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<br /> NOl'iCE O� DEEL� RESTRICTIONS: The•undersigned understands.that this permit tnay 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 C�NTRf�CTORS AND CONTRAC'fOR. F�ESPOMSIBILITIES: 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 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 /> pottions of the "contractor Blocl�' 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 /> TRAIVSPORTATI�N IMPACT/UTILITIES IMIPACT AND F�ESOURCE RECOVERY FEEa: The undersigned understands
<br /> ' . that Transportation Impact Fees and Recourse Recovery Fees may epply to the construction of new buildings, change of
<br /> use in existing buildings, or expansion of existing buildings,.as specifieci in Pasco County Ordinance number 89-07 and _
<br /> 90-07, as amended. The undersigned also understands, fhat such fees, as may be due, will be identified at the time of
<br /> � permitting. It is,further understood�that Transportetion.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 /> CONSTRUCTISJf� LIEN LA�W (Chapter 7'f3, Florida Stat�utes, as amended): If valuation of work is $2,500.00 or more, I
<br /> certify that.l, 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 /> COMTRf�CTOR'SIOWfVER'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, 1Nater/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 followitig restrictions appiy 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 /> licensecl by the State of Florida.
<br /> If the fiill material is to be used in Flood Zone "A" in connection with a permitted building 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 adversely afFect adjacent properties, the owner may be cited for violating
<br /> the conditions of the building perrimit 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 A�EN�' FOR THE 01�VMER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affdavit prior to commencing construction. I understand tliat a separate permit may be required for electrical worlc,
<br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically iricluded in the application. A
<br /> permit issued shall be construed to be a lice,nse 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 thereafter
<br /> requiring a correction of errors in plans,,construction or violations of any codes.. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by.
<br /> the permit 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 Official for a pe�iod 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 /> WARNIt�G TO OWf�EF�:. YOUR FAILURE T OUR PROPERTYO.TIF YOU IMTOET�D O U�TA N FII�Af�C1NGTGONSOULT
<br /> PAYING TWICE FOP.IMF'ROV�IVIEMTS TO Y
<br /> �111TH YOUR LEMDER p�P�� �TTORP�EY BEFORE REGORDING YOUR MOTICE OF COMMENCEIUIEP�T.
<br /> FLORIDA JURAT(F.S.117.03) f�� ' k �/ � I �f
<br /> CONTRACTOR ��� �' L �`� ��C`�K��
<br /> OWNER OR AGEIdT Subscribed and swb�n to(or affirmed)before hi�this
<br /> Subscribed and swom to(or affirmed)before me this ;�,� by Y�,��,� ,�O l4
<br /> bY Who is/are personally known to me or has/have produced
<br /> Who is/a�e personaliy Icnown to me or has/have produced as identification.
<br /> as identification.
<br /> � Nolary Public
<br /> � Notary Public
<br /> Commission No.
<br /> Commission No.
<br /> �c�••.
<br /> Name of Notary ty $ �-or stam e
<br /> Name of Notary typed,printed or stamped o MY C�?MMISSIOfV!#EE189637
<br /> • • EXPIRE3 Ap�il 16,2016
<br /> �' , ,�.
<br /> 398-0153 Flatdaldomry8erviee.eom
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