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, ' NOTICE OF DEED RESTRICTIONS: The u dersigned understands that this permit may be sub)ect to"deed"restrictions"
<br /> which may be more restrictive than County r gulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CO TRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be equired to be Iicensed in accordance with state and local regulations. If the
<br /> contractor is nat licensed as required by la , both the owner and contractor may be cited for a misdemeanor vfolation
<br /> under state law. If the owner or intended ontractor are uncertain as to what licensing requirements may apPly for the
<br /> intended work,they are advised to contact t e Pasco County Building Inspection Division—Licensing Sect(on at 727-847-
<br /> 8009. Furthermore, if the owner has hire a contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block"of this ap Iication for which they wfll be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that h is not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County.
<br /> TRANSPORTATION IMPACTIUTILITIES I PACT AND RESOURCE RECOVERY FEES: The undersigned understands
<br /> that Transportation Impact Fees and Recou se Recovery Fees may apply to the canstruction of new buildings,change of
<br /> use in existing buildings, or expansion of e isting 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 Tra sportation Impact Fees and Resource Recovery Fees must be paid prlor to
<br /> receiving a"certificate of occupancy"or fin I power release. If the project does not involve a certificate of occupancy or
<br /> ,, final power release, the fees must be paid rior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to per It Issuance in accordance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713 Florlda Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been p ovided with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida epartment of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the°owner",I certify that I have o tained a copy of the above described document and promise in good faith to
<br /> deliver it to the°owner"prior to commencem nt.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in thls application is accurate and that all work
<br /> will be done in compliance with all applicab e laws regulating construction,zoning and land development. Application is
<br /> hereby made to obtain a permit to do w rk and installation as indicated. I certify that no work or installation has
<br /> commenced prior to issuance of a permit nd that all work will be pertormed to meet standards of all laws regulating
<br /> construction, County and City codes, zoni g regulations, and land development regulations (n the jurisdiction. ( aiso
<br /> certify that I understand that the regulation of other government agencies may apply to the intended work,and that it is
<br /> my responsibility to fdentify what actions I m st take to be in compliance. Such agencies include but are not timited to:
<br /> - Department of Environmental rotection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewater Trea ment.
<br /> - Southwest Florida Water M nagement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seaw Ils,Docks,Navigable Waterways.
<br /> - Department of Heaith 8 Reh Ilitative Servfces/Environmental Health Unit-Welis, Wastewater Treatment,
<br /> Septic Tanks.
<br /> � - US Environmental Protection A ency-Asbestos abatement.
<br /> - Federal Aviation Authority-Run ays.
<br /> I understand that the following restrictions a ply to the use of flll:
<br /> - Use of fill is not allowed in Floo Zone"V"unless expressly permitted.
<br /> - If the fill material is to be us d 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 use in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction,I certify that fill wil be used only to fill the area within the stem wall.
<br /> - If fill material ls to be used i any area, I certify that use of such fill wili not adversely affect adjacent
<br /> properties. If use of Till is foun to adversely affect adJacent properties,the owner may be cited for violating
<br /> the conditions of the building ermit issued under the attached permit application,for lots less than one(1)
<br /> acre which are elevated by flll, n engineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER, I pr mise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commencing construc ion. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, afr condition ng, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a lic nse to proceed with the work and not as authority to violate,cancel,aiter,or
<br /> set aside any provisions of the technical co es,nor shall issuance of a permit prevent the Buildirig Officfal from thereafter
<br /> requiring a correction of errors in plans,co struction or violations of any codes. Every permit(ssued shali become invalid
<br /> unless the work authorized by such permit is commenced within six months of permit issuance,or'rf work authorized by
<br /> the permit is suspended or abandoned for period of six(6)months after the time the work(s commenced. An extension
<br /> may be requested, in writing,from the Buil fng O�cial for a period not to exceed ninety(90)days and will demonstrate
<br /> justifiable cause for the extension. If work eases for ninety(90)consecutive days,th�job is considered abandoned.
<br /> WARNIfVG TO OWNER: YOUR FAILUR TO RECORD A PIOTICE OF COMMIENCEMENT IVWY RESULT 19V YOUR
<br /> PAYING TWICE FOR IMPROVEMENTS T YOUR PROPERTY. IF YOU INT ND TO OBTAIN FINANCIfVG,CONSULT
<br /> '� WITH YOUR LENDER OR AN ATTORNE BEFORE RECORDING YOU IC OF COAA NCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> OWNER OR AGENT CONTRACTOR
<br /> Subscribed an b�wom to(or afflrtned)before me thls Su rib d�d � o �rmed)b fpre thl�
<br /> Who Is/are personally known to me or has/have produ ed o Is/are onally kno to me or haslhave produced
<br /> asldentlBcatlon. asidentlficatlon.
<br /> Nota Public �� No ry Public
<br /> •�,,.
<br /> Commission No. Co mis � �°= Commission#EE Q40520
<br /> -,, e;: Expires Decem sr
<br /> Name of Notary typed,printed or stamped Name of Nota e
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