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<br />NOTICE OF DEED RESTRIC110NS: The undersigned understands that this permit may be subject to "cteed. 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 RESPONSIBILI11ES: 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 tor a misdemeanor violation
<br />under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply tor 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 "contractor Block. of this application for which they will 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 entlUed to permitting privileges in Pasco
<br />County.
<br />TRANSPORTATION IMPACT/UTlLI11ES IMPACT AND RESOURCE RECOVERY FEES: Theundersigned understands
<br />that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of neW buiidings, 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, will be identified at the time of
<br />permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior 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 work is $2,500.00 or more, I
<br />certify that I, the applicant, have been provided with a copy of the "Fiorida 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 deyelopment. 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 />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, WeUandAreas and Environmentally SensitiVe
<br />Lands, WaterlWastewater 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 "YO 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 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 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 the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set torth in
<br />this affidavit prior to commencing construction. I understand that a s.eparate permit may be required for elec~ica.1 work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically In~luded in the application. A
<br />permit issued shall be construed to be a license to proce~d with the work and. not as. authonty !o violat~, cancel, aiter, or
<br />set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Bull.dlng OffiCial from the~eaft~r
<br />requiring a correction of errors in plans, c~n~truction or violat!o~s o~ any codes. EveI?' permit Issued shall become. Invalid
<br />unless the work authorized by such permit IS commenced Within SIX months ~t permit issu~ncei 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 t~ exceed nln~ty ~90) dars and will demonstrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS conSidered abandoned.
<br />
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE aF caMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FaR IMPROVEMENTS TO vaUR PROPERTY. IF YOU INTEND TO "IN FINANC , CONSULT
<br />WITH OU N RECO IN Y 11 T.
<br />FLORIDA JURAT (F.S. 117. .
<br />
<br />OWNER OR AGENT
<br />~~s~~t1b~ to (or alllnn . re me this
<br />
<br />~ra p~n'J;. known to me or haslhave produced
<br />as Idenflllcaflon.
<br />
<br />
<br />~;. ~ ~1f' Notary Pu~ic
<br />
<br />Commission No. , i1~v.t~~"t:o LJNuAM\tt&:I'
<br />.. ~YCOMllJS8lOHID017"
<br />Name of Notary typed, prlnt~. CXI'IRES:AplI28,2Oll7
<br />""'''' ilIlIIded1'lnBIIIlgttNobJy-'-
<br />
<br />~ ~L (0' Notary Public
<br />.......... 0 Q "iJlYP{j
<br />Commission No. '" .....
<br />.. * MY COMMISSION I DD 174964
<br />
<br />Name of Notary typed. printed or stamp ."''''om~'' aOOOe<JTll/uS.N.."y_,
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