<br />NOllCE OF DEED RESTRIC110NS: The undersigned understands that this permit may be subjed to "deed" restrictions"
<br />which may be more restrictive than County regulations, The undersigned assumes responsibility for oompliance with any
<br />applicable deed restrictions.
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILmES: If the owner has hired a contractor or
<br />oontractors to undertake work, they may be required to be licensed in accordanca with state and local regulations. If the
<br />contrector is not licen$ed 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 727-647-
<br />8009. Furthermore, If the owner has hired a contractor or contraelDrs, he is advised to have the contraelDr(s) sign
<br />portions of the .contractor BIoek" of this appllc:ation for which they wiN 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 pnvlleges in Pasco
<br />County.
<br />TRANSPORTA110N IMPACTlUl1LITlES 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, win 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 .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 applieable Pasco County ordinances.
<br />CONSTRUC110N LIEN LAW (Cllapter 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 appllc:ant 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'SJOWNER'S AFFIDAVIT: I certify that all the information in this appllc:ation is accurate and that ali 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 aU 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 govemment 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 Protedion-Cypress Beyheads, Wetland Areas and Environmentally Sensitive
<br />Lands, WaterlWastewater Treatment.
<br />Southwest Florida Water Management District-Wells. Cypress Beyheads, 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 parmitted.
<br />If the fiU material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br />.compensating volume" will be submmed 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 permmed building using stem wall
<br />construction. I certify that fill will be used only to fill the area within the stem wall.
<br />If fiU matarial Is to be used in any area, I certify that use of such fiI wi. not adversely affect adjacent
<br />properties. If use of fill is found to adversely affect edjacent 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 (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 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 work,
<br />plumbing, signs, wells. pools, air conditioning, gas, or other installations not 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 pennit isSUed shall become invalid
<br />unless the work authorized by such permit is commenced within six months of parmit 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 BuHcJing 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 />
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<br />ClMf 1 rJu --4P1hNolarfPU~C
<br />
<br />Convnialion No.
<br />
<br />~: rill J4ir":to
<br />
<br />Nolarf Public
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<br />Name of Nolarf typed, printed or stamped
<br />
<br />Name of Nolarf typed, printed or stamped
<br />
<br />~~yp".$,. ANGELLEEGRIFFlTH
<br />~ MY COMMISSION II DD~19
<br />." ".
<br />"+Off'.,-.t EXPIRES: Sept. 26,2010
<br />(.07) 3tl8'()153 FIorkIa ~ SelYice.com
<br />
<br />~~y,~ ANGELLEEGRIFFlTH
<br />PM MY COMMISSION # DD~99419
<br />."..... .'
<br />"'~Off'.,-.t EXPIRES: Sept. 26,2010
<br />(.071 398-()153 Florida ~ SeMce.com
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