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<br /> 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 /> UNLICEIdSED CONTRACTOFtS �►IVD CONTFZAC'TOR RESPONSIBIL{TIES:�- �If the-owner has hired 'a�.contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordarice 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 wha# licensing requirements may apply for the
<br /> intended work, they are advised to confact 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 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 /> TRANSPORTATION IMPACT/UTILITIES IMPAC'T 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 "certificate of occupancy" or final powrer 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 pai�pjior to permit issuance in accordance with.applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEfV LAW(Chapter 713, Florida.$tatutes;: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 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 /> CONTF�ACTOR'S/OIAINEFZ'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 developrrient. Application is
<br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work o� 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, WaterMlastewater 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 8 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 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 Flovd 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 violafing
<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 YHE 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 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 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 iss , or if work authorized by
<br /> the permit is suspended or doned for a period of six(6) months after the time the.�r commenced. An extension
<br /> may be requested, in w ' g rom the Building Official for a period not to.excee in ( , ) days and'�will demonstrate
<br /> justifiable cause for t ext sion. If work ceases for ninety(90)consecutive d s, �ob s considered abandoned.
<br /> ,
<br /> WARfdING TO WfVE : YOUR.FAILURE TO RECORD A NOTICE OF NC �IAENT MAY RESULT IN YOUR
<br /> P/�YING 7WIC FOR MPROVEMENTS TO YOIJI�PItOPEftTY. IF YO T D OBTAIfV FINAfVCING, CONSl1LT
<br /> ViIITH YOUR OR AN ATYORN EFORE RECO�DING YO OMnIIENCEMEN'T.
<br /> FLORlDAJURA - 3) - — - - — - ---- -�- - --- _ ^_
<br /> OVIINER O CONT TOR
<br /> Subscri d a w o rm d)before me this Subs ed and swo to(or aff' d me this
<br /> y by
<br /> Wh islare on y own to e or has/have produced o Is/ar onal known to me or has/have produced
<br /> as Identlfication. as identification.
<br /> " "' Notary Public
<br /> tary Public •.
<br /> •: :� Commission#FF 137073 ; �R: Commission#FF 137073
<br /> Commis �� �.= �dy Commis on :; �a:
<br /> �i. �� �'•P,���;•�� BorMed �
<br /> 1Mi Troy Fain Insira�ce gpp.3B5.I019
<br /> '9,P,;.�.��`��, BonEed Tlw Tray Fein Insurance 800.385.70U
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br />
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