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NOfIME OF DEED RESTRICTIONS: The undersigned understands that this permit may,be subject to"deed"restrictions"
<br /> which maybe more restrictive than County regulations. The undersigned assumes responsibilityfor 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 /> contractoris not licensed as.required by law, both the owner and contractor may be-cited for a misdemeanor,violation
<br /> unifier 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 IMPACTIUTILITIES:IMPACT AND RESOURCE RECOVERY-FEES: .The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to_the constructioh.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 Transporiation.lmpact 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 cert�cate 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 morel 1
<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,l haveobtained.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 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, County. and..City codes, zoning.regulations,-and land development regulations in the jurisdiction. I also
<br /> certify that 1 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 ServiceslEnvironmental 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 bya 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; 1 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 (4)
<br /> acre which 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'setforth 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 riot,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-provisioris 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 orviolations 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 /> maybe requested, 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 /> WARNING TO-OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN-YOUR
<br /> PAYING TWICE FOR 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.117.03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to or atiJrm )before n is'
<br /> by IA) e114-t't.
<br /> Who is/are personally known to me or has/have produced Who is/are rsonally kn tome or has/have produced
<br /> as identification. as identification..
<br /> A
<br /> 2w
<br /> Notary Public ?
<br /> tiAi: ,, - NE BOGES I
<br /> Commission No. C_ scion N =f. fC
<br /> . :•,. :•= tptnes.l�elnbf3r 12.2022 _
<br /> Name of Notary typed,printed,or stamped Name of Notarytyp st ETfwTrayFtlnlnwfatfcatt00'
<br />
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