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<br /> 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 responsibility for complfance 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 /> u�der state law. If the owner or intended contractor are uncertain as to what licensing requlrements 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) stgn
<br /> portions of the"contractor Block" of this application for which they will be responslble. If you, as the owner sign as the
<br /> coniractor,that may be an indication that he is not properly licensed and is not entified 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 spec�ed 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. Ii the project does not involve a certificate of occupancy or
<br /> final power release, the tees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they musl be pafd 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 0
<br /> ) $ , r 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 the Florida Departme�t of Agriculture and Consumer AHairs. 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"awner"prior to commencement.
<br />, CONTRACTOR'SlOWNER'S AFFIDAVIT: I certify that all the Information in this application is accurate and lhat 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 permit 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 wilf 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 aiso
<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 whal actions I must take to be in complfance. 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, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health 8 Rehabilitative Services/Environmental Health Unit-Welis, 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 submitled 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,I 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 afiect adjacent
<br /> properties. if use of fill is found to adversely affect adjacent properties, the owner may be cited for viofating
<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 permft may be required for electrical work,
<br /> plumbing, signs, wells, pools, air condilioning, gas, or other installalions not specifically included in the application. A
<br /> permil issued shali be construed to be a license to proceed with lhe work and not as authority to violate,cancel,alter, or
<br /> set aside any provisions ot 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, irom the Building OKicial for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)conseculive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF C ENCEM NT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN END TO OB AIN F AN NSUl.T
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR TICE OF M C
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscrlbed and swom to(or aKrmed)beFore me this Subscribed and worn lo r ffirmed be r e thls
<br /> by
<br /> Vvho fs/are personally known to me or has/have produced Who islare p all kno / as/have produced
<br /> as IdenUficaBon. � as fdentlficafion.
<br /> Nolary Public � � otary Public
<br /> Commission No.
<br /> Com Is' n N ""'�>�
<br /> - ::= Commission#FF 1
<br /> Name of Nolary ryped,printed or stamped Name of Nota ' � P,,o�y��December 12,2��8
<br /> %)°o�F�q� Bonded TMu Troy Fain Insurenw 800385-7019
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