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<br /> i'� NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> wtiich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> � applicable deed restrictions.
<br /> ' UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES� If the owner has hired a contractor or
<br /> �il 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 is advised to have the contractor(s) sign
<br /> portions of the"contractor Block" of this application for which they will 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 entitled to permitting privileges in Pasco
<br /> County
<br /> TRANSPORTATION IMPACTNTILITIES 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 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"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 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 with a copy of the "Florida Construction Lien Law�-lomeowner'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 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 worlc
<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 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 also
<br /> ° certify that I understand that the regulations of other government agencies may apply to the intended woric, and that it is
<br /> Nmy 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 /> i'� Lands,WateNWastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> � Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Watenr✓ays.
<br /> - Department of Health & Rehabilitative ServiceslEnvironmental Health Unit-Wells, 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 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 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 /> I If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> W properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
<br /> N�I 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 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 /> , this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br /> �i 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 license to proceed with the worlc and not as authority to violate,cancel,alter,or
<br /> y; 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 /> �I unless the work authorized by such pertnit 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 /> ol
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MA /RESULT IN YOUR
<br /> ii; PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTA� F�ANCING,CONSULT
<br /> WITH YOUR LE OR AN ATTO EY BEFORE RECORDING YOUR NO ICE C RIM�CEMENT.
<br /> IJ FLORIDAJURAT(F. 117.03) ,
<br /> W i
<br /> � OWNER OR AGENT � CONTRA�C IF^/� i
<br /> Su (Ht��d and swom o-(o irtned efore me this S �d an ( r e efore e this
<br /> ili � , 6 �v '�A�►tft 'IU�� �� =� �. 8��'EN'r&vR^+5
<br /> W who is/ar personal y known me or has/have produced ho s/are rsonally known t me or has/have produced
<br /> as identification. as identificalion.
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<br /> �� Notary Public Notary Public
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<br /> ' Co�laiitllmi�N'FF 97 ?� - Commission#FF 971240
<br /> e � 1�Comm.Eaiplrn Mar 2 20 =.=��� d�'�:
<br /> � -e _ � ,,��������� My Comm.Expires Mar 29,2020
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