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s <br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" 'I <br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 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 owner or intended contractor are uncertain as to what licensing requirements may appiy 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 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 /> 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, 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 final power release. If the project does not involve a certificate of occupancy or <br /> final power release, the fees must be 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 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 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 commencement. <br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work <br /> wiil 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 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 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 not limited to: <br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands,WaterNVastewater Treatment. <br /> - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. - <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. <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 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 fili 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 fili,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 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 Building Officiai 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 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 i <br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. i <br /> I <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER OR A A B FORE RECORDING YOUR NOTICE OF COMM MENT. � <br /> FLORIDA JURAT(F.S.117.0 , <br /> OWNER OR AGENT CONTRACTOR <br /> Subscribe and sworn to or affirm d befor e is / ,�, S bsc'bed nd o to or affirme before e t is <br /> �/�_ v d� L�/J rD�(Z� � � � '✓f <br /> VJ�io`is/a perso, y knov,� t me or has/have produced Who islar personally known t e has/have produced <br /> � � °�2n;i^ca,�..��. <br /> as identification. <br /> l, <br /> � ; nS �� ni�ot�ry.t�,�.�E14iv� Nbta�A�����.6.°FiCBi�l <br /> Commis ion ��'�'-�;�:-�.'rr, F�CTi'��°f P4SE�EC Commi sion N . ��;,F,S'•VF+��", Pan-En,����iF34 l4; <br />� h� .. �:��v.-Ir�T.r+'..���4'i43�:�e31� Y<.-.�� `.-e'�"'_ ��a..�i':�.�.�1. <br /> �" ~.-.{�:�i�;�. 5'� .�^�.�i'�'��.C' .:a .4�.�1,lr��`Qi <br /> Name ary typed,qtinTed_o�starr�d;�i�ii'„i;-'7"['��U�:1`�� Name of Nolary lyped,printed or stamped R "'`' f� �l21':�a� <br /> �.. -'sy!:'c',ta� �F <br /> ,�:� {� �r c�,C�sYt`t't`. <br /> �fj✓fi�:�J��� L_Si1l'.'�'vW'�}f�l::.�J Y!� �f�`�,v�"��� �,^ Aaa �`'t��?�f`���J� <br /> SJi>L�:1' LiS.�• �-+� <br />