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N0710E OF DEED RESTRICTIONS: The undersignecl understands that this permit may be subject to "deed" restrictions"
<br /> - � which may be more restrickive than County regulatior►s. The undersigned assumes responsibiiity for compliance with any
<br /> applicable deed resUictions.
<br /> UNLICEN3ED CONTRACTORS AND CONTRACTOR RESPON3IBILITIE3: If the owner has hired a contractor or
<br /> contradors to undertake woric, they may be required to be lice�sed in aa;ordance with state and local regulations. If the
<br /> corrtractor is not licensed as required by law, botF► the oHmer and conUador may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractw are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to contact the Pasco County Building tnspection Division—Licensing Section at 727-847-
<br /> 8009 Furthermore, if the owner has hired a contrador or contractas, he is advised to have the contractor(s) sign
<br /> portions of the "cordractor 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 properiy licensed and is not entitled to permitting privileges in Pasco
<br /> Counry.
<br /> TRANSPORTATION iMPACT/UT1LI71ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the �strucGon of new buildings, change of
<br /> use in existirg buildings, or expansion of exisGng buildings, as specified in Pasco CouMy Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned aiso understands, that such fees, as may be due, will be identified at the time of
<br /> permitting. It is further understood thffi Transportadon 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 irnrolve a certificate of oxupancy or
<br /> final power release, the fces 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 applicable Pasco CouMy 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 applicarrt, have been provided with a copy of the "Florida Construction Lien Lavv—Homeowner's
<br /> Protection Guide° prepared by the Florida Department of Agricutture 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 ft to the "owne�' prior to commerx:ement.
<br /> CONTRACTOR'S/OVYNER'3 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. Appliqtion is
<br /> hereby made to obtain a permft to do work and installation as indicated. I certiy that no worlc or installation has
<br /> commenced prior to issuance of a pertnit and that all work will be perfom�ed to meet standards of all laws regulating
<br /> constn�ction, CouMy and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regutations of other govemment agencies may appy to the irrtended work, and that it is
<br /> my respo�sibility to iderrtify what actions I must take to be in compliance. Such agenaes indude but are not limited to:
<br /> - Departrnent of EnvironmeMal Protection-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
<br /> Lands, WaterNVastewater Treatmer�t.
<br /> - SoutMMest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
<br /> watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
<br /> - Department of Health & Rehabilitative Services/Environmerrtal Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation AuUrority-Runways.
<br /> I understand that the following restrid'ans apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone "V° unless expressy 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 fili 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 oMy to fill the area within the stem watl.
<br /> - If fill material is to be used in any area, I certify that use of such fill wili not adversely affed adjaceM
<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 buildirg permH issued under the attad�ed permit application, for bts 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 thffi a separate permit may be required for electrical work,
<br /> plumbing, signs, welis, pools, air conditioning, gas, or other instaliations not speafically induded 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 preveM the Building Oificial from thereafter
<br /> requiring a correction of errors in plans, construction or violations of arry codes. Every permit issued shall becane invalid
<br /> unless the woric authorized by such permft is commenced within six monU►s of pertnit issuanoe, 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 e�ctension
<br /> may be requested, in writing, from the Building Offiaal for a period not to exceed ninety (90) days and will demonstrate
<br /> justfiable cause for the extension. If wo�ic ceases for ninety (90) consecu6ve days, ttie job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINCa, CONSULT
<br /> WITH YOUR LENDER OR AN A7TORNEY BEFORE RECO NG YOUR NOTICE OF COMMENCEMENT
<br /> FLORIDA JURAT (F.S. 117.03)
<br /> OWNER OR AGENT CONTRAC ,liL��-+1/�`'�''�� ,,K„vt,• / , ('�t
<br /> Subsaibed and swom to (or affimied) before me this gu�aibed m to� r aIN
<br /> by _-_ 8f)d Ii11ed) befofe me tlik
<br /> �L7 � !
<br /> Who islare personelly known � me or heeMave produced iV�' /� ersonaly known m me or hasmave produced
<br /> as identlflcation. as identification.
<br /> Notary Pub6c � � Public
<br /> Commission No. �� � . •�rr'
<br /> ��: � �ti, ; :��cerriber 12, 2014
<br /> Name of Notary typed, printed or stamped Name of N , ,.. '�i , o y_ "
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