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NOT'iCE OF DEED R�S'TRIGTIONS: The �ndersigned 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 /> UNLIC�NSED CONTRACTORS AIVD CON'TFt�iC'TOR Rf�SPONSI�I'LITIES: If the owner has�hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accotdance uVith state�and local.re�ulations. If the
<br /> contractor is not licensed as required by law, both the owner and contractor may be cited for a misd'emeanor violation
<br /> under state law. If the owner or intended contractor are uncertain as to wrhat 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 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 /> TRANSPORTATIOtV IMPACT/UTILI'TIES IIIAPAGY AIVD �ESOl1RCE RECOVEFtY FEfES: 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, vvill 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 /> COIVSTRUCTION LIEN L.�1VU(Chapter 713, Florida Sta�utes, as arr�ended): :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 fhe'above described document and promise in good faith to
<br /> deliver it to the"owner"prior to commencement.
<br />� CONTRACTOR'S/OVIINER'S !d►FFIDp►VIT: 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 wrork 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, VNetland Areas and Environmentally Sensitive
<br /> Lands, WaterM/astewrater Treatment.
<br /> - Southwest Florida Water Management .District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses. .�
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watenrvays: � �' �.� ', '`�
<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 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 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 proper�ies, the owner may be cited for violating
<br /> the conditions of the building permit issued under the attached permit application, for Iots less than one (1)
<br /> acre which are elevated by fill, an engineered drainage plan is required.
<br /> If I am the AGENT�OR TFIE OlhlNER, 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 auttio�ized by such permit is commenced within six months of permit issuance, or�,if w;ork authorized by
<br /> the permit is suspended or abandoned for a period of six(6) moriths 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)aonsecutive-days, the job i� considered abandoned.
<br /> Y'VARIVING TO OWIVER: YOUR fFAILl1RE TO RLCORD A F10TICE Of� COMIIAENCEnA�WT IIAAY RESUL7 IN YO111?
<br /> PAYING 'TVHICE FOR IIIAPROVEMENTS YO YOU12 PROI�ERYY. I�YOU IfVYEND TO OBY�11N FINANCING, CONSUL7
<br /> WITH YOl1R LEPIDER OIZ�1N EiTTORiVEY�E�O�tE fRECORDIIVG l�OUR NOTICE OF COBIifl1iENCEI�ENT:�
<br /> FLORIDA JURAT(F.S 117. 3) ` t
<br /> OWNER OR AGENY � CONTF3�4CTOii OU�J¢�W _
<br /> Subscribed and swom to(or affirmed)before me this Subscrlbed and sworn to(or affirmed)before me this
<br /> by bY
<br /> Who is/are personally known to me or haslhave produced Who Is/are personally known to me or has/have produced
<br /> as Idendfication. as identification.
<br /> .•`�`•r;''•, JOEL E ry PUbllc
<br /> Notary Public ,'� Nota
<br /> s*: ::: Commission#FF 137073
<br /> Commisslon No. Commission �+ '= Ex iresJun
<br /> •P�u.�` Bonded Ttw imy Fdn Insurenee 800385d019
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br />
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