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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit 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 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 IMt'ACT 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 ahd
<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 "certlficate 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 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, 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 "N 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 thah one (1)
<br />acte 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 set forth In
<br />this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical wor~,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations hot 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 for a period of six (6) months after the time the work is commenced. An extension
<br />may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days ahd will demonstrate
<br />justifiable cause for the extension, If work ceases for ninety (90) consecutive days, the job Is considered abandoned.
<br />
<br />
<br />OWNER OR AGEN
<br />Subscrlbed and swo a
<br />/o-ITj-Q& by ') ,
<br />Who Is/are personal y known to me or s/have produced
<br />as Idenllflcatlon.
<br />
<br />Notary Public
<br />
<br />re me this
<br />(l/J
<br />as/have produced
<br />as Identification.
<br />
<br />~ lY~gb . ~J (9- ~
<br />
<br />Commission No. ,DD 1(,5527
<br />
<br />CONTRACTOR
<br />}t.s9?b~nd ~y
<br />Who Is/are personally known to me
<br />
<br />J~G/bi (J~~
<br />
<br />Commission No. J) D/lo 55f[7
<br />
<br />Notary Public
<br />
<br />, ~
<br />
<br />Name of Notary typed, printed or stamped
<br />
<br />~'~ Angeta HeImII
<br />!~ .: My commission 00165587
<br />'~.1 Expires January 03. 2007
<br />Of'" .
<br />
<br />Name of Notary typed, printed or stamped
<br />
<br />~ J\.. Angela Helms
<br />;'.c"~j My commission 00165587
<br />. >, .,'./ Expires January 03, 2007
<br />
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