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NO710E OF DEED RESTRIC710NS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br /> which may be more restridive than County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicahie deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILI7IES: If the owner has hired a c�tractor or
<br /> contractors to underteke work, they may be required to be licensed in accordance with state and local regulxtions. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cded fw a misdemeanw 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 contracta or contractors, he is advised to have the contractor(s} sign
<br /> portiw�s of the "contractor Block" of this application for which they will be respotisible. If you, as the owner sign as the
<br /> contractor, that may 6e an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County
<br /> TRANSPORTATION IMPACT1U71LITIE5IMPACTAND RE50URCE 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, es specified in Pesco Counry Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that sucfi 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 project does not invdve 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 appiicable Pasco County ordinances.
<br /> CONSTRUCl10N LIEN LAW (Chapter 713, Florida �atutes, 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 Fiorida Depertment of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the `owner", I certifij thet I have obtained a copy of the above descnbed document end 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 applicable laws reguiating 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 ail work will be performed to meet standards of all Iaws 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 identiiy what actions I must take to be in compliance Such agencies include but are not limited to:
<br /> - Department of Environmental Protection-Gypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WaterNUastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, AJtering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Heafth & Rehabilitetive Services/Environmental Health Unit-Welis, Wasteweter Treatment,
<br /> Septic Tanks.
<br /> - US Envirwimental 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 permdted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> "compensating vdume' 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 fili will be used only to fill the area within the stem wall.
<br /> - If fill material is to tae used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> propeRies. If use of fili is found to adversely affect adjacent properties, the owner may be cited fa violating
<br /> the conditions of the building permit issued under the attached pertnit application, for lots less than one (1)
<br /> acre which are elevated byfill, an engineered drainage plan is required.
<br /> If I am the AGENT FOR TNE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit priw to commencing construction. 1 understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pods, air conditioning, gas, or �her installations not specifically included in the application. A
<br /> permit issued shail he construed to be a license to proceed with the work and not as authority to vidate, cancei, alter, or
<br /> set aside any provisions of the technical codes, nw shall issuence of a pertnit prevent the Building Official fran thereefter
<br /> requiring a correction of errors in plans, constructiai or violations of any codes Every pertnit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of pertnit 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 eactension
<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 ahandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOl10E OF MM N MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU TE OBTAI FINANd�ING, CONSULT
<br /> 1MTH YOUR LENDER OR AN ATTORNEY BEPORE RECORDING YOU O OF CO ENCEMENT.
<br /> FLORIDA JURAT (F J 17 03)
<br /> OWNER OR AGENT � �� CONTRACTOR � �___
<br /> Sub cribP�nd swom (or affirmed) before this Su cnb antl s m t or affirmed) befo�p rr�e, tbi
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<br /> a2'. ! a- o —�2. v T � --- -��� _���g____ �ye �: 1 �- --
<br /> Who islare on known to m r haJhave �rotluced VYho is/are pe nally n to me or has;have orotlucetl
<br /> __ ___as iden4fication as �dentificahon
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<br /> p b���ame nf � typed prin[ed �r stampPd Name of otary typed, printed or ;tamped
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<br /> ��d a�' ,�' ° IQiYSTAL A NEVILI,E
<br /> bd fia 5 ta�� ;.; �� MY COMMISSIoN k QD 74A218
<br /> � IXPIRES: Jarwary 25, 2012
<br /> • •Af„ , • ` eonaed Ttw ►+ohn r�bYc undnwiu.a
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