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NQTtCE O� DEED RESTRICTtONS: The undersigned understands that ihis pe�mit may be subject to"deed"restrictions"
<br /> which may be more restrictive than County regulattons. The undersignsd assumes responsibllity for campliance with any
<br /> applicable deed restrickions.
<br /> UNLICENSED CONTRACTORS �ND CONYRACYOR RESPONSIBILITIES: If the owner has hired a cant�actor or
<br /> contractors to undertake wark, they may be required to be licensed in accordance with state and tocai regulations. tf the
<br /> contractor (s not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vioiation
<br /> under state law. !f the owner or intended contractor are uncertain as to what licensing requlrements may appiy for the
<br /> intended work, they are advised to contact the Pasco County Building Inspectian Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractar or contractors, he is advised to have the contractar(s) sign
<br /> portians of the "con#ractor Block" of this apptication far which they will be responsibte. tf you, as the awner sign as the
<br /> cont�actar, that may be an indicatian that he is not properly Eicensed and is not entitled to permitting privileges in Pasco
<br /> County,
<br /> _ _TR�4NS�"OIRTATION IAHPA►CT/UTILITIES IMP�4�T AND RESOURCE RECQVERY P�ES: The undersigned_understands_. _____
<br /> that Transportation Impact Fees and Recourse RecoVery Fees may apply to the constructian 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 a# the time of
<br /> permitting. !t is further understaad that Transpar#ation tmpact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a "certi�cate s�f accupancy" ar fina! pawer release, if the pro}ect does not invoive a certificate af occupancy or
<br /> final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Caunty Wate�/Sewer tmpact
<br /> fees are due, they must be paid prior ta permit issuance in accordance with applicable Pasco County ordinances.
<br /> Ct3NSTRUCTION LiEN LAW(Chapter 713� Florida Statutes, as amended): If valuation nf work is $2,500.00 or more, I
<br /> certify that 1, the app}icant, have been provided wi#h a copy of the "Fiorida Construction Lien Law--Hameowner's
<br /> Prateckion Guide" prepared by the Ftorida Department af Agriculture and Cansumer Affairs. If the applicant is someone
<br /> other than the°owner", I certify that! have obtained a copy af the above described dacument and promise in gaod#aith to
<br /> deliver it to the"owner"prior ta commencement.
<br /> CC>WTR�ICTOR'SlO1�INER'S AF�IDAVIT: I certify that all the informatian in this applicatton is accurate and that aU work
<br /> will be done in compliance wi#h al{ appiicabie laws regulating construction, zoning and land development. Application is
<br /> hereby made to abtain a permit Ea da work and instaliation as indicated. I certify that no work or installation has
<br /> commencsd priar to issuance of a permit and ihat a!1 wark will be perfarmed ta meet standards of all laws regulating
<br /> cons#ruction, Gounky and Gity codes, zoning regulations, and land develapment regulations in the jurisdiction. t alsa
<br /> ce�tify 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 nat limited to:
<br /> - � Department of Environmental.Protectian-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands, WaferlWastewater Treatment. ' � �
<br /> - Southwest Fiorida� Watec Management Distric#-Wetts, Cypress Bayheads, �Utletland Areas, Al#ering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls, Rocks, IVavigable Waterways.
<br /> - Department of Health & Rehabilitative ServfceslEnvironmenkal Health Unit-Wells,_Wastewater Treatment,
<br /> Septic Tanks. '
<br /> - US Environmental Pratection Agency-Asbestos abatement.
<br /> - Federal Aviation Autharity-Runways.
<br /> ! understand that the foNowing restrictions apply to the use of fi#f:
<br /> - Use of fill is not allowed in Fload Zone"V"unless expressly permltted.
<br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br /> � "compensating vo(ume° wiil be submitted at #ime of permitting which is prepared by a professional engineer
<br /> (icensed by the State of Ftorida.
<br /> - !f the fill maEeriat is ta be used in Flaocf Zone "A" in connection with a perrniffed building using stem waii
<br /> cons#ructian, 1 certify that fil!witf be used anly to f�ll the area wi#hin the stem wal1.
<br /> - If fill material is to be used In any area, I certlfy that use of such �I! wifl nat adversely affect adjacent
<br /> �' properties. If use of fill is found to adversely affect adjacent praperties, the owner may be citec! for vialating
<br /> � the conditions of the building permit issued under the attached permit application, far lots less than one (1)
<br /> ��� acre which are elevated by fili, an engineered drainage plan is required.
<br /> If I am the A�G�NT FOR THE OWNER, 1 promise in gaad faifh to inform#he owner af the permitting aonditians set forEh in
<br /> this affidavit prior to commencing canstruction. I unclerstand that a separate permit may be requirad for etectricai work,
<br /> plumbing, signs, weUs, pools, air conditioning, gas, or ather instaUa#ions not specifically incfttded in the application. A
<br /> permit issued shall be canstrued to be a license to proceed with the work and not as authority to.violate, cancel, alter, ar
<br /> set aside any provisians of the technical codes, nor shall issuance of a permit prevent the Building Official from the�eafter
<br /> requiring a correction of errors in plans, cons#rucfion or vioiations of any codes. Every permit issued shall became invalid
<br /> unless the work autharized by such permit is cammenced within six months af permit issuance, ar if wark au#horized by
<br /> the permiE is suspended or abandoned for a period of six{6}months after the t�me the work is commenced. An ex#ension
<br /> may be requested, �n writtng, from the Building �ffic(al for a periad not to exceed nEnety (90) days and will demonstrate
<br /> justifiable cause far the extension. If work ceases for ninety(90)consecutive days,th�job is considered abandoned.
<br /> WARNiPIG 'TO 011iillN�R: YOU FAiLUitE TO RECORD A NOTICE O� COriAflIIflENCEMENT �ViAY RESULT IPl YOUit
<br /> PAYING TWICE FOR I�i1PR0 NfENTS TO YOUR PROpERTY. tF YOU INTEND a QBTAIN FINANGtNG� CONSULT
<br /> WI`CH YC?UR I.ENDER C3R ATTt3R Y �FO E RECQRDiNG YOUR NO OF C NlNtE �iVi� .
<br /> ��aRiaA,�uRar t�.s.��7.os - . -
<br /> OWNER OFt AGEN7 ___� _ - �ONTRACTOR .
<br /> Subscribed and sworn to(or afflr c!}be#ore me this Subscr(bed and swom or aff]rmed)be ore me this
<br /> by �Y
<br /> Who is/are personaNy known ta me or has/have produced Who(s/are personally knawn to me or has/have produced
<br /> as lden8tication. as ldentification.
<br /> ��Notary Public Notary Publia
<br /> Commisston Na. - Commfsston Na.
<br /> f��m�ot N.�tary typed,printed ar starnped Name of Notaty typed,pdnted ar s#amped
<br />
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