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<br /> Fd0710E OF DEED RESTRICT OIdS: The undersigned understands that lhis permit may be subject to"deed"restrictions"
<br /> which may be more restrictive han County regulations. The undersigned assumes responsibility for compliance with any
<br /> applicable deed restrictions.
<br /> UfdLICEMSED COfdTR,9CT0 S �4i�D COPdTRi4C'TOFt RESPOR151�ILIYIES: If the owner has hired a contractor or
<br /> contractors to undertake work, hey may be required to be licensed in accordance with state and local regulations. If the
<br /> contractor is not licensed as r quired by law, both the owner and contractor may be cited for a misdemeanor violation
<br /> under state law. If the owner r intended contractor are uncertain as to what licensing requirements may apply for the
<br /> intended work,they are advise to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
<br /> 8009. Furthermore, if the ow er has hired a conlractor or contractors, he is advised to have the contractor(s) sign
<br /> portions of the"contractor Blo k"of this application for which lhey will be responsible. If you, as the owner sign as the
<br /> contractor, that may be an indi ation that he is not properly licensed and is not entitled to pe�mitting privileges in Pasco
<br /> County.
<br /> TRAMSPOR7ATION IAflP/ACYI TILtYIES IflflPAC7 AfUD RESOURCE FtECOVEitY FEES: The undersigned understands
<br /> that Transportation Impact Fee and Recourse Recovery Fees may apply to the construction of new buildings,change of
<br /> use in existing buildings, or ex ansion of existing buildings, as spec�ed in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The und rsigned also understands, that such fees, as may be due,will be identified at the time of
<br /> permitting. it is further unders ood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br /> receiving a°certificate of occu ancy"or flnal power release. If the project does not involve a certificate of occupancy or
<br /> final power release, the fees ust be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br /> fees are due,they must be pai prior to permit issuance in accordance with applicable Pasco County ordinances.
<br /> COMSTRUCTIOfV LIEId LA1�1( hapQer 713, Florida Statutes,as amended): If valuation of work is$2,500.00 or more, I
<br /> certify lhat I, the applicant, h ve 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 ommencement.
<br /> COYdTRACTOR'SIOlAlWER'S FFIDANIT. I certify that all the information in this application is accurate and that all work
<br /> will be done in compliance wit all applicable laws regulating construction, zoning and land development. Application is
<br /> hereby made to obtain a per it 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 th regulations of other government agencies may apply to the intended work, and that it is
<br /> my responsibility to identify wh t actions I must take to be in compliance. Such agencies include but are not limited to•
<br /> - Department of En ironmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> Lands,WaterMlas ewater Treatment.
<br /> - Southwest Florid Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses.
<br />' - Army Corps of En neers-Seawalls,Docks,Navigable Waterways.
<br /> - Department of He Ith � Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> - US Environmental rotection Agency-Asbestos abatement.
<br /> - Federal Aviation A thority-Runways.
<br /> I understand lhat the tollowing estrictions apply to the use of fill:�
<br /> - Use of fill is not all wed in Flood Zone"V"unless expressly permitted.
<br /> - If the Till material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a I
<br /> "compensating vol me"will be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the Sta e of Florida.
<br /> - If the fill material i to be used in Flood Zone "A" in connection with a permitted building using stem wall
<br /> construction,I certi that fill will be used only to fill the area within the stem wall.
<br /> - If fill material is t be used in any area, I certify that use of such fill will not adversely affect adjacent ,
<br /> prope�ties. If use f fill is found to adversely affect adjacent properties, the owner may be cited for violating ,
<br />' the conditions of t e building permit issued under the attached permit application, for lots less than one(1) ,
<br /> acre which are ele ated by fill,an engineered drainage plan is required.
<br /> If I am the�1GEPdT FOR TF9E dHWER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br /> this affidavit prior to commenci g construction. I understand that a separate permit may be required for electrical work,
<br /> plumbing, signs, wells, pools, ir conditioning, gas, or other instailations not specifically included in the application. A
<br /> permit issued shall be constru d 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 echnical codes,nor shall issuance of a permit prevent the Building Official from thereafter
<br /> requiring a correction of errors n plans,construction or violations of any codes. Every permit issued shall become invalid
<br /> unless the work authorized by uch permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or aba doned for a period of six(6)months after the time the work is commenced. An extension
<br /> may be requested, in writing,f om the Building Official for a period not to exceed ninety(90)days and will demonstrale
<br /> justifiable cause for the extensi n. If work ceases for ninety(90)consecutive days,the Job is considered abandoned.
<br /> WdRAlIP1G TO OWIf�ER: YO R FAILl9RE TO RECORD A MOTICE OF COBAMEMCENVEMT AflAY RESUL7 Ild YOUR
<br /> PAYIRIC TWIICE FOR IVWPRO EfIfIE�IYS TO YOUR PRO�ERN. IF YOU IVdTEND TO OBTAIM FIPlAtdCIMG,CORISULT
<br /> WlITH VOUR LEPlDER OR AM TYORPlEY BEFORE f2ECORDIPIG YOUR ICE OF CO ER10EnAER1T.
<br /> FLORIDA JURAT(F.S.117.03j .
<br /> OWNER OR AGEfdT CONTRACTOR n
<br /> Subscribed and sworn to(or affirmed) e(ore me this Subscribed and o r affirmed)b ore is
<br /> by by ii 4 Gb
<br /> Who is/are personally known to me or aslhave produced Who Is/are personally known to me or haslhave produced
<br /> as Id nlfficaUon. as Identlficadon.
<br /> Notary Public Notary Public
<br /> ��,�",,,,- JACQUELI BCGES
<br /> Commission No. Co m sio �•
<br /> _; ;FE� mmiss on "n40520
<br /> Name of Nolary typed,printed or slam ed Name of N tar� � intg�g��r�g ����seranceB0a385-7013
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