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. � NOTICE OF DEED RESTRICTIONS: The und rsigned understands that this permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than County reg lations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONT CTOR RESPONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be re uired to be licensed in accordance with state and local reguiations. If the
<br /> contractor is not licensed as required by law, oth the owner and contractor may be cited for a misdemeanor violation
<br /> under state law If the owner or intended con actor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the asco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired contractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the°contractor Block"of this appli tion for which they wiil be responsible. If you, as the owner sign as the i
<br /> contractor,that may be an indication that he i not properly licensed and is not entitled to permitting privileges in Pasco
<br /> County ;
<br /> TRANSPORTATION IMPACT/UTILITIES IMP CT 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 exis ng buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07,as amended. The undersigned also u derstands,that such fees, as may be due,will be identified at the time of
<br /> permitting. It is further understood that Trans ortation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy"or final p wer release. If the project does not involve a certificate of occupancy or
<br /> final power release,the fees must be paid pri r to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit ssuance in accordance with applicable Pasco Couniy ordinances.
<br /> CONSTRUCTION LIEN LAW(Chapter 713,F orida Statutes,as amended): If valuation of work is$2,500.00 or more,I
<br /> certify that I, the applicant, have been prov ded with a copy of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida De artment of Agriculture and Consumer Affairs. If the applicant is someone
<br /> other than the"owner",I certify that I have obt ined a copy of the above described document and promise in good faith to
<br /> deliver it to the"owne�'prior to commencemen.
<br /> CONTRACTOR'SIOWNER'S AFFIDAVIT. I c rtify that all the information in this application is accurate and that all work
<br /> will be done in compliance with all applicable aws 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 an that all work will be performed to meet standards of all laws regulating
<br /> construction, County and City codes, zoning egulations, and land development regulations in the jurisdiction. I also
<br /> certify that I understand that the regulations o other govemment agencies may apply to the intended work,and that it is
<br /> my responsibility to identify what actions I mus take to be in compliance. Such agencies include but are not limited to:
<br /> - Department of Environmental Pro ection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterlWastewater Treatm nt.
<br /> - Southwest Florida Water Man gement District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawall ,Docks,Navigable Waterways.
<br /> - Department of Health & Rehabili ative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Age cy-Asbestos abatement.
<br /> - Federal Aviation Authority-Runwa .
<br /> I understand that the following restrictions appl to the use of fill:
<br /> - Use of fill is not allowed in Flood Z ne"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 su mitted 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 i Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction,I certify that fill will b used only to fill the area within the stem wall.
<br /> - If fill material is to be used in a y area, I certify that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found t adversely�affect adjacent properties,the owner may be cited for violating
<br /> the conditions of the building per it issued under the attached permit application,for lots less than one(1)
<br /> acre which are elevated by fill,an ngineered drainage plan is required.
<br /> If I am the AGENT FOR THE OWNER,I prom se 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 licen e to proceed with the work and not as authority to violate,cancel,alter,or
<br /> set aside any provisions of the technical code ,nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,const ction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is ommenced within six months of permit issuance,or if work authorized by
<br /> the permit is suspended or abandoned for a p riod of six(6)months after the time the work is commenced. An extension
<br /> may be requested, in writing,from the 'Idin Official for a period not to exceed ninety(9 days and will demonstrate
<br /> justifiable cause for the ext nsion. rk�cea es for ninety(90)consecutive days the job' idered abandoned.
<br /> WARNING TO OWNE OU I URE T RECORD A NOTICE OF CO T MAY RESULT IN YOUR
<br /> PAYING TWICE FOR O S TO �UR PROPERTY. IF YOU T AIN FINANCING,CONSULT
<br /> WITH YOUR LEND RNEY BffFORE RECORDING YOUR T.
<br /> FLORIDA JURAT(F.S. 7
<br /> OWNER OR AGEN CONTRACTOR
<br /> �S`bsc�bea �abswom ro(j'i`�rtned�befo m/enth� ��b��e�,and by to(o�`rryeA)bgforg me_t�
<br /> �-19-L� ��� �., � �.< <i,+.�
<br /> Who is/re personally known to me or haslhave produced Who is/are personally known to me or haslhave produced
<br /> �/ as identification. as idenGfication.
<br /> �� Notary P blic � Notary Public
<br /> C missio o. l������ Commissio No. Fr �8 5
<br /> �os� �1�✓'r�.�' � /`�/' .J
<br /> ��� nted or sta ped Name of N ary typed,print d or stamped E����
<br /> NOT/UtY PUBLIC NOTARY PUBLIC
<br /> STATE OF FLORIDA STATE OF FLORIDA
<br /> � CortrNR FF141835 � Catrt�FF141835
<br />� � E �° Expins 8/30/201� i� Expfres 8130/2015
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