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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 RESPONSIBILITIE3: If the owner has hired a contractor or
<br /> rAntraCtors 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 rnnmer or intended contractor are uncertain as to what licensing requiremerrts may apply for the
<br /> intended woric,they are advised to coMact the Pasco Courriy Building Inspection Division--Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a conVactor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"conVactor Blodc"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 entiUed to pertnitting 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 Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certficate 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 WaterlSewer 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,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 certity that I have obtained a copy of the above described document and promise in good faith to
<br /> deliver it to the"owne�'prior to commencement.
<br /> CONTRACTOR'S/OWNER'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 perforrned to meet standards of all laws regulating
<br /> construction, Couniy and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
<br /> certify that I u�derstand 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 indude but are not limited to:
<br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterNVastewater Treatment.
<br /> - Southw2st Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Wffiercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of Health 8 Rehabilitative Senrices/Environmental Heafth Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authoriiy-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 certify that fill witt be used only to fill the ar�ea 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 aifect 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 forth in
<br /> this affidavit prior to commencing construction. I understand that a separate permit may be requir�ed for electrical work,
<br /> ptumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically inGuded in the applicaGon. A
<br /> pertnit 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 shall issuance of a permit prevent the Building Official from tliereafter
<br /> requiring a correction of errors in plans,construction or violations of any codes. Every pertnit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of pertnit issuance,or if work authorized by
<br /> the permft is suspended or aba�doned for a period of six(6)months after the time the woric is commenced. An extension
<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 work ceases for ninety(90)consecutive days,the job is considered abandoned.
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YO R ENDER AN ATT RNEY BEF RE RECOR ING Y UR N T10E OF C MM NC M NT.
<br /> FLORIDA JURAT(F.S.11 3
<br /> OWNER OR AGENT CONTRACTOR
<br /> ��i_sai ed and swo t ed)b,fore thi;� Su ' d nd ro(or affi d) fore is
<br /> � by O <' V b
<br /> Who is �rsonally known to me w hasRiave produced re alty known me or hsslhave ppduced
<br /> asidentificatlon. asidentification.
<br /> Notary Public N P b i
<br /> C 'ss' n —� Commissio NO. .••'�s��P �
<br /> .1�pV y �
<br /> �'R' �"= AAY COMMISSION#DD 964458 •: �::� MY COMMISSION#DD 964458
<br /> Name of No ` :
<br /> E��.�°r�1(P4R�S:June 23,2014 Name of Notary ryped,Drinted or s . 2014
<br /> �� Bonded Thru Notary Public Underwriters ,�„, � Bonded Thru Notary Public Underwmers
<br /> �Pf�h`'
<br /> ir vva�i�aw.a nvuut m a.wnnm�osmm��a�ayu��w. pv..vpy....ca v.e.a.w.,�
<br /> " Agent(fo�the contrador)or Power of Attaney(for the ownar)would be someaie with notarized letrer from owner authorizing same
<br /> OVER THE COUNTER PERMITTING (FroM of Application Only)
<br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
<br /> Driveways-Not over Counter if on public roadways..needs ROW
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