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FIOTICE OF DE�D RESTRIC�ION�: The undersigned understands that this permit may be subject to"deed°restrictions"
<br /> which may be more rest�ictive than County regulations. The undersigned assumes'responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> 11WLICENISED CON7R�►CYORS AF1D CORIT�►CYOR RE�PONSI�ILYYIES: If the,owner�tias 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 ow►ner or intended contractor are uncertain as to what Iicensing 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) sign
<br /> portions of the "contractor Block° of this application for which they wrill 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-erititled�to permitting privileges in Pasco
<br /> County.
<br /> TRAWS�OR'T�►TION I��AC�/U`�IU'�I�� I�iiPACY-AW� f���OIJRCI� R�COVERY 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 /> COFIST�lJCT10N LI�N L�11n1(Chapter 713, Florida St��utes�, as �mended): 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 /> Protection Guide" prepared by the Florida Department of Agricuiture 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 /> CO�IY�GYOfR'S/O{WN�R'S AFFI��IVIY: I certify that all the information in this application is accurate and that 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 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 /> cer�ify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> ►ny responsibility.to identify what actions I must take to be in compliance. Such agencies.include but are not timited to: "
<br /> - Department of Environmental Protection-Cypress Bayheads, Vl/etland Areas and Environmentally Sensitive
<br /> Lands, Water/Wastewrater Treatment.
<br /> - Southwest Florida VVater fWanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> VVatercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Nealth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement..
<br /> - Federal Aviation Authority-Runwrays.
<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 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 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 permit issued under.the.attaehed 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�AGEfiIY FOR THf� OIIVPI�R, I promise ln�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 uvork,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or otheP 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 authority to violate, cancel, alter, or
<br /> set aside any provisions of 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 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 /> 1flll�RR11WG TO OIAlWLR: YOUR F�1ILURE YO �ECO�D A FIOTICE OF COMAflEPIC�flflENl' �fiAY RESULT YPI YOU�Y
<br /> PAICIY�fG'TVi11C�-FOIZ-IiifiPi20VEWiEYVT�TO YOIIR-P9zOPEIRT1f.—iF-YOU 1�'fERlD�4�-OBYdlH!-FIi��R1ClWC;C06�SU�Y—' -- -
<br /> W117H YOUR LEIVD�1t OR qYV I�TYORPIEY Bf�I�OR� F�ECO�tDING YOU�2 WO7'IC�OF COflflRHEIVCEflflEPIY.
<br /> FLORIDA JURAT(F.S. 117.Q3)
<br /> OWINER OR AGEWT CONTRACTOR
<br /> Subscribed and swom to(or affirmed)before me lhls Subscribed and sworn to(or affirmed)before me this
<br /> by by
<br /> Who isJare personally known to me or has/have produced Who Is/are personally known to me or has/have produced
<br /> as Idendfication. as idenBficaGon.
<br /> Notary Public Notary Public
<br /> Commisslan No. Commission No.
<br /> Name of IVotary typed,printed or stamped Name of Notary typed,printed or stamped
<br />
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