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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 ar�y
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES,: If the.,owner h�s hired-a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accb�'darfce�vitH sfate and loc�l t'egulations. 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 Uncertaii� as to what lic�n5tri�'r�qUiremerits'may apply for the
<br /> intended work, they are advised to contact the PasCO�duhty 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 IMPACTNTILITIES 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 under°signed 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 dces 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 aocordance 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, 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 1 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'S10WNER'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 devetopment. 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 govemment 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 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 vofume"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 wail
<br /> construction, I certify that fill will be used only to fill the area within the stem wall.
<br /> - If fi►I 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 ovmer 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 f�ith to inform the owner of the permitting 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 conditioning, gas, or other instaUa6ons not specificaiiy +nc�uded i►► the a�PP�ca�n. A
<br /> permit issued shall be construed to be a license to proceed with the v�ark and no#as authority to vida�e, cancsi, a�er, or
<br /> set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Buiid�g Qftraal from thereafter
<br /> requiring a correciion of errors in plans, construction or violations of any codes. Every permit issued shatl become invalid
<br /> un}�ss the work autF�aized b�r such perm►t is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abaruioned for a period of six(6)months af#er tMe time the work is commenced. An extension
<br /> may be requested, in writing, from the Buif�ng Offic+al for a period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECQRD A WOTIGE OF C�EMENT MAY RESU�T IN YDUR
<br /> PAYING TWICE F IMPROYEMENTS TO YOl1R PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> 1MTH Y R �!N ATT FatE RE G YO TlCE OF C NCE T.
<br /> FLORIDA JilRAT(F. .117. 3)
<br /> OWNER OR AGENT � CONTRACTOR `
<br /> Su cri d and sw t r a rtn fore me is Su ' and (w atfirmed)befo rr�this
<br /> "7 by G by
<br /> o i are personally known to me or hasJhave produced � are personally known to me or hasJfiave prod�ed
<br /> as ide�fification. as ider�tification.
<br /> �, (' r�„�c �(/eo Notary Public -X���=n �.�YVr,. ��-*� �YPO Notary Public
<br /> d�:s�_I a_��"t3"t
<br /> Commission No. ��������� Commission No E�����
<br /> S ia S u-vt •�}n Y�l.cu:c� L'e E' 0�11 S c�v� �-t�h►1. La.t�cz�` it E'
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br /> �"� Notary Public State of Florida
<br /> �� Notery Public State W Florida � Susan Ann Lavallee
<br /> Susan Ann Lavallee My Commission EE 2i8�ee
<br /> �a p� Expires 07/2212016
<br /> � My Commission EE 218188
<br /> �ofq� Expires 07/22/2016
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