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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 that he 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 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 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 "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 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 "A" 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 than 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 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 applic- • A
<br /> permit issued shall be construed to be a • - - nse to proceed with the work and not as authority to violate, - cel, alter, • r
<br /> set aside any provisions of the tech ' - •des, nor shall issuance of a permit prevent the Building Of from thereaf -r
<br /> requiring a correction of errors in ' ans construction or violations of any codes. Every permit issuer shall become in .lid
<br /> unless the work authorized b uch •ermit is commenced within six months of permit issuance •r if work authori -d by
<br /> the permit is suspended or - • an • • ed for a period of six (6) months after the time the work is • • mmenced. An e ension
<br /> may be requested, in writ g, fr. the Building Official for a period not to exceed ninety (90 days and will de • onstrate
<br /> justifiable cause for the tens'. n. If work ceases for ninety (90) consecutive days, the job is onsidered aban , oned.
<br /> .►,� j 4 LT IN YOUR
<br /> WARNING TO OWNE " : OUR FAILURE TO RECORD A NOTICE OF COMMENC - ' 0 OBTAIN FIN • ` ��' - CONSULT
<br /> PAYING TWICE FOR I r ' OVEMENTS TO YOUR PROPERTY. IF YOU I ►
<br /> WITH YOUR LENDE'i`�� !Le RNEY BEFORE RECOR ! :. —••• ' • • III 41 — 11 •s T.
<br /> FLORIDA JURAT (F.S. 1,
<br /> OWNER OR AGENT , CONTRACTOR
<br /> Subscribed and swo. or affirmed) before - this Subscribed and sworn to (or affirmed) before me
<br /> Y - 6 - 0'1 by IP U_6 .Cy b
<br /> Who is /are p y'F'�Tnown to me or h- - ave produced Who is /are personally known to me or h- : - ,' J uced
<br /> ers • ,,, id - ' IJ- cation.
<br /> as ' • entification.
<br /> / Notary Public
<br /> G r _
<br /> G. =r.1 I � I ' Notary Public
<br /> jC a J�
<br /> C ommission DD 621833 • : Commission DD :
<br /> Commisslo o. P Decemhar 12, 2010
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<br /> '� wranoo 900- 306.701® Bonded
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<br /> Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
<br />
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