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P�QTICE O� DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br /> which may be more restrictive than County regulatians. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLbGENSED G4t�1'R�►CTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors ta undertake wark, they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractar is not licensed as requirecf by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. lf the owner or intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to cnntact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8�9. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Blodc" of this application for which they will be responsible. If you, as the owner sign as the
<br /> cantraetor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> Counry.
<br /> TRANSPORTATI�N MAPACT/UTtUT1ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportatio� Impact �'ees and Recaurse Recavery Fees may apply to the construction of new buildings, change of
<br /> use in ex�sti� buiidings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The ur�ersigned atso understancfs, 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"cefi8cate of accupancy" or final power release. If the project dces not involve a certificate of occupancy or
<br /> final power re{ease, the fees �st 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 /> CONS7RUCT{ON LlEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br /> certify that 1, the appticant, 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 t�e "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 "pwner" prior to commencement.
<br /> CONTRACTOR'S/DWNER'S AFFtDAVlT: 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 af a permit and that all work will be performed to meet standards of all 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 responsibiliry 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 7reatment,
<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, 1 certify that fifl will be used only to fill the area within the stem wall.
<br /> - {f fiA 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 /> 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 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 FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROV NTS TO YOUR PROPERTY. IF YOU INTEND T BTAIN FINANCING, CONSULT
<br /> WITH YOUR LENDER OR OR Y BEFORE RECORDING YOUR NOTI ENCEMENT.
<br /> FLORIDA JURAT (F.S. 117 03
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed and sworn to (or affirm re me this�Yr Subscribed and sworn to (or a ed before me this Prii (3`�"'�
<br /> 1� 1 by ./o N L t —s ?Ll� by
<br /> Wh i are personall known e or has/have produced Wh personallv known to me or has ave produced
<br /> as identification. as identification.
<br /> � Notary Public �� Public
<br /> mission No. D D r J�Q 2 3 Co m' on No. D D r ] r f 4{ O Z�j
<br /> Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
<br /> •�••, �;�:�:E �, ELI35A M. HOLLERAN
<br /> ���,'�f�,� ELISSA M. HOLLERAN ;�` ��;L Commission OD 774023
<br /> � _;; *: Commission DD 774023 '
<br /> _ �;; � j Expires June 6, 2012
<br /> ;;�Q�t Expires June 6, 2012 ''•„P,►,,,,4�•' e�a.an�Nt�rF�,^�e��'�t9
<br /> '' �P,P,u••�` 8onded Thn, Troy Fein Iriwrance 800389�I019
<br />
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