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Fl0'TICE O� DEED RE�YRICTIOPI�: 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 /> 11NLICEfdSED CONT'R�1CTO�tS �R1D COPITRACTOR ��S�OiVSIi�ILITV��: If the owrner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in acco�dance 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 fhe
<br /> intended work, they are advised to contact the Pasco County �uilding Inspection Division—Licensing Section a�7`�7-847-
<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 wrill be_responsible. If you, as the owner sign as the
<br /> contractor, tFiaf may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPOR�'ATIOF➢ IfWPAC�Il1TILYYI(E� I�fl�AC�/�FlD Rf�SOVRCE R�COVERY 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 "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 /> COFVSTRIJCTIOIV LI�PI L�►1H!(ChapteP 713, FloPid�Sta�utes, 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—Homeowne.�'s
<br /> Protection Guide" prepared by the Florida Department of Agriculfure and Consumer Affairs. If the applicant is someone
<br /> other than the"owner", I certify that I have obtained a copy of the above descri6ed document and promise in good faith to
<br /> deliver it to the"owner" prior to commencement.
<br /> CO�I�RACTOR'5101�IPI�R'��►fFfFID�►VIY: 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, WaterNVastewater Treatment.
<br /> - Southwest Florida Water ilnanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, tVavigable Watenn�ays.
<br /> i - Department of Health & Rehabilitative Services/Environmental Health Unit-V1lells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> -- -- - -- - l;�S-��vira�nmental Frotection Agency-Asbestos ahatement.��_ -- -__ .� - - -.---- _-_ ._- --__ _ .___�
<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 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 permitteii building using stem wall
<br /> construction, I certify that.fill vuill be used only to fill the area within the stem wall.
<br /> - If fill material is to be,used in any area, I cer�ify that use of such fill will not ad�ersely affect adjacent
<br /> properties. If use of�II 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 FO�YHE 01WF1��, 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 required for electrical work,
<br /> plumbing, signs, .wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed vuith 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 period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days;th�job is considered abandoned.
<br /> IAIARPVIPd(9 TO OWPILR: YOUFZ �AIWRf� YO �t�CORD A �IOYICI� O� COIIiiMENCEfliIEPIT f1��1Y R�SULT IFI YOU(it
<br /> PAYIFVG YViIICE �OMZ.IWOP._ROVE(iflERlTS TO YOUIZ PROPEP�T�YY. ��1�0U IWTEND YO OBTAIIV FIIV�►WCING, COP1Sl1LY _ ,_
<br /> �ii117Fi YOl1R L.ENDEIZ OR AFV�►T'TOR�IEIf��FOR� RECOPd�DIWG YOU� RlOTIC�OF COA�fl�ENCI�nfl�W'T: `^--
<br /> FLORIDA'JURAT(F.S.117.03) �
<br /> OWNEFt Oft AGEPl7 � � COPITi2ACTOR� yU'
<br /> S b,5 cribe and s�wofr�to(or a i ed befo�re- '�eJ.jhis Sybscri�d nd bwR►jn r affirmed)b fore,m i
<br /> -(c �� bW.�C C:�.ti1/L �W�iF C'�,� �P� YU�` -
<br /> Who is/a rsonally own to me or has/have produced �-1 s ar .personally knpwn to ine or has/Fiave pro uced
<br /> �[c f���/(a c� as Idendfication. /�� cf�rC./�S L�c�a� as identification.
<br /> Notary Public Notary Public
<br /> Co sion o. Com ssion N .
<br /> IVame of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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