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NOTiCE OF E�ED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
<br /> which may be more �ve than Counry regulations. The undersigned assumes responsibility for compliance with any
<br /> app{icable ciee� restrictions.
<br /> UNUCEMS�D CONTF�CTORS AND CONTRACTOR RE�PONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to �ndert�ake work, they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as rec}uired 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 owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of tl�e "eontractor Blodc" of this application for which they will be responsible. If you, as the owner sign as the
<br /> contractar, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTAT{ON IMPACTJUTILtTIFS 4MPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Irr�act Fe.es and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br /> use in exists�g buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The urMersigned also understands, 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"Gertifir�te 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 Water/Sewer Impact
<br /> fees are �e, they must be paid prior to permit issuance in accordance with applicable Pasco Counry ordinances.
<br /> CONSTRUCTfON LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br /> certify that I, the applic�nt, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide' prepared by the Fforida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the "owne�', I certify thai f have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the "pwner� prior to cqmcr�encement.
<br /> CONTRACTQR'S/DWMER'S �4FFID�AVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done in comp{iance with all applicable laws regulating construction, zoning and land development, Application is
<br /> hereby made to obtain a pemtit 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 vodes, Zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certi�y that f understand that the regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibitity to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Departrr�ent of Envirortmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WateNWastewater Treatment.
<br /> - Southwest F{oricfa Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps af Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protec�ion Agency-Asbestos abatement.
<br /> - Federal Aviation Autharity-Runways.
<br /> I understand that the follauang �tric�ons apply to the use of fill:
<br /> - Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
<br /> - If the fttl material is to be used in Flood Zone "A", it is untlerstood that a drainage plan addressing a
<br /> "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br /> (icer�sed 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 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 �icense 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 err�rs 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 ninery (90) consecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAI RE TO RECORD A NOTICE OF COMMENCEMEN MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVE E S TO YOUR PROPERTY. IF YOU INTEND TO O FINANCING, CONSULT
<br /> WITH YOUR LENDER OR A EFORE RECORDING YOUR NOTICE O CEMENT.
<br /> FLORIDA JURAT (F.S 117.03) � .
<br /> ( f
<br /> JWNER Oe2 iwGEN7 C�NTRACTOR
<br /> Subscribed and swom to (or affirtn '.S�'/>rFn�v�Fr+- Subscribed and swom to (or affirmed) me this sf�TF�l�Br'
<br /> _1d�T�2LLbY ✓o v �by
<br /> Whc is�a+e personallv known to me or as/tiave produced W h z�e personallv known to me or ha ave produced
<br /> as identiflcaGon. as identification.
<br /> ry Public Notary Public
<br /> C mission No. D D r I ^ f� O�.3 Commission No. D D � r ] �-I D2�S
<br /> Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
<br /> ���L ° F1135A M. HOLLERAN
<br /> �" k'f' � F11SSA M. HOLLERAN ;;�` '�= Commisslon DD 774023
<br /> :.. ;,`: Commission DD 774023 �� Expires June 6, 2012
<br /> L+ �= Expires June 6, 2012 �•„�,,, • e�aw,n�r�F�+�.eoa�ro�9
<br /> '' �R ,�� �� Bondra Thn, tmy Pain Irauronce 80038&10t9
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