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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 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 misdem�an�op Yiolation
<br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I 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 RESOURCE RECOVERY FEES: The undersigned understan s
<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 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 Statutes, as amended): If valuation of work is $2,500.00 or more, f
<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 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 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 all laws regulating
<br /> construction, County and City codes, zoning regulations, 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 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/Wastewater Treatment.
<br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> - Department of Health & 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 resirictions apply to the use of fill:
<br /> Use of fill 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" 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 buitding 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 adversety 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 OWN�ER�tructi n'S I'u derstandhthatna�s pahat permit may be req u ed for'el ctr cal work,
<br /> this affidavit prior to commenc g
<br /> plumbing, signs, wells, pools,edrto be a'�ce n e to p oceed with theawork and not a'scaut or ty to�violatee anclelaa1lter, or
<br /> permit issued shall be constru
<br /> set aside any provisions of the technica�constru t onsoalviolations of any codesPrE ery perm t issued shall become inv I d
<br /> requiri n g a c o r r e c t i o n o f e r r o r s i n p l a n s,
<br /> unless the work authorized by such �fo�a�S e od of six(6) mhonths a er t e t mpe the work as commenced An hextension
<br /> t h e p e r m i t i s s u s p e n d e d o r a b a n d o n P
<br /> may be requested, in writing, from if Wo k'cea e�or'ninety(90)rcon ecutive days, the job is oc ns de e d bandoned s tra e
<br /> j u s t i f i a b l e c a u s e f o r t h e e x t e n s i o n
<br /> W A R N I N G T� O W N E R: Y OUR FAILURO YOUR PROPERTY.T I F Y O U I NT E N D T O B T A I FA j�qRESUL CONSULR
<br /> PAYING TWICE FOR IMPROVEMENTS RECORDING Y NO C ENC MENT. �
<br /> WITH YOI�R LE�R OR AN ATTO EY �-.__
<br /> FLORIDA JURAT(F S. 11 •.03) -7 p - v
<br /> -`�� - CONTRACTOR �
<br /> OWNER OR AGENT Subscribed and swom to(or affirmed)befor this
<br /> Subscribed and sworn to(or affirmed)before e t s by -
<br /> bY Who is nally known to me or has/have produced
<br /> Who is/ ear personally known to me or has/h e produced as identification.
<br /> as identification.
<br /> ' �� �� �--- Notary Public
<br /> ►�.5� � Notary Public `� '
<br /> • ":"'rs''yy'�st JACQUEII E BOGES Commis on No. ••N � ,,
<br /> Com ssion _ ; _ ' ''t` '' Cpmmissi0n#EE 040520
<br /> �; = Expires Dec�eember 12,2014 `#: :�
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<br /> Name of Notary type . , , ,oyFau,�eooaszao�s
<br /> Name of No
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