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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to`deed" restrictions"'
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compiiance with any
<br /> applicable deed rest�ictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as required 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 the "contractor 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 properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOUI3CE RECOVERY FEES: The undersigned understands
<br /> that T�ansportation 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 dus, 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 flnat power release. If the project does not involve a certificate of occupancy or
<br /> final power retease, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer 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 Statutes, as amended): If valuation of wvrk is$2,500.00 or more, 1
<br /> certify that I, the applicant, have been provided with a copy of the "Florida Constructfon Lien Law—Homeowner's
<br /> Protection Guide" prepared by the Florida Depa�tment of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owne�"prior to commencement.
<br /> CONTRACTOR'SIOWNER'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 regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and instaliation 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 codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br /> ce�tify that 1 understand that the regulations of other 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 compliance. Such agencies inciude but are not limited to:
<br /> - Department of 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 /> Watercourses.
<br /> - Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
<br /> - Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Fede�al Aviation Authority-Runways.
<br /> I understand that the foliowing restrictions apply to the use of fill:
<br /> Use of fili is not allowed in Flood Zone"V"unless expressly permitted.
<br /> If the fili 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 fill material is to be used in Fiood Zone "A" in connection with a permitted building using stem wali
<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 Iots 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 a�davit prior to commencing cpnstruction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specificaily inciuded in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authoriry to vfolate, cancel, alter, or
<br /> set aside any provisions of the techans I onstruct on oalviolati ns of any codesPrE ery permitiissued sihali become inval d
<br /> requiring a correction of errors in p ,
<br /> unless the work authorized bandoned forlalpe od of six(6) mhonths after the t mpe thetworkas commenced. Anhext nsion
<br /> the permit is suspended or a da s and will demonstrate
<br /> may be requssted, in writing, from the Building Official for a period not to exceed ninety (90) Y
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILS TO YOUR PROP RTl(.TIF YOU INTEN E OBTA N^FI1N RESNG C'ONSULR
<br /> PAYING TWICE FOR IMPROVEMENT T,
<br /> WITH Y ER N TT R EY FORE RECORDI G YOUR 1 P
<br /> FLORIDA JURAT(F.S. 117.03) � � _
<br /> CONTRACTOR �
<br /> OWNER OR AGENT Subscribed and {or a�)b � ��$
<br /> Subscrfbed and swom to(or aiflrmed)before me thls b
<br /> bY Who Is/are personally known to me or haslhave produced
<br /> Who islare personally known to mas identl�tl�roduced as identlfication.
<br /> I � � Notary Public
<br /> Notary Public `
<br /> .�";•��, JACQUEUNE ES
<br /> Comrr�ss •
<br /> Commisslon No. �•• '*' ��2,2014
<br /> ;�, - Expires Decem
<br /> ed, rinted or stamped Name of N ��
<br /> Name of Notary lyp P
<br />
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