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� RfOTICE OF DEED RESTRICTIOMS: 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 wilh any
<br /> � a�plicable deed restrictfons.
<br /> ; ' U�ILICENSED COf�TRACTORS AIdD CONTRACTOR RESPOPISIBILITIES: 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 10 what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Division—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 properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TF2ANSPORTATIOPI IBflPACT/UTILIY9ES IIIflPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings,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 /> 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,ihe fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br />' COPISTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more, I
<br /> certify that I, the appiicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<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"awner"prior to commencement.
<br /> COPlTRACTOR'SIOWNER'S AFFIDAi/IT: I certify that all the information in this application is accurate and that ail work
<br /> will be done in compliance with all applicable 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 regulations in the jurisdiction. i also
<br /> certify that I understand that the regulations of otfier government 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 include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, VVetland Areas and Environmentally Sensitive
<br /> Lands,WatedWastewater 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 & Rehabilitative ServiceslEnvironmental Nealth 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 fili:
<br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
<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 fili 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 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 affect 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�4GENT FOR THE OWPIER, I promise in good faith to inform the owner of the permitting conditions set forih in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. 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 Buiidirig Official from thereafter
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if 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 /> jusC�fable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> VNARPJING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEiNENT fVIAY ftESULT IN YOUR
<br /> PAYING TWICE FOR 111�PF20VEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAIdCING,CONSULT
<br /> WITH YOUR LENDER OR/AN ATTORNEY BEFORE RECORDING YOUR PIOTIC MENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03) �
<br /> OWNER OR AGENT CONTRACTOR '
<br /> Subscrlbed and swom to(or affirmed)before me Ihis bs,Frl e�nd swo¢i to or affirme )bE{ore me this
<br /> by '7 <S by Ct �c_t;T�1�tc r•�
<br /> Who ls/are personally known to me or has/have produced Wh0.1s/are personally known to me or has/have produced
<br /> as Identlfication. G—�..- �Qt�['l I�CE:.59-- as iden6ficafion.
<br /> Notary Publlc •'. 'a • '� �`'� Notary Public
<br /> com 3 ' �`c_ ommission#FF 1 22
<br /> Commisslon No. ;_ �
<br /> ",;., .
<br /> ''��, F f��`,, Bonded Tlw Tr fein Insurence BOOJ85-7019
<br /> Name of Notary typed,printed or stamped Name
<br />
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