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<br />NOTICE OF OEED RESTRICTIONS: The undersigned understands that this perm. may b. subject to "deed' restrictions'
<br />whicb 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 />cont~actors 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 />und~r state law, If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br />inten~ed work. Ihey. 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 />partions of the 'contractor Block" of this. application for whicH they will be responsible. If you, as. the owner si~n as the
<br />contractor, that may be an indiGation that he is not properly licensed and IS not entitled to permitting pnvlleges In Pasco
<br />Cou~ty ,
<br />TRANSPORTATION IMPACT/UTILlTIESIMPACT 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, Cis 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 thai Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />recelving 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 />COtlSTRUCTION UEN LAW (Chapter 713. Florida Stalut.., 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 />COt,lTRACTOR'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 />con~truction, 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 />Dep!'lrtment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, Water/Wastewater Treatment.
<br />i 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 con~itions 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 ~ elm ~he ~G~NT FOR THE <?WNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br />thiS :a~ldavlt. prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br />plum~l~g, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br />permit. Issued shal~ ~e construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
<br />set rS1de 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 />unlElss th,e ,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 and will demonstrate
<br />justi~iable cause for the extension, If work ceases for ninety (90) consecutive days, the job is considered abandoned.
<br />
<br />
<br />~ 0 "'" O-~ ~ ' Notary Public
<br />I
<br />Commission No,
<br />I .:~~ Karen L. Miller
<br />Nam'e 0 ';'1". . "
<br />I ~~,...", expIres October 29, 2010
<br />~iW,~ ~ Troy Flin ,Insurenel, Inc 8QG.3M-7019
<br />
<br />~~~
<br />
<br />&-~
<br />
<br />Notary Public
<br />
<br />Commission No.
<br />
<br />.:%$-l.~~~ Karen L. Miller
<br />
<br />Name of Notary type rI be
<br />,,~,....!#i Expires October 29,2010
<br />,w,r,\ Bonded Troy Flln ,In""'once, In< ~7019
<br />
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