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<br /> NOTICE OF DEED RE�TRICTIOWS: 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 /> 11NLICENSED CONYR�►CTORS �►ND COPIYI2ACYOR ��SPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work, they may be required to be licensed in accordance 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 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 /> Tlt�►NSPOF2TATION IMPACTIU7ILITIES Illfi��►CY�►ND RESOUFtCE 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 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 /> COFISYVtIlCTION L.If�N LAlfil(Chapter 7'V3, FI�Pid��ta�utes, as aenended); 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 /> CONTRACTOR'S/OWINER'S AF�IDAVI7: 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 /> i 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 Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br />� Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Watervvays.
<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 voluine" 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 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 AGEIdT'FOR YHE OWINER, 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 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 /> IAIARPJING TO OWNER: YOUR �AILIJRE TO RI�CORD �► �IOTICE OF COMMENCEi1�ENT f1AAY R�SULT IN YOIJR
<br /> P�►YING 'TVNICE FOR IfVIPROVEI1flENTS TO YOUR PROPEIZYY. IF YOU INTEND TO OBYAIN FIN�►NCINC, COiVSl1LT
<br />-- l�i11TH YOlJ9Z LL=RIDEFZ-O��19V-A�ORfV�Y��EOR� RECO�DING YOUR NO�ICE-OF-CONifiAENCEiNiENT.
<br /> FLORIDA JURAT(F.S. 117.03)
<br /> OIAINER OFt AGEIdT COiVTFtACT
<br /> Subscribed and swom to(or a�rmed)before me thls Subscrlbed and sworn t (or affirmed)before me this
<br /> by by
<br /> Who Islare personally known to me or has/have produced Who Is/are ersonally k own to me or has/have produced
<br /> as Identlfica6on. as identification.
<br /> Notary Public ' Notary Public
<br /> :.__ Commission#FF 137073
<br /> Commisslon No. Commi io � � p�= ' �
<br /> 'I�� �nta'�� BoMed Ttw Troy Pan lasuarxe 80U385•I018
<br /> Name of Notary typed,printed or stamped Nam o otary typed,printed or stamped
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