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ICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br /> hich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrjctions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertal<e 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 ttie 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 contr�ctor(s) sign
<br /> portions of the "contr`actor Block" of this application for which they will be responsible. If you, �s 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;IMPACT/UTILITIES 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 buildin�s; dr� 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—Homeowner'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 th�e above described document and promise in good faith to
<br /> deliver it to the "owner" prior to commencement. � I
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and thaf all work I
<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, Counly: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 work, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Departrr�ent of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />� Lands, 1Nater/Wastewater Treatment. -
<br /> - Southwe.st Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> �.
<br /> Watercqurses.
<br /> - Army Cq'rps of Engineers-Seawalls, Docks, Navigable Waterways.
<br />� - Departr�ent of Health & Rehabilitative Sefvices/Environmental .Health Unit-Wells, Wastewater Treatment,
<br /> Septic l�anks.
<br /> - US Envlronmental 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 f'll is�not allowed in Flood Zone"V" unless ex ressly permitted.
<br /> I p
<br /> - If th� fi�l 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�tby the State of Florida. �
<br /> - If the fijj;.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 m�terial 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 whlch 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 /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall �e construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br /> set aside any provislons of the technical codes, nor shall issuance of a permit prevent the Building Oificial from thereafter
<br /> requiring a cbrrectio'� ofi errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the worl< auXjiorized by such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspeh'ded or abandoned for a period of six (6) months after the time the work is commenced. An extension
<br /> may be request�d, 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 /> �; '
<br />' WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR I
<br /> PAYING TWICGjFQ� IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER'OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> FLORIDA JURAT(F.'S. 1t17.0
<br /> OWNER OR AGENT � ����-��� CONTRACTOR
<br /> Subs ribed and sw4�� to4(or affirmed before me this Subsc bed and sworn to or affirmed)before me this
<br /> __1��by .l:r�.c—nr►-c'���utJ-,c7.,..� !� /� by �ec �nc �il ,cc_�r 1-.r� .. ,
<br /> Wh is/ar personally known�to me or has/have produced Who is/are personally known to me or has/have produced
<br /> �;i as identification. as identification.
<br /> . b;
<br /> �' Nota Public
<br /> � '' Notary Public ���� ' �Y
<br /> t
<br /> Commission No. i: Commission No. .
<br /> �
<br /> ��
<br /> Name of Notary typed,pr�nted or stamped Name of Notary typed,printed or stamped
<br /> Y Pu Notary�Publlc State of Florida
<br /> ;o.�p►��� o�Y°�e� Notary Public State of Florida
<br /> . Gail M Donahue ; . Gail M Donahue
<br /> � � My Commieaton PF 170472 y4�, � My Commission FF 170472
<br /> '°�oFF,� Expiree 11l18/2018 `OFR� �xpires 11l18/2018
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