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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permtt may be subject to "deed" ,estrictlons" <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 wori<, they may be required to be tlcensed In accordance WIth stete and local regulations. If the <br />contrector Is not tlcensed as required by taw, both Ihe own'" and contractor may be cited lor a misdemeanor violation <br />under stale law. tI the owner or Intended conlractor are uncertain as 10 what tlcenslng requirements may apply lor the <br />Intended wtl'k, Ihey are advised to contact the Pasco County Building Inspection Division-licensing Secllon al727-841- <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 wtll be responsible. If you, as the owner sign as the <br />con"""lor, that may be an Indication that he Is nol properly tlcansed and Is not entllled to perml"lng prlvllegas In Pasco <br />County. <br />TRANSPORTATION IMPACT/UTILITIES IMt'ACT AND RESOURCE RECOVERY FEES: The undersigned understands <br />Ihet Trensportatlon Impeel Faas and Recourae Recovery Faas may apply 10 tha construction 01 heW buildings, change of <br />use In existing bulldlnge, or axpanelon ofaxlstlng buildings, as speclflad In Pasco Coonty Ordinance n"mbar 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 />pennltllng. It Is furth'" undarslood Ihal Transportation Impact Fees and Rasource Recovery Faas must be paid prlo'to <br />receiving a "certificate of occupancy" or final power release, If the project does not Involve a certificate of occupancy or <br />flnal powar relaase, tha teas must ba paid p,lor to pannltlssuance. Furthe,more, If Pasco County Watar/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 (Chaptar 713, Flonda Stalulea. as amand.d): If valuation of work Is $2,500.00 or more, 1 <br />certify Ihat I, tha applicant, have bean provided with a copy of tha "Florida Construction Lien Law--l-lomaownar's <br />Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone <br />other than tha "owner", I cenlfy that I hava obtained a copy of tha abova dascilbed docoment and promlsa In good lalth 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 B 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 tha ragulatlons of other govemmant agencias may apply 10 tha Intandad _k, and that tI is <br />my responsibility to idanllfy what aellonsl must taka to baln compliance. Such agancl.s Includ. bul are hOlllmltad to: <br />Department of Environmental protection-Cypress Bayheads, VVetland Areas and Environmentally Sensitive <br />Lands, WaterfWastewater 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 matari.t Is to ba usad tn any area, I certify thai osa of such fill wtll not advarsaly affact adJ.cent <br />properties. If usa of flllle found to .dvaraety affect adjacent prop.rtlas, tha ownar may be cltad fa' vlotatlng <br />the conditions of the building permit issued under the attached permit application, for lots less thah one (1) <br />acre which are elevated by fill, an engineered drainage plan is required. <br />If I am lhe AGENT FOR THE OWNER, I promlsa In good faith 10 tnlonn the ownar of the permitting condlllons sellorth In <br />Ihls afftdavlt prior to commanclng construction. I und",Sland th.t a saparata panni! may be required fa' electrical w<Jrk, <br />plumbing, slgne, walls, pools, air condlllonlng, gas, "' other Install.tions hot specifically Includad In the appllcatiori. A <br />pannlt Issued shall be construed to ba a IIcensa to proceed with tha w<J,k and not as aulhorlty to vlolata, cancel, altar, or <br />sat aslda any provisions of the tachnlcal codes, nor shall Issuance of a permll p'avant tha BUlldln9 Offlclal from thareaffer <br />requiring a co"actlon of arrors In plane, conslrucllon or violations of any codas. Every penn It Isslled shall become Invalid <br />unlass the work authorlte<l by such parmllle commanced WIthin six montns of permit Issuance, 0' II work euthmlred by <br />tha pannlt Is suspendad or .bandoned for a period of six (6) monlhs aIIar tha Uma lha work Is commanced: An axtenslon <br />may be requasled, In writing, from tha BUilding Official for a period not to axceed nlnaty (90) days and WIll damonstrate <br />justiflabl. caue. for tha ext.nslon. If wort< ceases for ninety (90) consecullva days, thajob Is consld",ad abandon.d. <br /> <br /> <br />Notary Public <br /> <br />Name of Notary typ ... ::;::;:;:;;j -- _t",mn..ti ~ <br />1J Notary PubIie SIOIe of FIQridJ <br />! . Angela Helma <br />~ ,~ Mycomm~i(l"~~1m' <br />Of"" Expires011Q3/2.011 <br /> <br />!~, <br />~ oFf~1 <br />