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N0710E OF DEED RESTRICTIONS: The undersigrt�d und�rstands that this permit may be subject to"deed"restrictions"
<br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compiiance with any
<br /> applicable deed restrictions. -
<br /> UNLICENSED CON7RACTORS �►ND COWTR�CTOR RESPONSIBILITIES: 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 r�sponsible. If you, as the owner sign as the
<br /> contractor, that may be an indication that he is not properly licensed'a�nd is not entitled to permitting privileges in Pasco
<br /> County. ' '� � �
<br /> 7�2APISPOItTATIOIV IWlPAC7/UTILITIES INiPACT APlD FtESOURCE 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-OZ, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of I
<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 �roject does not involve a certificate of occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furth�rmore, if Pasco County Water/Sewer Impact
<br /> fees are due, they must be paid prior to permit issuance in accordance writh applicable Pasco County ordinances.
<br /> CO(VSTRUCTION LIEfV LAVN(Chapter 713, Florida Statutes, 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 /> GONTRACTOR'S1O11�ffNER'S AFFIDAVIY: 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 /> 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, Water/Wastewater 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 & 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 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 AGENT FOR THE 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 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, the job is considered abandoned.
<br /> WIARNING TO OWNER: YOU1Z F�►ILURE TO RECORD A NOYICE OF COMMENCEMENT Illitf�Y RESULT IW YOUR
<br /> PAYIIVG TWICE FOR IIVIPROVEflAENTS 70 YOUR PROPERTY. IF YOU INTEND TO O INANCING, CONSULT
<br />. ---V�lT1-1-I.CAIl�_L�NDER_OF���I-AT'TOFt9V[�Y��FQRE [��CG1RD��!(9_XOU _ Oi�lf�!!!E E�flENT'.
<br /> FLORIDA JURAT(F.S. 117.Q3)
<br /> I OWNER OR AGENT COWTRACT
<br /> 5ubscrlbed and swom to or afflrmed before me thfs Subscrlbed and swQm, r affir ed b or e this /
<br />, by ( , �—d/� by(I'�c.. G•�r`'D C�Nl��1/'
<br /> Who islare personally known to me or has/have produced Who Is/are persona�y known to me or haslhave produced
<br /> as IdentificaUon. -�L• 72t�►2i Lr�S2 as identification.
<br /> Notary Public r� Notary Public
<br /> Commisslon No. Co ssion
<br />� Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
<br />
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