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<br /> �OTICE OF DEED RESTRICTIONS: The undersigned understands°�.that this:p�rm[f.may be subjecf to"deed"restrictions"
<br /> vhich may be5more-rest�ictive<than County regulations. �The underslgned assumes responsibility for compliance with any
<br /> ipplicable deed restrictions. •
<br /> 1NLICENSED CONTRACTORS AND_.CONTRACTOR RESPONSIBIL-ITIES: If the owner has hired a contractor or
<br /> :ontractors to undertake work, they �nay be-requiredMto.be:licensed in accordance with state.and•local regutations. If the
<br /> :ontractor is not Iicensed as required-by law, both the owner and contractor riiay be cited for a misdemeanor violation
<br /> inder state law. If the owner or intended°contractor are uncertatn as to what Itcensing.requirements may apply for the
<br /> ntended work, they are advised to contact the.Pasco County Building Inspectlon Division—Licensing Sectlon at 727-847-
<br /> i009. Furthe�more, if the owner has hired a cont�actor or contractors, he is advised to have the contractor(s) sign
<br /> �ortions of the "contractor Black° of this application for which they wlll be responslble. If you, as.the owner sign as the
<br /> ;ont�actor, that may be an indication that he is not-pPoperly licensed and is not entitled to permitting privileges in Pasco
<br /> �ounty.
<br /> �RANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES; The undersigned understands
<br /> hat Transportation Impact Fees and.Recourse RecoYe.ry.Fees may apply�to the construction of new.buildings, change of
<br /> ise in existing buildings, or.expansio��of existing`buildings, as specifled in Pasco County Ordinance number 89-07 and
<br /> 30-07, as amended. The undersigned also understands, that:such fees,.as�may°be due„will,be identified at the time of
<br /> �ermitting. It is further understood that Transportation Impact Fees and�Resou�ce Reco�ery Fees must be paid prior to
<br /> •eceiving a "certificate of occupancy'° or flnal power release. .If the,project does not involve a certificate of occupancy or
<br /> •inal power release, the fees must be pafd prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> `ees 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 /> �ertify 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 Agriculture and Consumer Affairs. If the applicant is someone
<br /> I �ther than the"owner", I certify that I have.obtained a copy of the above.described docurr�ent and promise in,good faith.to
<br /> delive�it to the"owner"prior to�commencement. 4
<br />� CONTRACTOR'SIOWNER'3 AFFIDAVIT: I cectify that all the information in this appllcatlon 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 indPcated.. I certffy that no work or installation has
<br /> �ommenced prior to issuance of'a permit and that.all work will be pertormed to meet standards of all laws regulating-
<br />� construction, County and City codes, zoning regulatians, and land development regulations�in the jurisdiction. I also
<br /> certify that I u�derstand-that the regulations of other government agencles may apply�to the intended work, and that it is
<br /> my responsibility to identify what:actions I must take to beYtn:.compliance. Such agencies-include but are not limited to:
<br /> - Department of Environmental Protection-Cypress. Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WatedWastewrater Treatment.
<br /> - Southwest Florida Water Management- .District-Wells, Cypress. Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
<br /> - Department of Health & Rehabilitative Services/Environmenfal Health Unit-Wells, Wastevirater Treatment,
<br /> Septtc Tanks. .
<br /> - US Environmental Protectfon Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Runways.
<br /> I understand that the following.restrictions appiy to the use offill:�
<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#he State of Florida. �
<br /> - If the fill material is�to be used in Flood Zone °A° in�connectfon with.a permitted building using stem wall
<br /> � construction, I ce�tify that fill will:be used only.to.flll the area within the stem wall.
<br /> - If fill materlal is to be used in any area, I certify that use. of such fill will not adversely affect adjacent
<br /> properties. If use of flll (s found to adversely:affect adJacent propertie5,.the owner may be cited for violating
<br /> the conditions of the buildi�g.permit issued under the attacfied permit application, for lots less than one (1)
<br /> acrs which are elevated by flil,an engtneered drainage.plan is requlred. .
<br /> if I am the AGENT FOR THE OWNER, I,�promise tn good faith to fnform the owner of the permitting conditions set forth fn
<br /> this affidavit�prior to commencing construction. I understand that a separate permlt may be required for electrical wrork,
<br /> plumbing, signs, wells, pools, air condit3oning,.gas, or:other installations not spec�ically included-in the application. A
<br /> permit issued shall be constr.ued to be a Iicense to p�oceed with the w►ork 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�uildirig O�ficia!from thereafter
<br /> requiring a correction af.errors In plans, construction or violations of any codes. Every permlt issued shall�.become invalid
<br /> unless the work authorized by such permit is-commenced within six months of permlt issuance, or if work authorized by �
<br />-- the permit is suspended or abandoned_for a_period�f six{6)_mont��after the time the work-Is commenced: An extension
<br />� may be requested, in writing, from the Building.Officfal for a period not to exceed ninety'(90) days and�will demonstrate
<br /> justifiable cause for.the extension. If work ceases,for ninety(90)cons.ecutive days,.the job�is considered abandoned.
<br /> WARNING TO OWNER: YOUR.FAILURE�TQ..RECORD A MOTICE OF..COMMENCEMENT MAY�RESULT IN YOUR
<br /> PAYING TWICE,FOR IMPROVEIiAENTS TO YOUR:PRO�ER-TY. IF YOU1INTEND:T�`OBTAIN•FINFANCING, CONSULT
<br /> WIT lf tit�-CEPYDER-O AI�h�4'9"TORM - FORE-R COR�ING� OUR D � C ':O C��' � E E T�
<br /> FLORIDA JURAT(F.S.117.03 ' _--
<br /> OWNER OR AGE � G�`"�"' CONTRACTO �
<br /> Subscribed and s to(or aflirmed)be(a me thts Subscribed a swom to(or a(flrmed)b re me thfs
<br /> by -by .. .
<br /> Who Islare personally knovm to me or haslhave produced Who Is/are p.ersonally known to me or�has/have�produced •
<br /> as Identlflcatlon. as IdenBflcafion.
<br /> Notary Public Notary Public
<br /> Commisslon No. Commission No.
<br /> Name o(Notary typed,printed ar stamped Name of Notary typed,pdnted or stamped
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