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NOTiCE OF DEED RESTRICT�ONS: The undersigned understands that this permit may be subjec� to "deed" restrictions"
<br /> which may be more restric�ve than County regulations. The undersigned assumes responsibility for compliance with any
<br /> appliqbte deed re.strictions.
<br /> UNLlCENS�D AND CONTRACTOR RESPO(JSIBILITIES: If the owner has hired a contractor or
<br /> co�tractors to unde�lce work, tfiey may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as ret}uired by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. if the o�mmer or intended eontractor are uncertain as to what licensing requirements may apply for the
<br /> intended work, they are advised to cantact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 80Q9. Furthermore, 'rf the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Blodc" of this application for which they will be responsible. If you, as the owner sign as the
<br /> contracfor, that may be an ind'+cation that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTAT{ON IMPACT/UT1Ll�IES 1�'ACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that TranspoAatia� Impact F+ees and Recourse Recavery Fees may apply to tF�e construction of new buildings, change of
<br /> use in existi� buiidings, or exp�ansion of ewsting buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as ar�ended. The u�gned a�o 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"certificate af occupancy" or final power release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fee.s 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 UEN LAW (Cfiapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br /> certify that I, the appiic�utt, 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 "owne�', I certify that f have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the "pwne�' prior to com[a�encerr�nt.
<br /> CONTRACTQR'Sl4WNER'S AFFlDAVIT: I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance with afl 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 al! laws regulating
<br /> canstruction, County and City codes, zoning regula�ons, 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 responsibitity to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> - Department af 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 /> Wateroourses.
<br /> - Army Corps af Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Departrnent of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Envi�onmental Protection Agency-Asbestos abatement.
<br /> - FedEral Aviation Authotity-Runways.
<br /> I understand that the follovwng �ictions apply to the use of fill:
<br /> - Use of fill is not atbwed 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 votume" 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 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 license to proceed with the work and not as authoriry 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 errors 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 ninery (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAIL RE TO RECORD A NOTICE OF COMMENCEMENT Y RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEM T TO YOUR PROPERTY. IF YOU INTEND TO OBT N INANCING, CONSULT
<br /> WITH YOUR LENDER OR AN EFORE RECORDING YOUR (VOTICE OF C MENT.
<br /> FLORIDA JURAT (F.S. 117 03)
<br /> OWNER OR ACaENT� CONTRACTOR
<br /> Subscribed and swom to (or affirtn is .S�`'/�rF�►v�Fn Subscnbetl ana swom to (or affirme nis Sf�:6,vi�Sc/�
<br /> by ✓o vtt _ � �SI bY
<br /> Wh ' personally know to me or ha ave produced Wh ��e perso knnwn to rtL or ha ave produced
<br /> as identifica6on. as identification.
<br /> ' ° � tJotary Public ry Public
<br /> Com ssion No. D � 7�� 0 2 3 Commission No. D D'�] r ] y D�3
<br /> Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
<br /> �;� � EU3SA M, HOLLERAN
<br /> "'�' '� F11SSA M. HaLLERAN ;�` ��� Comm�ssion DD 774023
<br /> ,� �t Commis�ion DO 774023 � '' Expires June 6, 2012
<br /> ' ' �= Expires June 6, 2012 ,,,,,,� �
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<br /> ., � �� �
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