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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 contracto�may be cited for a misdemeanor violatan
<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 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 fhey will be responsible. If you,as the owner sign as the
<br /> conVactor,that may be an indication that he is not properfy licensed and is not entiUed to permitting privileges in Pasco
<br /> County
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportatlon Impact Fees and Reoourse Recovery Fees may apply to the construction of new buildings,change of
<br /> use in exisGng buildings,or expansion of existing buildings,as specified in Pasco Counry 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 pertnit issuance. FurtheRnore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to pertnit issuance in acxordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutss,as amended): If valuation of work is 52,500.00 or more,I
<br /> certify that I, the applicant, have been provided with a copy of the "Fiorida Construetion Lien Law—Homeowners
<br /> Protection Guide'prepared by the Florida Department of AgricuRure 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"owne�'prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT. I certify that all the information in this appliqtion is accurate and that all wortc
<br /> will be done in compliance with all applicable laws regulaHng construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do work and installation as indiqted. I certify that no woric or installation has
<br /> commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning regulatlons, 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 inGude but are not limited to:
<br /> - Departrnent of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WateNWastewater Treatment.
<br /> - Southwest Florida Water Management District-We�ls, Cypress Bayheads, WeUand Areas, Altering
<br /> Watercourses.
<br /> - Artny Corps of Engineers-Seawalls,Docks,Navigabie Waterways.
<br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US EnvirorlmenTal Protection Agency-Asbestos abatement.
<br /> Federal Aviation Authority-Rurnvays.
<br /> I understand that the following restrictions apply to fhe 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 oonnection with a pertnitted building using stem wall
<br /> consUuction,I oertify that fill will be used only to fill the area wlthin the stem wall.
<br /> - If fill material is to be used in any area, I certify that use of such fill will not adversety 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 pertnit issued under the attached permit application, for lots less than one(1)
<br /> acre which are elevated by fifl,an engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,1 promise in good faith to infortn the owner of the pertnitting conditions set forth in
<br /> this affidavit prior to commenang construction. I understand that a separate pertnit may be required for electrical work,
<br /> plumbing, signs, wells, pools, air conditioning, 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,after,or
<br /> set aside any provisions of the technical codes,nor shall issuance of a pertnit pr�event the Building Official from thereafter
<br /> requirinp a correction of errors in plans,co�struction or violations of any codes. Every permit issued shall become invalid
<br /> unless the woric authorized by such permit is commenced within six months of pertnit issuance,or if work authorized by
<br /> the pertnit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
<br /> may be requested, in writing,from the Building Oificial for a period not to exc�eed ninety(90)days and will demonstrate
<br /> . justifiable cause for th extensan. If work ases for ninety(90)consecutive da ,the job is considered abandoned.
<br /> WARNING TO OWNE : YOUR FAIL TO RECORD A NOTICE OF C MENCEM N MAY RESULT IN YOUR
<br /> PAYING TWICE FO IMP VEMENT O YOUR PROPERTY. IF YOU ND TO O N FINANCING,CONSULT
<br /> W Y R EN E R A TT Y F R REC DIN Y N E F ENCEM NT.
<br /> FLORIDA JURAT(F.S.11 .03) �
<br /> � �—
<br /> OYYNER AGEN7 CONTRACTpR �
<br /> Subscr' before e this Subscribed and to(or affirmed)b fore me this
<br /> by bY
<br /> Wfio islare personaly knpwn to me a ha ave produoed VYho islare personapy krwwn to me o ae/have produced
<br /> as ide fication, as ideM�cetion.
<br /> Notary PuW' Notary Public
<br /> Commisawn o.
<br /> Name W N ,,, ��",,,� NNE ALLEN ���„ "�;'���, N
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