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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 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 "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 thathe 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 undersigned understands
<br />that Transport<;ltion 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 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 WaterlSewer 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 "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 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, 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 :" be l,,~ed in Flood Zone "A", it is understood that a drainage plan addressing a
<br />'compensating volum",.". u" submitted at time of permitting which is prepared by a professional engineer
<br />licensed by the State of F.orid.),
<br />If the fill material is tJ l", u"c;u in Flood Zone "A" in connection with a permitted building using stem wall
<br />construction, I certify~. 0 "II; " be used only to fill the area within the stem wall.
<br />If fill material is to bt.; ~oed "I 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 UL;:,c i',ermit issued under the attached permit application, for lots less than one (1)
<br />acre which are eleva.",d JY I.", JII 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 to commencinc; , ,,' tluction, I understand that a separate permit may be required for electrical work,
<br />plumbing, signs, wells, pools, a" , ,.:ulil'~, gas, or other installations not specifically included in the application. A
<br />permit issued shall be construed ~,) r" I, ,se to proceed with the work and not as authority to violate, cancel, alter, or
<br />set aside any provisions of th8 to_ IIi ,u' _, nor shall issuance of a permit prevent the Building Official from thereafter
<br />requiring a correction of errors i,. i- "uction or vioUions of any codes, Every permit issued shall become invalid
<br />unless the work authorized b, , :s commenced v,ithin six months of permit issuance, or if work authorized by
<br />the permit is suspended or s' 0' I :3 period of six (6) months after the time the work is commenced, An extension
<br />may be requested, In wriLI1,I. ;,,, , L , ., ing Official for a period not to exceed ninety (90) days and will demonstrate
<br />justifiable cause for the ext. i, :0: f 'Oil ccases for ninety (90) consecutive days, the job is considered abandoned,
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<br />WARNING TO OWNER: YOUR F:. 0
<br />PAYING TWICE FOR IMPROV, ,
<br />WITH YOUR LENDER OR ,'I,N},
<br />FLORIDA JURAT (F,S, 1 3) -
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<br />, Pt;blic
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<br />_Q~__tl1L_~~__NotaryPUbIiC
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<br />~ "<~~"':~;::'" -rmSE ~, CHRISMAN- .
<br />___ +--"..-,=-'__-~-PubUC ,- Stata oLF\orida --
<br />Nai It ~'OfNora"ry.. ~ ,pnl)ted c". 'E pires Jul12 2010
<br />~. . . " ~My commiSSion x ,
<br />. ~ ': ,: c',c r,ommission # DD 573546
<br />" ,,'if,;... ,,,,' Bor,ded By National Notary Assn.
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