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<br /> P10TICE OF DE�D RESYRICTIOR9S: 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. w . ,
<br /> UNLICEIVSED COWTR�►CTORS AR1D COPI��tAC'�OR �ESPOFISI�ILIYIES: 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 owmer 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 contractocs, he is advised to have the contracto�(s) sign
<br /> portions of the "contractor Block" of this application for which they vvill be responsible. If you, as the o�nrner 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 /> YR�4FV�POR'p'ATIOFd IMPACT/UTILITIE� IwflPAC�'�►P1D RE�OURCE Rf�COVERY 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 flnal power release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees must 6e 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 /> CONSTRUCTION LY�N L�►IiV(Ch�pteP�93, fFloPid�Sta��te�, a� am�e�e�ed): If valuation of work is $2,500.00 or more, f
<br /> certify that I, the applicant, have been provided with a copy of .the "Florida Construction Lien Law—Homeovvner'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 /> CO�fTR�►CTOR'S/OWIW�R'S AFFI��iiIIT: 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, zoriing 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 r�gulations 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, WaterNVastewater Treatment.
<br /> - Southwest Florida VVater Management District-VVells, 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, Wastewrater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos abatement.
<br /> - Federal Aviation Authority-Ftunv�rays.
<br /> I understand that the following restrictions apply to the use of fill:�
<br /> - Use of fill is not allowed in Flood Zone"V" uriless 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 AGEN7'FOR YHE OYiIRI�R, 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 fhe 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 �uilding 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 pecmit 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 /> ifi9ARNBi�G-'T'O-OWN��:��YOUR �/Q,IL-URE-YO @a�CO�D-�-�lO'�lCE,O��OflflflAENCEE�EP�-T-_�fli�Y_�ESU.L�_IW YO.l3H�__._ --- -
<br /> P�►YIPIG'TWIICE fFOR IfiAPRO\/EflflENTS TO YOUR PRO�ERTY. IF YOl1 IAITEND TO OBTAIN FIIVI�WCIWC, COR➢Sl1�T
<br />_ _WIITFI YOUR LEPIDER OR AW i�T7'ORIdfEY��FORE �LECORDING YOUR �lOTIC�O� COHAfiflEWC�i�iI�W�.
<br /> FLORIDA JURAT(F.S. 117.03) � , — � .. -- ---
<br /> _ � �
<br /> OI�INER OFt AGEN7 COP1Ti2�CTOR
<br /> Subscribed and sworn to(or affirmed)before me this Subscribed and s �to(or affirmed)befor me this
<br /> by
<br /> Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced ,
<br /> as Identlfica6on, as identification.
<br /> Notary Public Notary Public
<br /> Commissfon PJo. Commission No. �
<br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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