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<br /> NOTICE OF.�E�D RESTRICTIONS: The undersigned understands that Ehis permit may be subject to"deed'restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibflity for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If fhe owner has hired a contractor or
<br /> contractors to',lundertake work,they may be required to be Ilcensed in accordance with state and local regulatfons. ff the
<br /> contractor is not Ilcensed as required by law, both the owner and contractor may be cited for a misdemeanor violatlon
<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 Sectlon at 727-847-
<br /> 8009. Furthermore, ff the owner has hired a contractor or contractors; he is advlsed to have the contractor(s) sign
<br /> portions of the"contractor Blocl�'of this application fo�whlch they will be responsible. If you, as ihe owner sign as the
<br /> contractor,th�t may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County. I
<br /> TRANSPORTq►TION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the canstruction of new buNdings,change of
<br /> use in existin' buildings,or expans(on of existing buildings,as spec�ed in Pasco County Ordinance number 89-07 and
<br /> 90-07, as am'nded. The undersfgned also understands,that such fees,as may be due,will be ident�ed at the time of
<br /> permitting. It s further understood that Transportadon Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a°c�rtificate of occupancy"or flnal power release. If the project does not involve a certificate of occupancy or
<br /> final power rel ase,the fees must be pafd prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,t,�ey must be paid prior to permit issuance fn aocordance with applicable Pasco County ordinances.
<br /> CONSTRUCTrON LIEN LAW(Chapter 713,Florida Statutes.as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that 1, I he applicant, have been provided with a copy of the 'Florida Canstruction Lien Law—Homeowner's
<br /> Protectlon Gui e"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the�I owner',I certtfy that I have obfained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTO� 'S10WNER'S AFFIDAVIT: I certify that all the Information fn thls application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating constructlon,zon(ng and land development. Application is
<br /> hereby made�o obtafn a permit to do work and InstallaUon as indicated. I certify that no work or installation has
<br /> commenced p ior to Issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br /> construction, �ounty and City codes, zontng regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I U derstand that the regulations of otfier govemment agencies may apply to the intended work,and that it is
<br /> my responsibili to identify what actions I must iake to be in compliance. Such agencies tnclude but are not Iimited to:
<br /> - De artment of Environmental Protecfion-Cypress Bayheads, VIIeUand Areas and Environmentally Sensitive
<br /> La� ds,Water/Wastewater Treatmenk
<br /> - So thwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
<br /> W�tercourses.
<br /> - � y Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - De artment of Health & Rehabilftetive Servlces/Environmental Health Unit-Welis, Wastewater Treatment,
<br /> Se tic Tanks. �
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Fei�eral Aviation Authoriry-Runways.
<br /> I understand that the following restrictfons apply to the use of flll:�
<br /> - Us of fill Is not atlowed(n Flood Zone'V°unless expressly permitted.
<br /> - If t e flll materlal is to be used ln Flood Zone "A", It is understood that a drainage pian addressing a
<br /> 'co� pensating volume"will be submilted at tlme of permitting which is prepared by a professional engineer
<br /> lice sed by the State of Florida. �
<br /> - If t e fill material is to be used in Flood Zone'A° in connection with a permitted building using stem wall
<br /> co�struction,I certify that fill will be used only to fill the area within the stem walL �
<br /> - If �II material is to be used in any area, I certffy that use of such flll will not adversely affect adjacent
<br /> pro erties. If use of fill is found to adversely affect adJacent properties,the owner may be cited for violating
<br /> � the�conditions of the building pertnit issued under the attached permft appilcation,for lots less than one(1}
<br /> a whtch are elevated by fill,an engineered drainage plan is required.
<br /> If I am the AG NT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affldavk prf� r to commencing construcUon. I understand that a separete permit may be required for electrical work,
<br /> plumbing, sign ,wells, pools, air conditioning, gas, or other installations not specffically inciuded in the application. A
<br /> permit issued s all be construed to be a Itcense to proceed with the wark and not as authority to,violate,cancel,alter,or
<br /> set aside any p visions of the technical codes,nor shall issuance of a permit prevent the 8utldirig Official from thereafter �
<br /> requiring a corr�ction of errors in plans,construction or violaUons of any codes. Every permit Issued shail become invalid
<br /> unless the wo�authorized by such permit is commenced within six months of permit Issuance,or'rf work authorized by �
<br /> the permit ts su�pended or abandoned for a period of six(6)months after the time the work is commenced. An extension
<br /> may be reques d, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
<br /> jusiifiable caus�for the extensfon. if work ceases for ninety(80)consecutive days,th�job Is considered abandoned.
<br /> WARNING TO OWNER: UR F LURE TO RECORD A NOTICE OF C01�6ME NT MAY RESULT IN YOUR
<br /> PAYING TWIC FOR PROV E S TO YOUR PROPERTY. IF YOU Pf'tEN O BTAIN FINANCING,CONSULT
<br /> WITH YOUR L ND OR-A RN BEFORE RECORDING YO R C F COMMENCEMENT
<br /> FLORIDA JURAT(I:S. 17.03) �
<br /> OWNER OR AGEN�' �' CONTRACTO
<br /> Subsatbed an�swgm to(or efli ed)before me this s b e or atflrtned)before me fhfs
<br /> II � �
<br /> Who is/are personai►y known to me or haslhave praduced o I are onally Im to me or hasfiave produced
<br /> I es Idendflcadon. s IdentlficaBon.
<br /> �I Notary Public Notary PubUc
<br /> Commission No. II Comm s n No.
<br /> � ��u„
<br /> Name of Nolary typ pdnted or stamped �Name of Notary �: � ��. Commission#FF G 0422
<br /> � ���,,. �a' Expires December 12,2018
<br /> J��k�`��, Bondod Thm Tro fein Ineurance
<br /> y 800,185•70f9
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