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<br /> '� ' P10TICE 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 responsihility 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 appiy for the
<br /> intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermare, i�the owner has hired a contractor or contractors, he is advised to hav� the contractor(s) sign
<br /> porkions of the"contractor Block"of this application for which they will be responsible. lf you, as tlie owner sign as the
<br /> cantraetor,that-may he an indicatior�thaE he is not properly kicensed and�is not entit4ed to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATIOPI IMPACT/UTILITIES IMPACT AfdD RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the consVuction 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 flnal 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 /> COfUSTRUCTIOfV LIEf�LAVII(Chapter 713,Florida SYa4utes,as amended): If valuation of work is$2,500.00 or more, I
<br /> certify that l, the applicant, have been provided with a copy ot the"`Florida Construction Lien Law=liomeowner'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'S10WNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done in crompliance 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 wiii be pertormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction_ l.also
<br /> certify that I understand that the regulations of other government agencies may appiy to the intended work, and that it is
<br /> my responsibility to identify what actions f musffake fo 6e in compfiance. Sucf�agencies incfude but are not fimited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabilitative ServiceslEnvironmental Health Unit-Weils, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal,4viation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of fill:
<br /> - Use.of fill.is nof.allowEd.in Flood Zone"1/"unless expressly permiYted.
<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 professfonal 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 wali.
<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 attached permit application,for lots less than one (1)
<br /> acre whicM are elevated by fifl,an engineered drainage piarr is required.
<br /> If I am tha AGENY FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidauit prior to commencing construction. I u�dersta�d 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 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 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,from the Building O�cial 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 /> WAI�NENG TO OWPJER: YOUR FAILURE TO RECORD A NOTIC� OF COMMENCEfN1PcNT MAY RESULT II�! YOUR
<br /> PAY1t11G TUUiCE F.OFt IMPROYEtVtEtdTS�O YOU6i Pl40PEtaTY.'tF�FOU iNTEPiD TO t9BTA1tV FINAIVCItVG,CONSUL.T
<br /> WITH YOUR LENDER OR AM ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEIdCEMENT.
<br /> FLORIDA JURAT(F.S.117
<br /> OWNER OR AGENT CONTRACTOR�
<br /> Subscribed and sworn to(or )before me this Subscribed and sworn[o(or firmed)be ore me this
<br /> by by
<br /> Who is/are personally known to me or haslhave produced Who islare personally known to me or haslhave produced
<br /> as identification. as Identification.
<br /> ,m�,,, tary Publi ���""�a Notary P�ANNE ALLEN
<br /> c rgl°�Pn .`�= otar � tate of Florida ??°. e'��'_ Notar Pub11c-State of Florida
<br /> com o. �°'
<br /> ;� i f; omm ss o ;�,° ��; Commission#FF 912586
<br /> N e , �d��onded i�fOUJ 2110II21 NOtBfy ASSfI. Name of Notary typed,printe or stamped ���.;;:�. „:° • xp(res Oct 25,2019
<br /> Bonded through National Notary Assn
<br /> ��;e�-�-�,�....,�y>e,�,�,o.
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