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<br />NOncE OF DEED RESTRICllONS: The undersigned understands that this permit may be subject to 'deed' I'8stricl1ons"
<br />which may be more restrlclIve than County regulations, The undersigned assumes responsibility for compllance with any
<br />applicable deed restrictions,
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILInES: If the owner has hired a contractor or
<br />contractors to undertake wortc;, they may be required to be licensed in accordance with state and local regulations. If the
<br />contractor is not flC8nsed as required ~ 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 wortc;. they are advised to contact the Pasco County Building Inspection OivisIon-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 property licensed and is not entitled to pennitting privileges in Pasco
<br />County.
<br />TRANSPORTAnoN IMPACTAmUneS 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 specifiecI 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 />pennitting, 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 pennit issuance, Furthermore, if Pasco County WaterlSewer Impact
<br />fees are due. they must be paid prior to pennit issuance in accordance with applicable Pasco County ordlnances.
<br />CONSTRUcnON UEN LAW (Chapter 713, Florida Statutes, .. amended): If valuation ofwortc; is $2.500.00 or more, I
<br />certify that I, the applicant, have been provided with a copy of the 'Florida Conatructlon Lien Law-Homeowner's
<br />Protection Guide' prepared by the Florida Department of Agriculture and Consumer Afl'airs. 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'SIOWNER'S AFFIDAVIT: I certify that all the infonnation in this application is accurate and that all work
<br />will be done in compliance with alt appllcabJe laws regulating conatructIon, zoning and land development. Application is
<br />hereby made to obtain a pennlt to do wortc; and installation as indicated. I certify that no wortc; or installation has
<br />commenced prior to Issuance of a pennit and that an wortc; wHI be performed to meet standards of all taws 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 J 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-\lllells, Cypress Bayheads, \llletland Areas, Altering
<br />Watercourses,
<br />Army Corps of Englneers-Seewalls, Docks, Navigable Waterways.
<br />Department of Heaith & Rehabilitative ServiceslEnvironmental Heaith Unit-\lllells. Wastewater Treatment,
<br />Septic Tanks.
<br />US Environmental Protection Agency-Asbestos abatement.
<br />Federal Aviation Authority-Runways.
<br />I understand that the foHowlng 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 pennitting which is prepared ~ a professional engineer
<br />licensed by the State of Florida.
<br />If the fiU material is to be used in Flood Zone 'A' In connection with a pennltted building using stem wall
<br />construction, I certify that fill will be used only to fin the area within the stem waR.
<br />If fill material is to be used in any area, I certify that use of such fill will not adver8eIy 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 pennit issued under the attached permit application, for IoIs less than one (1)
<br />acre whiCh are elevated by filt, an engineered drainage plan IS required,
<br />If I am the AGENT FOR THE OWNER, I promise In good faith to infonn the owner of the pennltting conditions set forth in
<br />this aftidavit prior to commencing construction. I understand that a separate pennlt may be required for electrical wortc;,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically Included in the app/Ication, A
<br />pennit issued shan 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 pennit prevent the Building 0fRciaI 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 pennit is commenced within six months of pennlt issuance, or If work authorized ~
<br />the pennlt 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 0fIIcia1 for a period not to exceed ninety (90) days and w\H demonstrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned,
<br />
<br />
<br />~ [X:li.; in. ~~Pu~
<br />
<br />~rX\o~(1I. ca~~~
<br />
<br />Notary Public
<br />
<br />Commission No,
<br />
<br />
<br />E . HRISMAN
<br />teot of
<br />Commission Exp/les Ju112. 2010
<br />Commission. DO 573546
<br />Bonded By National Notary Assn.
<br />
<br />
<br />ROSE M, CHRISMAN
<br />
<br />Name of NotlIry
<br />
<br />_ . . ~ Commission Expires Jui 12, 2010
<br />~~~ ~/ Commission # DO 573546
<br />"",,9f.:.\."" Bonded By National Nolary Assn,
<br />
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