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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than Counry regulations. The undersigned assumes responsibifity for compliance with any
<br /> applicable deed resVictlons.
<br /> UMLICENSED COfVTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or
<br /> conVactors to undertake work,they may be required to 6e licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required by taw, both the o�vner and cont�ctor may be cited for a misdemeanor violation
<br /> under state law. !f the owner or intended contractor are uncertain as to what licensing requiremenfs 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"conVactor Block"of this application for which they will 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 entitled to permitting privileges in Pasco
<br /> County. �
<br /> TRANSPORTATION IRIIPACTNTILITIES Ih7PACT APJD RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construcGon of new buildings,change of
<br /> use in existing buildings,or expansion of existing buildings,as speafied in Pasco Counry 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 Transportatian Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupanc�l'or final power release. If the project does not involve a certificate of occupancy or
<br /> final powei release,ti�e fees must be paid prior to permit issuance. Furthertnore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in accordance with appficable 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 1, the applicant, have been provided with a copy of the "Florida ConsUucGon Lien Law—Homeowner's
<br /> Protecdon Guide"prepared by the Florida Depactrnent of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owne�'prior to commencement.
<br /> CO(dTRACTOR'SlOWNER'S AFFIDAVIT: 1 certify that all the informaUon 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. 1 certify that no work or instatlation has
<br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of aIl laws regulating
<br /> constntctian, County and Ciry codes, zoning regulations, and land development rec�ulations in the jurisdiction. I also
<br /> certify that t understand that the regulations of other govemment 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 fimited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
<br /> Lands,WaterMfastewater Treatment
<br /> - Southwesi Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays.
<br />' - Department of Health 8� Rehabilitative 5ervices/Environmental Health Unit-Vl►ells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmentat Protection Agency-Asbestos abatement
<br /> - Federal Aviation Authority-Runways.
<br /> 1 understand that the following restrictions apply to the use of fill:
<br /> - Use of fill is not altowed in Flood Zone°V"unless expressly Fermitted.
<br /> - If the fill material is to be used in Flood Zone "A°, it is understoad that a drainage plan addressing a
<br /> "compensating volume°wi(1 be submitted at time af 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 Flaod�one"A�in wnnection�vith a pertnitted building using stem wall
<br /> construction,1 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 wifl not adversely affect adjacent
<br /> prope�ties. If use of fill is found to adversely affect adjacent properties,the owner may be ated for violating
<br /> the condibons of the building permit issued under the attached permit application,for lots less than one(1)
<br /> acre which are elevated by fill,an engineered drainage plan is required.
<br /> If 1 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 pertnit may be required for electrical work,
<br /> plumbing, signs,wells, pools, air conditioning, gas, or other installations not specifically included in the appliqtion. 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 she�l issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correcUon of errors in plans,consUuction 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 pe�od of six(6)months after the time the work is commenced. An extension
<br /> may be requested,ln writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the oxtension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARtdING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEMCEMENT MAY RESULT IN YOUR
<br /> PAYING TIMCE FOR fMPROYEMENTS TO YOUR PROPERTIf. iF YOU INTEND TO OBTAIN FIPIANCING,CONSIlLT
<br /> WITH YOUR LENDER OR AAI ATTORNEY BEFORE RECORDING YOUR IdOTICE OF COMMEPICEMENT.
<br /> RORIDA JURAT(F.S.117.03) �
<br /> OWNERORAGENT CONTRACTOR �`�
<br /> Subscribed and svrom to(or affirmed)before me this Subscnbed artd swrom�4Q(or affrtned)befare me this
<br /> by 6-1- I�7 by �i-ev� �:.(-� —
<br /> Who is(are petsonalty knawn to me or hes/havn produced Who is/are personally known to mo or has/have produced
<br /> as ide�Gfication. as iden6fiption.
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<br /> '•",'�oFF,,�P. EXPIRES October 22;2018
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