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NOTICE OF DEE�D 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 d�d restrictions. ' '
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE$: Ifi the owner �has hired a contractor or
<br /> contractors to undertake work, they may be required to be ticensed in accorda�ce with stat� and local regulations. If the
<br /> contractor is not licensed as required by law, both the owrier and cont�actor'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 /> �
<br /> County.
<br /> TRi4NSPORTATiC3N IMPAGTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that fransportation Impact Fees and R�course Recovery Fees may apply to the construction of new buiidings, change of
<br /> use in existing buildings, or exp�nsion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also underst�nds, 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 pYoje:ct 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 �re �ue, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> CONS�'f2UCtION L��N EAW (C�ap'ter 7'13� �Iprida 6tatutes, as aa�ended): If valu,atiop s�f wprl� 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 Agricutture and Consumer Affairs. If the applieant 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'SlOWNER'S AFFIDAVIT: I certify that all the information in this �pplioation 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 th,�t 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 Watenways.
<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 rtQt alJowed in Flood Zone "V" unless expressly permitted.
<br /> � If the fill mate�i�l 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 .conne,ction 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 properfies, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application,
<br /> 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 /> , Qermit 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 an'y prdvjsions ofi the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans, con'struction or violations of any codes. Every permit issued shall become invalid
<br /> unless th� work authorized by su ned for eriod of six {6) m after he t me the wo kas commenced An
<br /> the peq'mit is•suepended or aband , P d� s and wi11 demonstrate
<br /> may be requested, in writing, from the Bi►ilding� Official for a period not tq exceed rlinety �90� Y
<br /> the ob is considered abandoned.
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, j
<br /> WARNING TO O . YOUR F V � OUR PROPERTY. YOU INT�END OBTAIN F NANCING, CONSULT
<br /> P A Y I N G T W I C E O R I M P O N T S
<br /> WITH YOUR LE R A OR Y BEFORE RECORDING Y O U R N O T I C E O F �c O M M E N C E M E N T.
<br /> FLORIDA JURAT (F.S. . ) _-
<br /> CONTRACTOR
<br /> OWNER OR AGENT Sub cnb d and swom to (or a ed) before me this ,-
<br /> Su scrib d and sworn t(or affirmed) before me thls � �,,���� r.n� ;;� 'c� �r1/� I! It '�—�l �
<br /> � , bY a�n� ,E r �,nn,� =?��."�y.—bY
<br /> Who is/ re ersonall known to me or has/have produced Who Is/ re personally known to me or has/have produced
<br /> as identiflcation.
<br /> as idenGfication.
<br /> .� - /1
<br /> � -- ; % � I � Z �(,� Notary Public
<br /> � ; �,� ��-' � L Notary Public
<br /> Commission No.
<br /> Commisslon No.
<br /> r� Name of Notary typed, printed or stampe
<br /> Na ty ��S ampe =o �►�`� � Notary Public State of Ftorida
<br /> � My Commission DD937327 �. Deborah E Buyer
<br /> �?��o� Expires 11I01/2013 � < My Commission DD937327
<br /> �? Expires 11/Ot12013
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