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<br />NOTICE OF DEED RESTRICTIONS: The undersigned unders1tands 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. I
<br />UNLICENSED CONTRACTORS AND CONTRACTOR RESfONSIBILlTIES: If the owner has hired a contractor or
<br />contractors to undertake work, they may be required to be lice sed 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 uncEjlrtain 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 Ibontractors, 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 IirenSed and is not entitled to permitting privileges in Pasco
<br />County.
<br />TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESGJURCE 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, a 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 Impac Fees and Resource Recovery Fees must be paid prior to
<br />receiving a "certificate of occupancy" or final power release. f the project does not involve a certificate of occupancy or
<br />final power release, the fees must be paid prior to permit iss ance. Furthermore, if Pasco County Water/Sewer Impact
<br />fees are due, they must be paid prior to permit issuance in acc rdance with applicable Pasco County ordinances.
<br />CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutesl as amended): If valuation of work is $2,500.00 or more, I
<br />certify that I, the applicant, have been provided with a co y of the "Florida Construction Lien Law-Homeowner's
<br />Protection Guide" prepared by the Florida Department of Agri ulture and Consumer Affairs. If the applicant is someone
<br />other than the "owner", I certify that I have obtained a copy of he 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 th information in this application is accurate and that all work
<br />will be done in compliance with all applicable laws regulating onstruction, zoning and land development. Application is
<br />hereby made to obtain a permit to do work and installatio I as indicated. I certify that no work or installation has
<br />commenced prior to issuance of a permit and that all work ill be performed to meet standards of all laws regulating
<br />construction, County and City codes, zoning regulations, an land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governm nt agencies may apply to the intended work, and that it is
<br />my responsibility to identify what actions I must take to be in c mpliance. 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 Distrijt-Wells, Cypress Bayheads, Wetland Areas, Altering
<br />Watercourses.
<br />Army Corps of Engineers-Seawalls, Docks, Navigljlble Waterways.
<br />Department of Health & Rehabilitative services1Environmental Health Unit-Wells, Wastewater Treatment,
<br />Septic Tanks. I
<br />US Environmental Protection Agency-Asbestos a~atement.
<br />Federal Aviation Authority-Runways. I
<br />I understand that the following restrictions apply to the use of f~lI:
<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 zonel"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. I
<br />_ If the fill material is to be used in Flood Zone "AI" in connection with a permitted building using stem wall
<br />construction, I certify that fill will be used only to fiI the area within the stem wall.
<br />If fill material is to be used in any area, I cert~y that use of such fill will not adversely affect adjacent
<br />properties. If use of fill is found to adversely affe t adjacent properties, the owner may be cited for violating
<br />the conditions of the building permit issued unde the attached permit application, for lots less than one (1)
<br />acre which are elevated by fill, an engineered drai age plan is required.
<br />If I am the AGENT FOR THE OWNER, I promise in good fait1 to inform the owner of the permitting conditions set forth in
<br />this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br />permit issued shall ~e construed to ~e a license to proce~d '^lith the work a~d not as authori~y ~o viol~t~, cancel, alter, or
<br />set aside any proviSions of the technical codes, nor shall Issuance of a permit prevent the BUilding OffiCial from thereafter
<br />requiring a correction of errors in plans, construction or violatibns of any codes. Every permit issued shall become invalid
<br />unless the work authorized by such permit is commenced wi hin six months of permit issuance, or if work authorized by
<br />the permit is suspended or abandoned for a period of six (6) onths after the time the work is commenced. An extension
<br />may be requested. in writing, from the Building Official for a eriod not to exceed ninety (90) days and will demonstrate
<br />justifiable cause for the extension. If work ceases for ninety ( 0) consecutive days, the)ob is considered abandoned.
<br />
<br />
<br />Notary Public
<br />
<br />Notary Public
<br />
<br />!l. J
<br />comml ission :.\ Co.
<br />
<br />res December 12 2010
<br />d II .' Bonded ThAI Troy Fain ''''''-l'IOI ee'e ....,V''''
<br />Name10f Notary typed. pnnted or stamped
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