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<br /> NOTICE OF DEED RESTRICYIONS: The undersigned understands that this permit may be subject to`deed"restrictions'
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibillty for compllance with any
<br /> applicable deed restrictfons. , � � - • .
<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�in accoriiance�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 to 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 responslble. If you, as the owner sign as the
<br /> contraclor, that may be an indication lhat he is not properly licensed;and is not entitled to permitting privileges in Pasco
<br /> County. .
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> thal Transportation Impact Fees and Recourse RecoVery.Fees may apply to the construction of t�ew buildings,change of
<br /> 'use in existing buildings, or expansion of ex'isting 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, wiil be identified at the time of
<br /> permitt(ng. 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, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer 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 T13,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 Construction Lien Law—Homeowner's
<br /> Proteclion Guide"prepared by lhe 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 faiih to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the Information in this application is accurate and lhat all work
<br /> will be done in compliance with ail applicable laws regulating construction,zonfng and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicaled. 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 /> i construction, County and City codes, zoning regulalions, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulalions 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 agencies includo but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaily Sensitive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Soulhwest 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 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Avialion Authority-Runways.
<br /> I understand that the following restrictions apply to the use of till:
<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 submilted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction,1 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 permil issued under lhe 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 /> lhis affidavit prior lo commencing construction. I uridersland that a separate permft may be required for electrical work,
<br /> plumbing, signs, welis, pools, air conditioning, gas, or other inslallations not specifically included in the application. A
<br /> permil 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 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 /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OW YOUR FAILURE TO RECORD A NOTICE OF ENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FO IMP OVEMENTS O Y ROPERTY. IF YOU NTEN O OBTAIN FINANCI NSUl.T
<br /> WITH YOUR LENDE OR ATTOR OR RECORDING YOUR OTICE F COMM E
<br /> FLORIDA JURAT(F.S.117. 3)
<br /> OWNER OR AGENT CONTRACT
<br /> Subscribed and swo to(or irm )be(o e m i Subscribed d sworn to(o a firmed)bef re e lh s
<br /> by
<br /> Who fsfare person kn n to me or haslhave produced Who Is/are personally kno to me or has/have produced
<br /> as Identlficatlon. as identificaGon.
<br /> � ary Public
<br /> 4�,.Y PY,B`�� JOEL E.BACON ,.• I�m%., ,
<br /> Com s oe1�15 .�': c Commis ' �� `�� y�jp�_
<br /> _,,. . - issien-#-F�--1�7�7�
<br /> - =o: Expires June 29,2018 =;- ,.Q�-` Expires June 29,2018
<br /> Name o( o^ , j�2d;pr1�e��Tpf(gjfq�y�n Insurenco •3B5•�ot9 Name ot N ' rinte t �n nsurance BOOJBS-7ots
<br />
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