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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 CouMy regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictior�s.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPON3IBILITIES: 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. tt the
<br /> contractor is not licensed as required by law, both the oHmer 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 Divisior�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 omier 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 IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEE3: The undersigned understands
<br /> that Transportation Impact Fees and Recou�se Recovery Fees may appy to the construction of new buildings,change of
<br /> use in existing buildings,or expansion of existing buiidings,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 /> permittirx,�. 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 /> 8nal power release, 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 pertnit issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,FloMda Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been provided wiih a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Proteetion Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner",I certiy that I have obtained a copy of the above described document and promisp in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br /> CONTRACTOR'3IOWNER'S AFFIDAVIT• I certify that all the fnformation in this application is accurate and that all work
<br /> wiil 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 installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit and that al�work will be perfomied to meet standards of ali laws regulating
<br /> construction, County and City codes, zoning regulations, and land development regulatlons in the jurisdiction. I also
<br /> certify that I understand that the regulations of other government agencies may appy to the iMended work,and that it is
<br /> my responsibility to identiiy what actions I must take to be in compliance. Such agencies inGude but are not limited to�
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmr�ntally Sensiiive
<br /> Lands,Water/V1/astewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays.
<br /> - Department of Health & Rehabilitadve 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 fill:
<br /> - Use of fitl is not allowed 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 volume"wili 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 fili materiai 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 pertnit 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 f am the AGENT FOR THE OWNER.I promise in good faith to infortn the owner of the pertnitting 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 cond'Rioning, gas, or other installations not specificaly inGuded in the application. A
<br /> permit issued shall 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 shali issuance of a permit prevent the Building Official irom 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 pertnit is commenced within six months of permit issuance,or if worlk authorized by
<br /> the pertnit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An e�ctension
<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 woMc ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENC NT RESULT IN YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND T NG,CONSULT
<br /> T Y R N R R N R EY EF R R C R IN Y CO NC T.
<br /> FLORIDA JURAT(F.S.177.03)
<br /> OWNER OR AGENT CONTRACTOR_ �.
<br /> Subscxibed and swbm to ore this Subscribed and swo or affi d) etore me t is
<br /> by
<br /> Who is/are persona o or haslhave produced knovm to me or haslhave produced
<br /> as identification. as identlficetbn.
<br /> •� Notary Public ����v —' `��`�`�%�-'�-'
<br /> p NWary Public
<br /> � � ' Commissien No. � �o��
<br /> �Q/Sa Qnn �• � �
<br /> Na � � ,��g� Name of Notary typed,Printed or stamped
<br /> y r, � My Commiasion DD945581 "�
<br /> '+,�wo�' Expires 12/10/2013 j�""� LE18A ANN MIEL.KE
<br /> •'- MY(�IIAA�118810N�EE1a2241
<br /> EXPN�ES AprN 21.2018
<br /> �ao�,':ae-0ts� .eom
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