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�OTICE OF DEED RESTRIC'PIONS: The undersigned understands°that ihis.permit,may be subJect to"deed" restrictions"
<br /> vhich may be:moce restricttve than County regulatfons. "The undersigned assumes responsibility for compliance with any
<br /> ippNcable deed restrictions. ' �
<br /> 1NLICENSED CONTRACTORS AND CONTRACTOR RESPONSI8ILITIES: If the owner has hired a contractor or
<br /> :ontractors to undertake work, they may be required_to be:licensed in accordance.with state.and•local regulations. If the
<br /> ;ontractor is not Ilcensed as required-by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> inder state law. If the owner or intended°contractor are uncertaln as to what Ilcensing.requirements may apply•for the
<br /> ntended work, they are advised to contact the.Pasco County Bullding Inspectlon Divlsion—Licensing Sectton at 727-847-
<br /> 1009. Furthe�more, If the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> �ortions of the "contractor Block° of thls appllcation for which they wlll be responsible. If you, as.the owner sign as the
<br /> ;ont�actor, that may be an indication that he is not.properly licensed and is not entitled to permitting privileges in Pasco
<br /> �ounty.
<br /> �RANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> hat Transportation Impact Fees and Recourse Recove.ry..Fees may apply to.the construction of new buildings, change of
<br /> �se in existing buiidings, or:expansio� of existin�g:buildings, as specifled in Pasco County Ordinance number 89-07 and
<br /> a0-07, as amended. The undersigned also understands, that such fees, as<may°be due, wlll be identified at the time of
<br /> �ermitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be pafd prior to
<br /> •eceiving a "certificate of occupancy" or flna{ power release. :If the project.does not invoive a certificate of occupancy or
<br /> •inal power release, the fees must be paid prior to permft Issuance. Furthermore;if:Pasco County Water/Sewer Impact
<br /> `ees are due, they must be�paid prior to permit Issuance-In accordance with applicable Pasco County ordinances. �
<br /> CONSTRUCTION LIEN LAW(Chapter 713� Flor�da Statutes�as amended): If valuation of vvork is$2,500.00 or more, I
<br /> �ertify 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 Agric.ulture and Consumet Affairs. If the appl(cant Is someone
<br /> other than the"owner", I certify that I have obtained a copy;of the above descrtbed document°and promise in,good faith to
<br /> delive�it to the"owner"prior to�commencement.
<br /> CONTRACTOR'S/OWNER'3 AFFIDAVIT: I ce�tify-that all the Information in this applicatlon is accurate and that�all work
<br /> will�be done in campliance with all appl(cable laws regulating construction, zoning and.land development. Application is
<br /> hereby made to obtain .a permit to do work.and installatlon as indicated. ;I certify that no work or installation has
<br /> oommenced prior to issuance of a permit and that.all work will be performed to meet standards of all laws regulaking�
<br /> construction, County and City codes, zoning regulations, and land development regulations�in the jurisdfctfon. I al'so-�
<br /> certify that I understand that the regulations of other 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 agencles-include_but are not limited to:
<br /> - Department of Environmentai Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management- District-Wells, Cypress. Bayheads, Wetland- Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative ServiceslEnvironmental Health Unit Welis. Wastewater Treatment,
<br /> Septtc Tanks. -
<br /> - US Environmental Protectlon Agency-Asbestos abatement.
<br /> - Fede�al Aviatlon Authority-Runways.
<br /> I understand that the following,rest�ictions apply to the use of flll:�
<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 Florlda.
<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 ce�tify that fill�will�b.e used only.to.fill the area within the stem wali.
<br /> - If fill material is to be used in any area, I certify that use. of such fiil wiil not adversely affect adjacent
<br /> properties. If use of fill is found to adversely:affect ad)acent properties, the owner may be cited for viofating _
<br /> the conditions of the buildfng:permit issued under the attached permit application, for Iots less than one (1)
<br /> acre which are elevated by flll, 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 electrical work,
<br /> plumbing, signs, welis, pools, afr condttioning, .gas, or other installations not speciflcaliy included-in the application. A
<br /> permit lssued shail 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 techn(cal codes; nor shall issuaace of.a.permit-prevent-the Buildirig Officia!from thereafter
<br /> requiring�correction nf errors in.plans,-construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit.�ls-commenced within siX months of permlt issu�nce, or if work authorized by
<br /> the pe�mit 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, ftom the Building,Officfal for a periodrnot to exceed ninety(90) days and will-demonstrate
<br /> justifiable cause for.the extension. If work ceases.for ninety(90)consecutive days,..th�job�is considered aba�doned.
<br /> WARNING TO OWNER: YOUR.FAILURE•TO,REC.ORQ A NOTIGE OF�COMMENCEMENT MAY RESULT iPl YOUR
<br /> PAYING TWICE.FOR IMPROVEMENTS-TO YOUR:PROPER-TY. IF YOU�INTEND`TO OBTAIN�FIPFANCIfdG; CONSULT
<br /> WITH Y UR LENDE O AN A'�TORNEY FO E�RECO DI G� OU D � C '.O C �'M E ME T�
<br /> FLORIDA JURAT(F.S.117.03 � _ __ _ __ _ _
<br /> OWNER OR AGENT e`� CONTRACTO �
<br /> Subscribed and swam o(or a(flrmed)beto me this Subscribed and b om (or afRrmed)�befo 'me this
<br /> by � Y
<br /> Who Islare personally knovm to.me or has/have produced Who Islare personally knovm to me or has/have produced �
<br /> as Identlftcatlon. as Idendflcatlon.
<br /> Notary Public NoGary Public
<br /> Commisslon No. Commission No.
<br /> Name of Notary lyped,printed or stamped Name of Nolary typed,printed or stamped �I
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