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, , 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 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 fn accordance with state and local regulations. If the
<br /> contractor is not Iicensed 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 work,they are advised to contact the Pasco County Building Inspection D(vision—Licensing Section at 727-847-
<br /> 8009. Furthermore, 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 entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportatlon Impact Fees and Recourse Recovery Fees may apply to the construcdon of new buildfngs,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 time of
<br /> pertnitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be pafd prior to
<br /> receiving a"certiflcate of occupanc}r'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 WateNSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been provided with a copy of the "Florida ConsVuction Lien Law—Homeowners
<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 copy 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 that all the information in this applicatlon fs accurate and that all work
<br />� will be done in compliance with all applicable laws regulating construcUon,zoning and land development. ApplicaGon is
<br /> hereby made to obtain a pertnit to do work and installation as indicated. I certify that no work or installation has
<br /> commenced prior to Issuance of a pertnit and that all work will be pertormed to meet standards of all laws regulating
<br /> construction, County and City codes, zonfng regulatlons, and Iand development regulatians in the jurisdiction. I also
<br /> certify that I understand that the regulations of other govemment agencies 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(nclude but are not limited 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, WeUand Areas, Altering
<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 /> Ilcensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building usfng stem wall
<br /> construction,I certify that fill will be used only 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 adversely aifect adjacent properties,the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application,for lots less than one(1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,I promise in good faith to inform 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 elecfical work,
<br /> plumbing, signs, welis, pools, air conditianing, gas, or other installations not specificaliy included in the application. A
<br /> permit issued shall be construed to be a license 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 af any codes. Every pertnit issued shall became invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance,or ff work authorized by
<br /> the permit is suspended or aba�doned for a periad of six(6)months after the time the work is cammenced. An extension
<br /> may be requested,in writing,fram the Building Officlal for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If wark ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO
<br /> MMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANCING,CONSULT
<br /> W TH Y UR LENDER R AN ATTORNEY BEFORE RE RDING Y R N TI OF CO ENCEMENT
<br /> FLORIDA JURAT(F.S.117.03) ,��'ap
<br /> OWNER OR AGENT CONTRACTOR ��C
<br /> Subscribed end swom to(or a�rtned)before me this Sub crib d and m to(araffi �d)ba me Is a,p�A��ro
<br /> bY �by—CY1�3-t��IL T�a7'�
<br /> Who is/are personally Imovm to me or hasRiave produced a e personelly known to me or haslheve produced
<br /> as fdentiflca4on. as Identificatlon.
<br /> ��m.°.
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<br /> Notary Publfc Notary Public �����
<br /> Commission No. Commissian No. �G al��L 3� °m�d
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<br /> Neme oi Notery typed,printed ar stemped Neme af Nofery ed,printed or stamped Q, T
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