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N0710E OF bEED RESTRlCTIOfdS: The undersigned understands that this permit may be subject to"deed"restrictions" <br /> which may be more restrictive than Counfy regulafions. The undersigned assumes responsibllity for compliance with any <br /> applicable deed restrictions. , � , <br /> UF�LICENSED COMTRACTORS AND CONTRACTOR RESPONSIBIL171ES: If the owner has hired a conhaotor or ` <br /> contractors to undertake work,they may be required fo be licensed In accordance wifh stafe and local regutafsons. !f fhe " ' . <br /> contractor is not ticensed as required by law, both the owner and cvntractor may be cited for a misdemeanor vtolation <br /> under state law. If the owner or intended cantractor are uncertain as to what licensing requirements may apply for the <br /> intended work,they are advised#o oontact the Pasco County Suilding Inspection Division—Licensing Section af 72T-847- <br /> SOq9. Furthermore, if the owner has hired a contractor ar confractors, he is advised to have the confractor(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 /> ' contraetor,that may be an indication that he Is nof properly licensed and is nat enEifled to permitting priviEeges in Pasco <br /> Couniy. <br /> TRAIdSPORTAYIORi IINPACT/UTII.ITIES IAfrPACT�ND RESOURCE RECOVERY FEES: The undersigned understends <br /> that Transporta#ian lmpact Fees and Recourse Recavery�ees may apply ta the construction of new buiidings,change of <br /> use in existing bulidings, or expansion of existing buildings,as speoi{ied in Pasco Counfy Ordinance number 89-07 and <br /> , 90-07, as amended. The undersigned alsa understands,that such fees,as may be due,wfll be identified at the time of <br /> permitting. !t is further undersEood that Transpartation fmpact fees and Resource Recovety fees must be paid prior to <br /> receiving a"cert�cate of occupancy"or final power re(ease. if the project does not finvolve a certificate of occupancy or <br /> Ifinal 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!n accordance with appHcable Pasco County ardinances. <br /> COIdSTRUCT10Tt LIEW LJ4{tV{Chapter 7i3,Plorida Stafales,as amendedj: if valuation of work is$2,5d0.00 or more,f <br /> certify that I, the applicant, have been provided with a capy of the "Florida Construction Lien Law—Homeowner's <br /> Prateciion Guide°prepared by the FtaRda Department of Agriculkure and Consumer Affairs. If ihe applicant is someone <br /> other tfian the°owner",i certify that 1 have obtained a copy of#he above described document and promise En good faith to <br /> deliver it to the"owner"prior to commencement. <br /> COWTRAGTOEt'St01Rl�ER'S AfFIDAI!!T: 1 cer#ify that a!1 the information in this application is accurate and that a!!work <br /> witt be done!n compliance with ali applicable laws regulafing construc#ion,zonEng and land development. Application is <br /> hereby made to obtain a permit to do wark and installation as indicated. I certify that no work or installatian has <br /> commenced prior to issuance of a permtt and that all work will be performed ko meet standards af a!!laws regulaHng <br /> construc#ion, Counfy and Gity codes, zoning regulations, and land devetapmenf regulations in the jurisd3ctian. 1 also <br /> certify that I understand that the regulaiions of other govemment agencies may apply to the intended work, and that it is <br /> my respansibility to identify what actions!mUSt iake to be in compliance. Such agencies include but are not limited fo: <br /> - Departmenf of Env'sronmentat Protectian-Cypress Bayheads, tNe#iand Areas and Environtnec►tally 5ensifive <br /> Lands,WaterNU�stewater Treatment. <br /> - 5outhwest Florida W�ter IVlanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering , <br /> Watercottrses. <br /> - Army Corps of Engineers-Seawalis,Docks,Navigable Waterways. <br /> - pepartment of Wealth & Rehabllitative ServiceslEnvironmentel Health Unit-Welis, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmentel Protection Agency-Asbestos abatement. <br /> - Federal Aviation Authority-Runways. <br /> t understand thaf fhe fot3awing resfricftons appty to fhe use of fit1:� <br /> - Use of fill is not allowed in Fiood Zone°V°unless expressly permitted. <br /> - If the flll material (s to be used in Flaod Zone "A", (t is understood that a drainage plan addressing a <br /> "compensating vo3ume"wlll be submitted at time of permEtting whlch is prepared by a professionat enginesr <br /> licensed by the State of Florida. <br /> - If ihe fill material is to be used in Flood Zone°A" in cannection wr(th a permitted building using stem wall <br /> consfruction,1 cetfify that fitl vultl be used only ta fiC!fhe area vviEh3n the stem watl: <br /> - If flll material is to be used in any area, 1 certlfy that use af such fiti witt not adversely affect adjacent <br /> properties. If use of fill is found to adversely affect adjaoent properties,khe owner may be cited for vialating <br /> the conditions of the butSding permit issued ur�der the attached permit application,far]ats less than one{1} _ <br /> acre whfch are elevated by fi0,an engineered drainage plan is requlred. <br /> If I am the AGENT FOR THE OWPdEPt, I pramise in good falth to inform the owner of the permitting conditians set farth in <br /> thls aff�davlt prior to commencing constructlon. 1 understand that a separate perm9t may be required for electrica!work, <br /> plumbing, signs, weifs, pools, air canditioning, gas, or offier insiallations not specfficatiy Induded in fhe appiication. A <br /> permit issued shall be construed to 6e a license to proceed with the work and not as authority to vialate,cancel,alker,or <br /> set aside any provisions of the technical codes,nor shaEt issuance of a permEt prevent the Build9rig O�ciai from thereaRer <br /> requiring a correction of errors in pians,construction or violations of any codes. Euery permif 3ssued shali become tnvalid <br /> unless the wotk authorized by such permit is commenced within six months of permit issuance,or if work authorized by <br /> the permit ts suspended or abandoned far a period of six{S)months after the time the work is commenced. An extenslon <br /> may be reques#ed, tn wriEing,from the Buiiding.Oflicfal for a period�of to exceed ninety{90}days and wii{demonstrate <br /> )usti�able cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. <br /> VNAFENt(dG TO OWMER: YOUR FAtLtJRE TO RBCORD A MQTIGE OF COtI�{lREA10E[�IEt�T t�@AY RESUCT tN YOUR <br /> PAYIMG TWICE FOFt IMPF20VEMEMTS TO YOUR PROPERTY. IF YOU IPlTEND TO 08TAIN FItdANCING,COMSULT <br /> YYiTH YOUR�ENDER OR F.td ATTORNEY�EFORE RECOI2DltdG YOUR NOTlCE OF COIIAMEtdCEMENT. <br /> FLOftlDA SURAT(F:S.11�.03} <br /> OWNER OR AOENT COMTRACTOR <br /> Subsctibed and stvam to(or sffirmed}before me thts Subsai6ed at�d sxvm to{or affirmed)6efore me thls <br /> ny aY <br /> Who is/are pe�sonally known to me or has/have produced Who Islare persanally knawn to me or has/have produced <br /> as identlfiqdon. as Idendficadon. <br /> Notary Pubiic Notary Publia <br /> Commission No. Commtssion No. <br /> Name af Notary typsd,printed ar stamped �Name of Hotar}r typed,pdnted or stamped <br /> } <br />