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<br /> NOTICE OF DEED RE3TRICTIONS: The undersigned understa�ds that this permit may be.subject to°deed" restrictions"
<br /> which may be more resMctfve than County regulations. The undersigned assumes responsibilfty for compliance with any
<br /> applicable deed restrictfons.
<br /> UNLICENS�D CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: tf the owner has hired a contractor or
<br /> eontractors to undertake work, they may be required to be Ifcensed in accordance with state and local regulations. If the
<br /> contractor Is not licensed as requlred by law, both the owner and contractor may be cfted for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requfrements may apply for the
<br /> intended work,they are advised to contact the Pasco County Buflding Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or contracto�s, he is advised to have the contractor(s) sign
<br /> portions of the "contractor Block" of this application for which they will be responsi6le. If you, as the owner sign �s the
<br /> contractor, that may be an indication that he is not properly licensed and fs not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES IMpAC7 AND RESOURCE 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, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time pf
<br /> permitting. It is further understood that Transportation impact Fees and Resource Recovery Fees must be paid p�ior to
<br /> recefving a "certiflc�te of occupancy" or flnal power release. If the project does not involve a certiflcaYe 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 applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida 3tatutes, as amended): If valuation of work is $2,500.00 or more, I
<br /> certify that I, the appiicant, have been provided with a copy of the "Fiorida Construction Lien law—Homeowner's
<br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is som�one
<br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise in gopd falth t�
<br /> deliver it to the"owne�'prior to commencement.
<br /> CONTRACTOR'S/OWWER'S AFFIDAVIT: I certify that all the information in this appiication is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction, zoning and land development.• Appiication is
<br /> hereby made to obtain a permit to do work and installatfon as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a pe�mit and that all work will be perFormed to meet standards of atl laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> certify titat I understand that the regulations of otFier 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 compiiance. Such agencies include but are not limited to:
<br /> - Depa�tment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewater Treatment.
<br /> - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
<br /> ' Watercourses.
<br /> - Army Corps of Engineers-Se�3walls, Docks, Navigabie Waterways.
<br /> - Department of Health 8� Rehabllltative Services/Environmental Health Un(t-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> . - US Environmental Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Runways.
<br /> I understand that the foilowing restrictioFlS apply to the use of fill:
<br /> - Use of flll fs hot allowed in Flood Zone"V"unless�expressly permitted.
<br /> If the flll material is to be used in Flood Zone °A", it is understood that a dra(nage �pian addressing a
<br /> "compensating volume° will be submitted at time of permitting which is prepared by a,professionai engirieer
<br /> Ifcensed 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 flll will be used oniy to flll the area within the stem wall.
<br /> If fill material is to be used in any area, i certify that use of such flil will not adversely affect adjacent
<br /> properties. if use of fill is found to adversely affect adJacent prope�ties, the owner may be cited for violatfng
<br /> the conditf�ns of the building permit issued under the attached permit application, far iots less than one (1)
<br /> acre which are ele�ated by fll, 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 /> plum6(ng, signs, wells, pools, air conditioning, gas, or other installations not specificaliy included in the application. A
<br /> permit issued shali 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 prevent the Building OfFicial from thereafter
<br /> requlring e correctfon of er�ors in plans, construction or violations of any codes. Every permit issued shall become fnvaiid
<br /> uniess the work Authorized by such permit Is commenced within six months of pe�mit issuance, or if work authorized by
<br /> the permit(s suspended or abandoned for a period of six(8) months after the time the work is commeneed. An extension
<br /> may be requested, �he e�xt�nsion. f work iceia e�or'ninety(90)cvnsecutive days, th�j°b is�cons de ed bandonedstrate
<br /> Justiflable cause for t
<br /> 1MARNING TO UWNER: YOUR EAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENDE O OBTAIN FINAMENT.' CONSULT
<br /> AN TT R BE OR IN Y
<br /> FLORIDA JURAT(�:S.117.03) " ���,
<br /> OWNER OR AC3ENT. GONTRACTO
<br /> Subscribed and swom to(or affiRned)before me this Subscribed and m to(or affirtne be ore me this
<br /> ______—bY ' bY
<br /> Who fs/are personally known to me or has/have produced Who Islare personallY known to me or has/hadenUficatl end.
<br /> asidentlficatlon.
<br /> Notary Publlc
<br /> Notary Public
<br /> Commission No.
<br /> Commission No. '
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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