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N0710E 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 responsib(lity for compliance with any
<br /> . applicable deed s•estrictions. I
<br /> UNLICENSED CONTRACTORS AIdD CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or I
<br /> contractors to undertake work,they may be required to be licensed in accordance with state and focal regulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cfted for a misdemeanor violation
<br /> under state faw. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work,ihey are advised to contact the Pasco County Building Inspection Divislon—Licensing Section at 727-847-
<br /> 8009. Furthermore, ff 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 wlll 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 entiBed to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation 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 County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersfgned also understands,that such fees,as may be due,will be identified at the time of
<br /> permltting. It is further understood that Transportation Impact Fees and Resource Re�overy 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,the fees must be paid prior to permit issuance. Furthermore, ff Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to-permit issuance in accordance with appUcable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florlda Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been provlded with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protectfon Guide°prepared by the Florida Department of Agriculture and Consumer Aifairs. If the applicant is someone
<br /> other than the°owner",1 certify that I have obtained a copy af 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 application is accurate and that all work
<br /> will'be done in compliance with ail applicable laws regulating construction,zoning and land development. Application is
<br /> hereby made to obtaln a perm(t 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 al"so
<br /> certify that I tinderstand that the regulations of otfier govemment agencies may apply to the intended work,and that it is
<br /> my respons(bility to identffy what actions I must take to be in compliance. Such agencies fnclude but are not limited to:
<br /> - Department of Enviranmental Protection-Cypress Bayheads, WeUand Areas and Environmentaliy Sensitive �
<br /> Lands,WatedWastewater Treatmenk '
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health 8� Rehabilitative ServiceslEnvironmental Health Unit-Welis, 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 permltted.
<br />'" - If the flll material is to be used in Flood Zone "A", it is understood that a drainage pian addressing a
<br /> °compe�sating volume"will be subm(tted at time of permifling which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If ihe fill material is to be used in Flood Zone"A" in connection with a permitted building using stem wall
<br /> construction,i cerfify that fill will be used only to fill the area within the stem wall.
<br /> I - If flll material is to be used in any area, I certtfy that use of such fill will not adversely affect adjacent
<br /> propertfes. if use of fill Is found to adversely a(fiect adjacent properties,the owner may be cited for vfolatfng
<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 flil,an engineered drainage plan is required.
<br /> ff 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 construciion. I understand that a separate permit may be required for electrical work,
<br /> piumbing, 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 license to proceed with the work and not as authorfty to violate,cancel,alter,or
<br /> set aside any provisions af the technical codes,nor shall issuance of a permit prevent the Buildirig 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 permlt is commenced wlthin six months of permit fssuance,or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6)months aRer the time the work is commenced. M extension
<br /> may be requesied, in writing,from the Building Official far a period not 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 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
<br /> FLORIDA JURAT(F:S.117.03) � +
<br /> OWNERORAGENT CONTRACTOR�verr' �OT f�
<br /> Subscrlbed and swnm to(or aftirtned)before me thls Subsc�l ed end swom to(,or'�2f8rtned)before
<br /> by � 3/ by �f
<br /> Who tslare personally knovm to me or hasJhave produced Wh¢!slar�p@�so2a�kg lo me h s/have produced
<br /> as Identlficadon. 7 [ )![�U�-f�f��Pi�9--�. as Identlfication.
<br /> , Notary Pubilc � Notary Public
<br /> Cammisslon No.
<br /> co i ton No ,.,,,pyB�� UE6INE B(7GES
<br /> I p �
<br /> Name oi Notary typed,pdnted or stamped � Name of Notary S;�d.�� t.� r ������b�P,2,�018
<br /> ¢ Y �'F fq�� BuRde�!fPN►t�q�a1�Ineir�nea 60Ca85�7018
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