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NOTICE 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 responsibilily for compliance with any
<br /> applicable deed restrictions.
<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 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 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 fs advised to have the contractor(s) sign
<br /> portlons of the"contractor Block"of this application for which they will be responsible. If you, as the owner s(gn as the
<br /> contraclor, that may be an indication that he is not properly licensed and is not entitled 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 lo 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 undersigned also understands,that such fees,as may be due,will be identified at the time of
<br /> permitting. It is further understood ihat 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 WatedSewer 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 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br />' certify that I, the applicant, have been provided wilh 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 lo 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 wilh 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 certi(y that no work or installation has
<br /> commenced prior to issuance ot a permit and thal all work wili be performed to meet standards of all laws regulating
<br /> consiruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify lhat I understand that the regulations of olher 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, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management Distrfct-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays.
<br /> - Department of Health 8 Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
<br /> Seplic 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 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 o(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 I
<br /> construction,I certify that fill wflt be used only to fill the area within the slem wall. I
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely afiect 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 engfneered 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, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a lice�se to proceed with lhe work and not as aulhority 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 pians,construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permil 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 requesled, 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 OWNER: YOUR FAILURE TO REC A NOTICE OF CO CEMENT MAY RESUL YOUR
<br /> PAYING 7WICE FOR I EMENTS TO YOU RO ERTY. IF YOU INT ND O OBTAIN FIN CIN , SULT
<br /> WI7H YOUR LENDE OR AN TTORNEY E R ORbING YOUR NO ICE F COM E �
<br /> FLORIDA JURAT(F.S.177. 3)
<br /> i
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscrlbed and swom lo( Nfr d) fore Sub l6ed and s rn to(or irtne )befoy rre th
<br /> by by V'
<br /> Who is/are personally known to me or has/ha pro ced Who Is/are personally known to me or has/have produced
<br /> asidentl�c on. asiden6flca6on.
<br /> Nolary Public ��� olary Public
<br /> Commission No. Commis '
<br /> ,.•'��+�f'4,, JACQUELINE BOG
<br /> Name of Nolary typed,printed or stamped Name ot Pdry , i �A#FF 150422
<br /> :`��. o; Expires Deoember 12,2018
<br /> .+'
<br /> �`•i„?���;°�' Banded Thru Troy Fein Inaurenca 800.385-7019
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