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tNQTiCE t}F DEED RESTRICTlONS: The undersigned understands that this permit may be subject to "deed" restriEtions"
<br /> uvhich ma,y be mo�e restri�ctive than Caunty regulations. The undersigned assumes responsibility for compliance with any
<br /> apptic�le de�ed r�tridions.
<br /> UNL{CENS�D CON1Ti�t�TORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> cantractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not fice�esed as required by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. if the awner ar 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 /> 80�9. Furthenrwre, if the �vner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the `contractor Btodc" of this application for which they will be responsible. If you, as the owner sign as the
<br /> contrac#or, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> Caunty.
<br /> TRANSPORTATION lMPACTIUTILI'f1ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transpo�atiar� Irr�act Fees and Recourse Recavery Fees may apply to the construction of new buildings, change of
<br /> use in existiag bu�dings, or e�ansion 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 /> �ermitting. !t 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, �e fees rr�rst be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are de�e, 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 1, 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 "owne�', I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the "pwner' prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFtDAVIT: 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 rnade 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 /> canstruc6on, County and City c�des, 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, WaterlWastewater 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 aflowed in Flood Zone "V" unless expressly permitted.
<br /> - If the fill materia) is to be used in Flood Zone `A , it is understood that a drainage plan addressing a
<br /> � ��
<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 filt 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 a�davit 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 /> requiring 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 Offieial 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 FAILURE TO RECORD A NOTICE OF COMMENCE ENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROV M TS TO YOUR PROPERTY. IF YOU INTEND T TAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER O R BEFORE RECORDING YOUR NOTI CEMENT.
<br /> FLORIDA JURAT (F S 117 03
<br /> OWNER OR AGENT CONTRACTOR -
<br /> Sub cribed and sworn to (or affirmed) e ore me this � 1 S cribed and swom to (or a� ed) before me this t11
<br /> �l � by ✓oHN L�v��l 6(l by o
<br /> Wh i are personall known to me or has/have produced Wh ersonall ha ave produced
<br /> as identiflcaGon. as identification.
<br /> Notary Public Notary Public
<br /> mmission No � D 77�0 23 comm�s �on No. D D �7 y o23
<br /> Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
<br /> r ��t',.�"E��.,, ELISSA M. HOLLERAN
<br /> ��' �fJ' ELISSA M. HOLLERAN ;; �* Commisslon DD 774023
<br /> _„� Commission DD 774023 �; •' Expires June 6, 2012
<br /> :?�;, .cL= Expires June 6, 2012 :�;P,•,,,,�'' a�ee'"NtroyFa"''"wr'"`°e��+'�t
<br /> .
<br /> ��' �P„°,�� ���� Bonded 1hn, Troy Fain Iriwrance 80038&7019
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