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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 responsibflity for compliance with any
<br /> applicable deed restrictions.
<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 /> Counry.
<br /> TRANSPORTATION IMPACTIUTILITIES IMPACT 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 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 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 Counry 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(Chapte�713, Florlda Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br /> certify that I, the applicant, 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"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"owner"prior to commencement.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that ali the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable laws regulating construction, zoni�g and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I cerfify that no work or instaliation 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 /> certify 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 include but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, Water/Waslewater Treatment.
<br /> - Southwest Fiorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, 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 /> Federal Aviation Authority-Runways.
<br /> I understand that the following restrictions apply to the use of flll:
<br /> Use of fili is not ailowed 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 wall
<br /> construction, I ce�tify that fill will be used only to fili 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 fili, 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 sepa�ate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically inciuded in the application. A
<br /> permit issued shail be const e echnica) Icodesenor shall issuaincehof a pe mitprevent thehBu ding Officiai from therteafter
<br /> set aside any provisions of th
<br /> requiring a correction of errors in ch�e��mit s�cotmmenrceidiwithin sixamonthseof permf P s aince,uo aif wolrk authorized by
<br /> unless the work authorized by su p
<br /> the permit is suspended or abandoned for a period of six(6) months after the time the work is da s and will demonstrate
<br /> may be requested, in writing, ftom 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 FA�TSRO YOUR PROP R'TY.TIF YOU INTE DETO OBTA N FIA ANCSNG, CONSULT
<br /> PAYING TWICE FOR IMPROVEMEN T.
<br /> WITH Y R L R A TT R Y FO E RECORDING YOUR O O
<br /> FLORIDA JURAT(F.S. 117.03) A -` G•=}
<br /> � CONTRACTOR
<br /> OWNER OR AGENT re ms this Subscribed and swum.te'�P.r efore m this
<br /> Subscribed and sw�-te�or a ed) 7 ,.J./�.. b
<br /> '''- �- `' Y ! Who is/are p nallY wn to me o aslhave produced
<br /> o is/are p nal known_to m�e e[has/have produced .— as tdendficadon.
<br /> °"'""'� �� as identlflcaBon. ,� ~
<br /> �' ) -z ,
<br /> � F ' ''� Notary Public
<br /> � ; ; � `���jic , `� .
<br /> Commission No.
<br /> Commission No.
<br /> ,.•`i+�°:':!J%�''.. BOBBIE
<br /> ;m".,�., BGBBIE S.SWETI.A�D ' ' �y�
<br /> :'� • • Nam Of; _
<br /> ., ro; xp�res Febroary 22,2016
<br /> Na ;� ��Thru Troy Fan Inwrance 80�3857019 �'�p„;;�°'��� so�aea ri,N rroy F�,M��eoa�esaoi�
<br /> ,R;,� ...�.�.��"
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