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<br /> TI E OF DEED RESTRICTIONS: The undersigned unders ands that this permit may be subject to"deed°restrictions°
<br /> which may be more restrictive than County regulations. The u dersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UNLICENSED CONTRACTORS AND CONTRACTOR RES ONSIBILITIES: If the owner has hired a contractor or
<br /> contractors to undertake work,they may be required to be lice sed in accordance with state and local regufations. If the
<br /> contractor is not licensed as required by law, both the owner nd contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner or intended contractor are unce ain as to what licensing requirements may apply for the
<br /> intended work,they are advised to contact the Pasco County B ilding Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the owner has hired a contractor or ontractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Block°of this application for which hey will be responsible. If you, as the owner sign as the
<br /> contractor,that may be an indication that he is not properly lic nsed and is not entitled to permitting privileges in Pasco
<br /> Counry
<br /> TRANSPORTATION IMPACT/UTILITIES IMPACT 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 existing buildings, a specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersigned also understands,that uch fees, as may be due,will be ident�ed at the time of
<br /> permitting. It is further understood that Transportation Impact ees and Resource Recovery Fees must be paid prior to
<br /> receiving a"certificate of occupancy°or final power release. I the project does not involve a certificate of occupancy or
<br /> final power release,the fees must be paid prior to permit issu nce. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be paid prior to permit issuance in acco dance with applicable Pasco County ordinances.
<br /> CONSTRUCTION LIEN LAW(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 co of the "Florida Construction Lien Law—Homeowner's
<br /> Protection Guide"prepared by the Florida Department of Agri Iture and Consumer Affairs. If the applicant is someone
<br /> other than the°owner",I certify that I have obtained a copy of t e above described document and promise in good faith to
<br />� deliver it to the"owne�'prior to commencement.
<br /> CONTRACTOR'S/OWNER'S AFFIDAVIT. I certify that all the nformation in this application is accurate and that all work
<br /> will be done in compliance with alf applicable laws regulating onstruction,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 /> I commenced prior to issuance of a permit and that ail work II 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 govemme t agencies may apply to the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in co pliance. Such agencies include but are not limited to:
<br />, - Department of Environmental Protection-Cypress ayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterMlastewater Treatment.
<br /> I - Southwest Flonda Water Management Distri Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br /> - Army Corps of Engineers-Seawalls,Docks,Naviga le Waterways.
<br /> - Department of Health & Rehabilitative Senrices/ nvironmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental Protection Agency-Asbestos ab ement.
<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 e ressly permitted.
<br /> - If the fill material is to be used in Flood Zone °, it is understood that a drainage plan addressing a
<br /> "compensating volume"will be submitted at time o 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 e area within the stem wall.
<br />' - If fill material is to be used in any area, I cerf that use of such fill will not adversely affect adjacent
<br /> properties. If use of fill is found to adversely affec adjacent properties,the owner may be cited for violating
<br /> the conditions of the building permit issued under he attached permit application, for lots less than one (1)
<br /> acre which are elevated by fill,an engineered drain ge plan is required.
<br /> If I am the AGEIdT FOR THE OWNER, I promise in good faith o inform the owner of the permitting conditions set forth in
<br /> this afftdavit prior to commencing construction. I understand t at a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, paols, air conditioning, gas, or other i stallations not specfically included in the application. A
<br /> permit issued shall be construed to be a license to proceed wit the work and not as authority to violate, cancel, alter, or
<br /> set aside any provisions of the technical codes,nor shall issua ce of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors in plans,construction or violatio s of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by such permit is commenced with n six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6)m nths after the time the work is commenced. An extension
<br /> may be requested, in writing,from the Building Official for a p riod 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. $o aw
<br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A OTICE OF COMMENCEMENT MAY RESULT IN YOUR �a o ��°
<br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER . IF YOU INTEPID TO OBTAIW FINANCING,CONSULT � � ��
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOR ING YOU NOTICE OF COMMENCEMENT. =y � �
<br /> FLORIDA JURAT(F.S. 1 0 _ ' �
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<br /> �OWNER OR AGENT � CON CTOR .� � S E �
<br /> i /��r:S Subscribed nd swo to(or affi e bef ine this 10'j/� bs�r i d nd sworn to or affirmed bef� me this I O " O.(1 y A E E
<br /> �' (' �-'-Z 0 by Y` ° ' a :l by . Y; :l , � ° o
<br /> Who is/arepe rsonal known to me or haslhave produced o is! e ersonall known to�ne�or has/have produced V V
<br /> �(t`\I'P rS �:�(I.SrP as identification. t' ��S �CL(l.�-F as identification. a°�
<br /> n, •`�`�••�O4ti':
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<br /> Notary Public Notary Public e, =
<br /> Comr�ission No. �J Commi ion No. �1' I! �-�—Il �•�oti ti*s�
<br /> u-�L/i� W . W l L ������iNn`"�
<br /> Name of Notary typed,printed or stamp Name o Notary typed,printed or stamped
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