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<br />N~TICE OF DEED RES~RICTIONS: The undersigned understands that this permit may be subject to .deed" restrictions"
<br />which may be more restnctive 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 accordanc'e 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 Dlvlsion-Llcenslng 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 PaSCD 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 th~t Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />receiving a .certiflcate 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: .1 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 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, WaterlWastewater 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 materlalls.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 "An in connectton With a permitted building using stem wall
<br />construction, I certify that fill will be used only to fill the area within the stem ~all.' .. .
<br />If fill material Is to be used In any area, I certify that use of such fill will not adversely. affect a?Jac?nt
<br />. properties. If use of fill Is found to adversely affect adjacent propertl~s, 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 which are elevated by fill, an engineered drainage plan Is required. . .' .
<br />If I am the AGENT FOR THE OWNE~, I promise in good faith to inform the owner ~f the permlttln~ conditions set forth In
<br />this affidavit prior to commencing construction. I understand that a separate permit may be. required for elect~ica.1 work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically In~luded In the application. A
<br />ermlt Issued shall be construed to be a license to proceed with the work and not as authonty !o vlolat~, cancel, alter, or
<br />~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCIal from the~ea~e~
<br />re uirin a correction of errors In plans, construction or violations of any codes. Every permit Issued shall become, Inva I
<br />uniess ~e work authorized by such permit is commenced within six months of permit Issu~nce, or If work authorized, by
<br />the ermit'is suspended or abandoned for a period of six (6) months after the time the work IS commenced. An ex enslon
<br />p b t d In writing from the BUilding Official for a period not to exceed ninety (90) days and will demonstrate
<br />,~:~fia~l~e:::e ~o~ the exte~sion. If work ceases for ninety (90) consecutive days, the job Is considered abandoned.
<br />
<br />~:~~~~gEo~~EI~P:g~:~~~~~~ ~~~:~~~~Eit~T:;~gJ 1~~::'E~gE~~~TN ~J~~~~~~d~N~~~~
<br />
<br />WITH YOUR LENDER 0 N,A RNEY BEFORE RECORDING YOU TICE 0 C NCEM NT.
<br />FLORIDA JURAT (F.S. 111
<br />
<br />CONTRACTOR
<br />Subscribed and sworn to (or affirmed) be me this
<br />by
<br />Who Is/are personally known to me or haslhave produced
<br />. as Identification.
<br />
<br />
<br />OWNER OR AGENT
<br />Subscribed and sworn to (or affirmed) befor e this
<br />by
<br />Who Islare personally known to me or haslhave produced
<br />as Identification.
<br />
<br />
<br />Notary Public
<br />
<br />Notary Public
<br />
<br />In No.
<br />
<br />Commission No.
<br />
<br />Name of Notary typed, printed or stamped
<br />
<br />ltary typed, printed or stamped
<br />
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