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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" r'estrictions"
<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 "contnJcto!" Block" of this epplicatlon for which they will be responsible. ff 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 uhderslgned understands
<br />that Transportation Impaot Fees and Recourse Recovery Fees may apply to the constructloh of hew 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 unde..tood thai Trensportatlon Impact Fe.. and ResoUrce Recovery Fe.. must be peld prtor to
<br />receiving 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 />CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): if valuation of wotk 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 wll1 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" wll1 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 fin will not adversely affect adjacent
<br />properties. If use of fin 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 effIdev" p,lor to commencing construcllon. I understand thai a sepa",te penn It may be ,equlred for .Ieculcal wor~.
<br />plumbing, signs, wells, pools, el, condlllonlng, gas, or olhN Installallons hOt specffically Included In the appllcallon. A
<br />permit Issued shell be construed to be a license to proceed with the work and nol as authority to violate, cencel, alter, or
<br />set aside any provl.lons of the technical codes, no' shell Issuance of a permll prevent tha BUilding Official from thereaft.r
<br />requiring a correction of erro.. in plans, construclion or violations of any codes. Every permit IssUed shall becomelnvelld
<br />unless the wort< euthorlzed by such penn" Is commenced within six months of pe,mlllssuance, 0' If work authorized by
<br />the pennit Is suspended or abandoned for a period of six (6) monlh. after the time the work is commenced. An extension
<br />may be requested, In wrttlng, from the Building Official for a period not to exceed ninety (gO) day. and will demonstrate
<br />jusllffable cause for the extension, ff work ceases fO!" ninety (gO) consecutive deys, the job Is considered abandoned.
<br />
<br />
<br />t.~~ 1;/!2 N~~P~~
<br />ommrssion '. ~ DIe It'! J ~
<br />
<br />Notary Public
<br />
<br />"
<br />
<br />u teeo
<br />Angllla HelmS
<br />MY <;gmmilsion 00611711
<br />t;1I irlll 01103/2011
<br />
<br />Name of Notary ty
<br />
<br />ad
<br />
<br />Name of Notary
<br />
<br />
<br />.R"~"l\..
<br />Angela Helms
<br />\; ,4 My Commillion 00611711
<br />OH~d' Expires 01103/2011
<br />
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