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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 vwner 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 undersigne understan s
<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 0 11 d be dentf d at the �me
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due,
<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 WaterlSewer 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.
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<br /> CONTRACTOR'SIOWNER'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. 1 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 40:
<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, Aitering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater TreaEment,
<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 Iots 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 pro nis ��u de�stan that a�separat permit may be requg ed for 1 electr c I�work,
<br /> this affidavit prior to commencing constructi
<br /> plumbing, signs, wells, pools, air conditioningse to oceed the work and not a author ty t�o aiolatee anp or
<br /> permit issued shall be construed to be a licen p
<br /> set aside any provisions of the technical codes,c on of any cod sp t is ed sh al becom inv I d
<br /> requiring a correc t i o n o f e r r o r s i n p l a n s, c o n s t r u
<br /> unless the work authorized by such permit 15 e od of s x(6) m a er the time the wo k is commenced An h extensi n
<br /> the permit is suspended or abandoned for a p
<br /> may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstra e
<br /> the ob is considered abandohed.
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, j
<br /> W
<br /> ARNING TO OWNER: YOUR FAILURE TO RECORD A� T�F YOU INT TO OBTA N F NANC NG CONSULT
<br /> PAYING TWICE FOR IMPROVEMENTS 70 YOUR PROPER
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO OF COMMENCEMENT.
<br /> FLORIDA JURAT (F.S. 117 3 -- —
<br /> _ ( � (� �� � CONTRACTOR
<br /> OWNER OR AGENT Subscribed and swom to or affirmed) before me this
<br /> Subscribed and sworn to (or affirmed) before me this _ z _�� by
<br /> by Who ls/are personal� to me or hasas ide tifi catlon.
<br /> Who is/ ra e personally known to m as identifi aUon roduced
<br /> � � - Notary Public
<br /> Notary Public (
<br /> Com s'
<br /> Commisslon No. ; ,g;�..�� : JACQUEUNEBOGES
<br /> Name of °;�, � �8� , 2014
<br /> Name of Notary typed, printed or stamped �.�, �,.•' eo,�dnrutroyFaa+i��+c.eoo�esao�s �
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