restrictions. <br /> lJ(VLICElVSED CONTRACTOItS AND C9NTRACTOR RES�OPISIBILITIES: if the owner has hired a contractor or <br /> contractors 4o undertake vvork, they may be required_to be-llcensed in accordance.with state.�nd•local regulatfons. If the <br /> contractor is not Ilcensed as required�by law►, both the owner and con4ractor�may be cited for a misdemeanor vlolatlon <br /> under state law. If the own�r or tntended contractor are unc�rtaln �s to vvh�t Iicensing.requ9rements may �pply•for the <br /> intended work, they are advised to contac@ Yhe Pasco County Bullding Inspect0on Divisfon—Licensing Section at 727-847- <br /> 8009. Furthermore, if the owner h�s hired a cont�actor or contractors, he is advised to have the contPactor�s) sign <br /> portions of the "contractor Block" of this application for vbhlch they will be responsibl�. If you, as.fhe owner sign as the <br /> contractor, fhat rnay be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco <br /> County. <br /> 7'�tAIdSPORTATIOIV IINPACT/UTILITOES IMPAC'P AN�RESOURCE REC01/EYtY FEES; The undersigned understands <br /> that Transportation Impact Fees and.Recourse Recovery Fees may�apply to the constn�ction of new bulldings, change of <br />� use in existing buildings, or expansion.of ezistirig`•buildings, as speclfled in Pasco County Ordi�ance nurti��r_69-07 and <br /> 90-07, as ��ended. The undersigned aiso-undersfands, that such fees,as,may�be�.due,.wlll,tie tdentified at the time of <br /> per�itting. It 9s furthe� understood that Transportatlon 9r�pact Fees and Resource Recovery Fees must be paid prior to <br /> receiving a "cerfificate of occupancy" oP flnal.power release. :If th� project doe� not Envolve � certificate of occupancy or <br /> final power release, the fees rr9ust b� paid prior to perrrift issuance. Furtherrr�ore;�If Pasco County Water/Sewer Impact <br /> fees are due, they.must be-pald prior�o permit-issuance�in accordance vuith applicable Pasco�County ordinances. <br /> COOV�TRUCTIAN LIEN 4AW(ChapteP 713� �lorlda St�tut�s�as arreended): I�valuation of�vork is$2,500.00 or more, I <br /> certify that E, the applicant, h�ve-been provided with a copy �f the "F9orida Constructton Lien Law—Homeowner's <br /> Protection Guide" prepared by the Fsorida Departmenf of Agric.ulture and Con�urraerAffairs. If the appl(can$ is someone <br /> other than th�"owner", I certify that I have.obtained a copy of the above..�escribed docurr�ent and promise in,good falth to <br /> deliver it to the°owner"prior to:comm�ncement. <br /> CONTFtAC`POR'S/OWNER'S AFFIDt�►VET: I certify that all the inf.ormation in�this application is accurate and that all work <br /> will�be doe►e in compliance with all applicabl� laws regulating construction, zoning and land development. Application is <br /> hereby made to obtain .a permit Co do work and installation as Indl�afed: _°I ce�4ify that no work or Installation has <br /> commenced prior to Issuance of a permit and that.all �rork will be pertormed to meet standaeds of ail laws regulating <br /> construction, County and City codes, zoning r�gulatians, and land development regulations-in th� jurisdiction. I also <br /> certify that I uaderst�nd that th� regulations og othe�government agencies m�y�apply�to the intended work, and that it is <br /> my responsibili�y to identify.what.actions I must take to be�in:.compYlance. Such agencies.include but are.not Iimited to: <br /> - Departmenf of Environm�ntal Protec4ion-Cypress. Bayheads, WetEand Areas and Envlronmentally Sensittve <br /> Lands, WaterNVastevvater Treatment. <br /> - Southwrest Florida iNat�r Managemec�Q. District-We91s, Cypress. Bayheads, Wetland Areas, Altering <br /> - Watercourses. <br /> - Army Corps of Engtneers-Seawalls, Docks, Navigabie Waterways. <br /> - Department of Health � Rehabilitative Services/EnvBronmenfal Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. _ <br /> - US Environmental Protecgio�ro Agency-Asbestos abatement. <br /> - Federal Aviatton Authority-Runways. <br /> I understand that the following restrictions apply to th�us�of flll:� <br /> - Use of fill Is not allowed in Flood Zone"V"unless expressly permltted. <br /> - If the fill mat�rial 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 p�rmifting which is prepared by a professional engineer <br /> Ifcensed by the State of Florida. <br /> - If the fill materlal is 4o be u�ed in Flood Zone tlA° In:connection�with.a permitted building using stem wall <br /> c�nstruction, I certify that fi6l�:wlll:b.e used oniy.to..fill 4h�area wlthin the stem�wrall. <br /> - If fill malerial Is to be used In any area, I certify that use. of such'flll wiil not adversely affect adjacent <br /> propertfes. if us� of fill is found to adversely.affect adjacent�=propertie�,.the owner may be ctted for violating <br /> - the condifion� of the building.permit issued und�r the a�tacfied permit application, for lots less than one (1) <br /> acre wrhich are elevated by flil, an engtne�red drainag�plan is required. <br />' If I am the AGEtd�'FOR THE OWNER, I,:promise In good faith to inform the ovdner of the permitting conditfons set forth in <br /> this a�davit prior to commencing construction. I understand that a-separate permit may be requtred for electrical work, <br /> plumbi�g, signs, wells, pools; afr conditioning, .gas, or other installatlons not speciflcally included-in the application. .A <br /> permf6 Issued shall b� constn,�ed to be a'Hcense to proceed with the work and not as.authority to,violate,cancel, alte�, or <br /> set aside any provisions of the technica9.codes; nor shall Issuance�of a.permit.prevent the Bulidf►ig Officialfrom 4hereafteP <br /> requfring a coPrection af errors in plan�, construction or violations of any codes. Every p�ermit issued shall become invalid <br /> unless the work authorized by such p�rmit Es.comrrrenced with(n six months of permit issuance, or if work authorized by <br /> the permit is suspended or.abandoned for a.period ofsix{6) montfis.after Qh�time the work ts commenced. An extensfon <br /> may be requested, in writing, f�om the Building.Official for � perlod not to exceed ninety(90) days and will demonstraQe <br /> justifiable ca�se for the extension�. If work ceases for ninety(90)consecutive days,..the)ob is conside�ed abandoned. <br /> lAIARNING YO OVYNER: YOUR FAILURE�TO,REC:ORD A,NOTBGE OF�COMIIflENCEMEWT MAY-R@SULT IN YOUR <br /> PAYIIVG TWICE FOR tAAPROVEIQAEN`�S TO YOUR::PfIt�PERTY. BF YO.U�IMTEND`-TO�OBTA9N�Flnt/ANCING; CORISULT <br /> 1FYITH YOUR ENDE :O AM ATTORNEY� FORE�R COR�'D �;:� OUR� O � C �O ° -' E CE NT' <br /> FLORIDA JURAT(F.S.1 . ) � _ � '1 ��/ ����� <br /> �n <br /> OWN(E8t OR A(iENT i C�NTFtAC'TO J�/ <br /> Subscribed and swom to(�afflrmed)betore me this Subscrlbed and'swro to(or afflrmedpbefore me t�is <br /> by .by .. � <br /> Who Islare personally known to.me or has/Fiave produced Who Is/are p.ersonally known to me or ha�ave�produced <br /> as Identlflcatlon, as idendflpdon. j <br /> Notary Publlc Notary Public <br /> Commisslon No. Commission Plo. <br /> Name of Nolary lyped,printed or siamped fVame of Notary 4yped,pdnted or stamped <br />