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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pennit may be subject to "deed" restrictions" <br />which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any <br />applicable deed restrictions. <br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBlLlnES: If the owner has hired a contractor or <br />contractors to undertake wall<, 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 wOll<, they are advised to contact the Pasco County Building Inspection Division--licensing Section at 727-847- <br />8009. Furthennore, 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 wiU be responsible, If you, as the owner sign as the <br />contractor, that may be an indication that he Is not proper1y licensed and is not entitled to pennitting privileges in Pasco <br />County , <br />TRANSPORTAnON IMPACTlUnLmES 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 />pennitting. 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 pennit Issuance. Furthermore, if Pasco County Water/Sewer Impact <br />fees are due, they must be paid prior to pennit 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 Uen 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'SIOWNER'S AFFIDAVIT: I certify that all the infonnation in this application is accurate and that all woll< <br />will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is <br />hereby made to obtain a pennit 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 woll< will be perfonned to meet standards of aU 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, WatertWastewater Treatment. <br />Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br />Watercourses. <br />Army Corps of Engineers-Seawalls, Docks, Navigable WatelWays, <br />Department of Health & Rehabilitative SenliceslEnvlronmental Health Unit-Wetls, 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 "VO unless expressly pennitted. <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" win be submitted at time of pennitting 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 pennitted 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 pennit issued under the attached pennit application, for lots less than one (1) <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 infonn the owner of the pennittlng conditions set forth in <br />this affidavit prior to commencing construction. I understand that a separate pennit 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 />pennit 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 pennit prevent the Building Official from thereafter <br />requiring a correction of errors in plans, construction or violations of any codes. Every pennit issued shall become invalid <br />unless the woll< authorized by such pennit is commenced within six months of pennlt issuance, or if work authorized by <br />the pennit is suspended or abandoned for a period of six (6) months after the time the woll< is commenced, An extension <br />may be 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 woll< ceases for ninety (90) consecutive days, the job is considered abandoned. <br /> <br /> <br />10 me or has ve produced <br />as identificetion. <br /> <br /> <br />~~ <br /> <br />~~ <br /> <br />Commi ' No, (J <br /> <br />Name 01 Notary typed. printed or stamped <br /> <br />Name 01 Notary typed. printed or stamped <br /> <br />"tlJ.V Pv# <br />R,/'" <br />. . <br />~ - J <br />""'Of'l:"'O~ <br /> <br />Notary Public State of ~Iorida <br />Bobble J Knight <br />My Commission 00416222 <br />Expires 03/31/2008 <br /> <br />Notary Public State of ~!orida <br />Bobbie J Knight <br />My CommiSSion 00416222 <br />,:,plres 03/31/2008 <br />"-'''''''=''-'C''-'O.,,"=',= <br /> <br />R~tIJ."v PV#<r. <br /> <br />. . <br />~.~ "' ~ <br />"">o;'t\.o~ <br />