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NOTICE OF DEED RESTR�CTIONS: 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 loca) 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 /> iniended 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 IMPACTIUTILITIES 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"certiflcate 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 applicab�e 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 ail laws regulating
<br /> construction, County and Ciry 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 �nvironmental 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 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmentai 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" wili be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Fiorida.
<br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wail
<br /> construction, I certify that fill will be used only to fili 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 application. A
<br /> permit issued shall 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 permit prevent the Building Official from thereafter
<br /> requ�ring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, 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 to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension If work ceases for ninety (90) consecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAfLURE TO RECORD A NO710E OF COMMENC _ NT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROV TO YOUR PROPERTY. IF YOU INTEND TO AIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR BEFORE RECORDING YOUR NOTI ENCEMENT.
<br /> FLORIDA JURAT (F S 117 03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and swom to (or a e r this /i�ARC//// Subscribed and swom to (or a b fore me this /�JRR�N //�
<br /> �,G ►; �, 0 2^/! by ToH � a
<br /> NLho is �ersonally known to rr� or as/have produced Who i s/�e personally known to me or has/have produced
<br /> as identiflcation. as ide�tifiCation.
<br /> �
<br /> Notary Publ�c Notary Public
<br /> Commission No � D � 7 � D 2 3 Commission No D� 7/� ��-- ? J
<br /> Name of Notary typed, pri�nted or stamped Name of Notary typed, printed or stamped
<br /> ��
<br /> ;,,.••,.n�:E��••. ELISSA M. HOLL�RAN �''� �"'- ELISSA M. HOLLERAN
<br /> °�t ,�,� �:= Commission DD 774023
<br /> , ��'��� �: Commission DD 774023 i
<br /> =�'•�;;�: Expires June 6, 2C12 �; ' i�� Expires June 6, 2012
<br /> „• o, � �' ,R ��� 6ondad Thru 7roy fain haure�oe 80a3B67019
<br /> �'�',/{f BanOeC fitu Troy Feln Insutence 800-395�7019
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