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<br /> , N0710E OF DEED RESTRICTiON3: The undersigned understands that this pertnit 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 /> UPILCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be Ifcensed in accordance with state and local regulaGons. If the
<br /> contractor is not licensed as required by law, both the owner and conVactor may be cited for a misdemeanor vialation
<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 Buiiding 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 conUactor(s) sign
<br /> portions of the"contractor Block"of this application for which they will be responsible. If yau,as the owner sign as the
<br /> contractor,that may be an indication that he is not propedy licensed and is not entiUed 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 construction of new buildings,change of
<br /> use in existing buildings,or expansion of existing buildings,as specified in Pasco Couniy 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°certficate of occupanc�'or final power release. If the project does not invoive a certificate qf occupancy or
<br /> final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WatedSewer Impact
<br /> fees are due,they must be paid prior to pertnit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTIOPI LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuatlon of work is$2,500.00 or more,i
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction 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`owne�'prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this appiication is accurate and that all 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 pertnit 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 witl be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulafions, and land development regulations 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 include 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 & Rehabilitative SeNices/Environmental Health Unit Wells, Wastewater Treatrnent,
<br /> Septic Tanks.
<br /> - US Environmental Protection,�qency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of filt:
<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 pertnitting which is prepared by a professional engineer
<br /> licensed by the State of Florida. I
<br /> - lf the fill material is to be used in Flood Zone"A in connection with a permitted building using stem wall
<br /> construction,I certify that fil)will be used only to fill the area within the stem wall. �
<br /> - If flll 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 pertnit 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 pertnitting conditions set forth in
<br /> this affidavit prior to commencing consUuction. I understand that a separate pertnit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not speafically 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 pertnit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every pertnit 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 /> tfie pertnit 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 /> just�able cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR END OR AN A OR FORE R CORD NG YOU O F CO MENC MENT
<br /> FLORIDA JURAT(F.S 11 03)
<br /> 01NNER OR AGENT CO CTOR
<br /> 9��1�'cr¢�tl,�pd swom to(o ed)bef this V�swom to(or a )be re me s
<br /> `��irt///1 by by I�
<br /> W�o Is/are personal kn to me has/have o islare personallv knnwe±�.me or ha ve
<br /> as identifiption. `"�— as identifiption.
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<br /> ''' •`�'? Notary P ic-(State ot Florida '?,• `"= Notary Public-State ot Florida
<br /> Ca issi • Commission No. = '
<br /> =N�" �°e� y �m #EE 13 70 ;9l •oe; My Comm.Expires Oct 25,2015
<br /> Nam i � ,prin or m e of ,pri d or m tl�n„u��` EE 131770
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