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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 rest�ictive 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 misdemeanor violation
<br /> under state law. If the owner or intended contractor are unce�tain 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 wili be responsible. If you, as the owner sign as the
<br /> contraclor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> Counry.
<br /> TRANSPORTATION IMPACT/UTILITIES 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 Transpo�tation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certificate of occupancy" or finat power release. If the project does not involve a cert�cate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, ff 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, Florfda 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 Const�uction 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"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 na 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 afso
<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 & RehabiNtative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> Federai Aviation Authority-Runways.
<br /> I understand that the following restrictions 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 building using stem wall
<br /> construction, I cenify that fill will be used only to fill the area within the stem wall.
<br /> If fill materiai is to be used in any area, I certify that use of such fill will not adve�sely 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 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 fo�th in
<br /> this a�davit prior to commencing cons�i�oninn, 'asn oef ther inst Ilafionsr not sp c'ifically bncl d dren he a�pplicat an�r A
<br /> plumbing, signs, wells, pools, air con 9 9
<br /> permit issued shall be construed to be a codesenor shall i suaincehof a pe mitprevent thehBu ding Offic al from therteafter
<br /> set aside any provisions of the technical ,
<br /> requiring a conection of errors in plans, construction or violations of any codes. Every permit issued shall become invali
<br /> unless the work authorized by such permia�s enod of six(6�months after t e t mpe thetworkas comme ced Anhextension
<br /> the permit is suspended or abandoned for p da s and will demonstrate
<br /> may be requested, in writing, from the Buildi�g Official for a Pe�consecutive days,the j b is�cons'dered abandoned.
<br /> justifiable cause for the extension. If work ceases for ninety(90)
<br /> WARNING TO OWNER: YOUR FAILURE TO UR PROPERTI(.TIF YOU INTE D TO OBTAINnFI�NANCSNG CONSULT
<br /> PAYING TWICE FOR IMPROVEMENTS TO YO T.
<br /> WITH O R L R A ATT Y FO E RECORDI G YOU C O
<br /> FLORIDA JURAT(F.S. 117.0 � i�G_'.�L�
<br /> - CONTRACTOR
<br /> OWNER OR AGENT Subscrfbed and swom to(or afflrmed)before 8 th�s
<br /> Subs Jbed and s o(or )b � by
<br /> ,' b yyho Is/are personally knovm to me or has/have produced
<br /> Who I arepe�qnally knovm to me or aslhave produced as 1denBflcatlon.
<br /> �� ��� as IdentlflqBon. �
<br /> --, -.
<br /> ,.;- � i J �..- NOtary PUbI1C
<br /> � �
<br /> �
<br /> ' S�� __ Commtssion No.
<br /> Com 4 �;
<br /> ;� ;,� CommisFo� �, 2016
<br /> '� ' Name of Notary tYPed,printed or stamped
<br /> Nam , �,' R�
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