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NOT9CE OF DEED EZE�TRIC'�iOfVS: The undersigned understands that this permit may be subject to "deed"rest�ictions" <br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any <br /> applicable deed restrictions. <br /> UNLICENSED GORlTRACTORS AND COMTRACTOFt FtESPOR�SIBILITIE�: 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 ancl 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 Counfy 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 responsible. If you, as the owner 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 /> TRe4NSPOR7'ATION IMPACT/l@TELiTIES IMPACT�►MD FZESOURCE RECO!/EFZY 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. Et is further understood that�ransportation Impact Fees and Resource Recovery Fees must be paid prior to <br /> receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or <br /> final power refease, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer Impact <br /> �fees are due, they must be paid prior to permit.issuance in accordan�e with applicable Pasco County ordinances. <br /> COIVSTRlICT60�9 LIE6V LeaaW(Gh�pter 7�Y3, Florida Sta#utes, 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 /> I'rotection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone <br /> other than the"owner", I certify tliat I have obtained a copy of the ab�ove described document and promise in good faith to <br /> deliver it to the"owner" prior to commencement. • <br /> CONTRAC'T'Oit'S/011116VER'S AFFIDAVIT: I certify that all the informafion 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 prio� 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. 1 also <br /> . certify that I understand that the regulations of otfier government agencies may apply to the intended work, and that it is <br /> rny responsibility to identify what actions 9 must take to be in compliance. Such agencies include but are not limited to: <br /> - Department of Environmental Protection-Cypress �ayheads, Wetland Areas and Environmentally Sensitive <br /> Lands, lNaterNVastewater Treatment. <br /> - Southwest Florida Wate� Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> 11Vatercourses: � <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. <br /> � - Department of Health :& Rehabilitative Services/Enviror�mental Nealth Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Prot_ection Agency-Asbestos abatement. <br /> - Federal Aviation Autliority-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, ! certify that fill will be used only to fill the area within the sfem wall. <br /> - If fill material is fo 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 #he attached permit application, for lots less than one (1) <br /> acre which are elev�ted 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 fhe work and not as authority to violate, cancel, alter, or <br /> set aside any p�ovisions 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 abandaned for a period of six(6) months aft�r the time the work is commenced. An extension <br /> ---may be �equestecl,-in writing, frorn�the Building Official for a period not to exceed ninety (9p) days and will demonstrate <br /> justifiable cause fo�the extension. If work.ceases for ninety(90)consecutive days, th�job is considered abandoned. <br /> W/�BaNINf� TO OWNEPZ: YOUI� Fe4iLl9RE TO RECOFtD e4 IVOTICE IJ� COMNIENCEMEf�I�' M�4Y RESUL7' Vfd YOl1R <br /> PEiYiMG TVVICE FOR i6NP6�OVEMEIdTS TO Y011Ft 6'I�OPERTI(. IF Y�l! IEdTEND TO O�TAIN FINANCING, GOfdSULT <br /> IiVITH YOUR LEfVDER�Ft a4N ATTORNEY��FORE REGORDIIVG YOVJR NOTICE OF COMMENCEMENT. • <br /> FLORIDA JURAI'(F:S.1 . ) ///��� � /� <br /> ' �.-..�:..-�.-..'-��,�:9 � ` ' �',y,'�,, _ .- `{.�-•_i'` ;�,�:_...-._.;.^�°,i�r.i-:.-"';r,,,'; '__ • I �7 <br /> OWNEFt`OR%4GENT'.''---= ..-.;� `CURITRACTOF� � .; _ v�� _ <br /> �ubsc��tie�ndb�wo r�ffi`i d)be�or�e�me�this Suescribe and sworr�,te-Eot�a ir ed befo m�this, <br /> -- �j�iry. � Y �-v �P�I'l—C� by l�ry+� ��'G�-ot�� <br /> Who is/are personally known to or has/have produced Who is/are personally known to m has/have produced <br /> as identification. as identification. <br /> � r� ��G� `� . . <br /> ot Public Notary Public <br /> ���y�pV�c, .��""���� ANNA ARIE I.YNCH TERRY <br /> Commis i� B`�'- Notary Public-State ot Florida ` R�PL, <br /> Commission N . .�o�°' °�',, . . <br /> _ . ° = My Comm. ; . . = <br /> ?�» •oP= Commission#EE 166865 :• . , •= .My Comm.Expires Apr 4,2016 <br /> . . " <br /> Name o (�dTda a Name of Nota ty F d or <br /> ��� '� '��,������`� Bonded Through National Notary Assn. <br />