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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 undtrtake work, they may be required to be licensed in accordance with state and local regulations. If the
<br />contractor is not Ii ensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br />under state law. I the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br />intended work, the are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847-
<br />8009. Furthermo ,if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br />portions of the "cohtractor Block" of this application for which they will be responsible. If you, as the owner sign as the
<br />contractor, that m~y be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br />County.
<br />TRANSPORTATI N IMPACT/UTILITIES 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 buil ings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br />90-07, as amende . The undersigned also understands, that such fees, as may be due, will be identified at the time of
<br />permitting. It is fu her understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />receiving a "certifi te of occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br />final power releas , the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br />fees are due, they ust be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br />CONSTRUCTION IEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br />certify that I, the pplicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
<br />Protection Guide" repared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br />other than the "ower", I certify that I have obtained a copy of the above described document and promise in good faith to
<br />deliver it to the "ower" prior to commencement.
<br />CONTRACTOR'S/ WNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br />will be done in co pliance with all applicable laws regulating construction, zoning and land development. Application is
<br />hereby made to tain a permit to do work and installation as indicated. I certify that no work or installation has
<br />commenced prior 0 issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br />construction, Coun y and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I under tand that the regulations of other government agencies may apply to the intended work, and that it is
<br />my responsibility t identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br />Depart ent of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands, WaterlWastewater Treatment.
<br />South est Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br />Water ourses.
<br />Army orps of Engineers-Seawalls, Docks, Navigable Waterways.
<br />Depart ent of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br />Septic anks.
<br />US En iron mental Protection Agency-Asbestos abatement.
<br />Feder I Aviation Authority-Runways.
<br />I understand that t e following restrictions apply to the use of fill:
<br />Use of III is not allowed in Flood Zone "V' unless expressly permitted.
<br />If the ill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br />"comp nsating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br />license by the State of Florida.
<br />If the II material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br />constr ction, I certify that fill will be used only to fill the area within the stem wall.
<br />If fill aterial is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br />prope 'es. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br />the co ditions of the building permit issued under the attached permit application, for lots less than one (1)
<br />acre w ich 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 t commencing construction. I understand that a separate permit may be required for electrical work,
<br />plumbing, signs, w lis, 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 provi ions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correcti n of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br />unless the work au horized by such permit is commenced within six months of permit issuance, or if work authorized by
<br />the permit is suspe ded 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 />justifiable cause fo the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
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<br />Notary Public
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<br />Commissio No. 'D \) cfszo ~2.
<br />
<br />Notary Public
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<br />Name of Not
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<br />Name of N
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<br />Iva G(;Mtvil%iOf\ ~ [)['o.!.3:
<br />EXPIRE::> Marc~ 1,2011
<br />BonGed Tn", Notary Publlc unaerwntors
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