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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to."deed"restrictions"
<br /> which may be morp restrictive than County regulations. The undersigned assumes responsibility 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 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"contractor 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 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 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 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 the above described document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all-the information in this application is accurate and that all work
<br /> will tie 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, County 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 /> -; Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,Water/Wastewater Treatment.
<br /> Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US Environmental 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 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 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 wall. '
<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 whichare•elevated by fill;ari-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 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 fora period of six(6)months after'the time the work is,commenced. An extension
<br /> may be.requested, in writing,from the.Building.Of Official for a•period not.to exceed ninety(90)days and will demon` tee
<br /> justifiable cause for the'extension. If work ceases for ninety(90)'consecutive days,the job is considered bandone&
<br /> WARNING TO OWNER: YOUR FAILURETO RECORD A NOTICE OF-CO. IiAE N7-ffA-Y ESULT IN YOUR
<br /> PAYING TWICE'FOR IMPROVEMENTS16,YOUR PROPERTY.`IF YOU'INT DT0 O TAIN F NCING;CONSULT
<br /> WITH'YOUR LENDER OR AN ATTORNEY BEFORE RECORDING'YOU - TIC OF CO l CEMENT.
<br /> FLORIDA'JURAT(F.S.117.03)
<br /> OWNER-OR-AGENT CON `C OR
<br /> Subscribed'amcl swum to(or affirmed)before me this S bscrib ' d to or a ed)before me this '
<br /> by
<br /> Who is/are personally known to me or has/have produced Who is/are pe ' n Ily known to 'dr-has/have produced----------
<br /> as Identification. as identification. y/
<br /> Notary Public / ryr'Rublic
<br /> Commission No. Commission No. (6T 0-/ S--2 -
<br /> i (,— //. .
<br /> Name of Notary typed,printed or stamped Name of Notary typed,p
<br /> •,rs+w,., DEBRA ELAINE RUFFELL
<br /> Commission#GG 045343
<br /> m ..,-;=Expires November 7,2020
<br /> BoMW Ttw Troy Fain Insurance 500.385-7019
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