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. <br /> NOTICE OF DEED RES'fRICTION5: The undersigned understands that this per.mit may be subject to"deed"restrictions" <br /> which tnay be rriore restric#�ve tlian County regulatians. The undersigned assumes responsibility for compliance with any <br /> applicable deed restrictions. . � <br /> UNLiCENSEO CC?NTRAGTORS AND CC?NTRAGTOR RESPONSlBt[.ITIES: !f the owner has hired a contractor or <br /> contractors #o undertake work, they may be required to be licensed in accordance with state.and:tacai regulations. tf the <br /> contractor is not licensed as requlred by law� bokh the owrner and contractor may be clted for a mtsdemeanar violation <br /> under state taw. if the owner or intended�contractor are uncer#ain as ta what ticensing requirements may appEy�for the <br /> intended work, they are advised to cantact the.Pasco County Building Inspection Division—Licensing Section at 727-847- <br /> 8Q09. Fu�thermore, if the awner has hired a con#ractor or contractars, he 9s aciv3sed to have the cantractor{s) sign <br /> portions of the "cantrac#ar Black" of this apPllca#ion for which they wiil�be responslble. tf you, as.the awner sign as the <br />� contractor, that may be an lndication that he is not properly licensed and is not entitled to permitting privileges in Pasco <br /> County. <br /> TRANSPORTATION_IMPACTIUTILII"IES IMPACT AND RESC?URCE RECOVERY FEES: The undersigned understands <br /> that Transportatiort tmpact Fees.and Recourse Recavery Fees may apply to the construction of new buildings, change afi <br />� use in existing buildings, or expansion of exi'sting buildings, as specified in Pasco County Ordinance number 89-07 and <br /> 90-07, as amended The unde�signed also understarids, that such fees, as may be due, wili be identified at the time af <br /> permitting. It is further understood that Transparkation Impact Fees and`Resource Recovery Fees.must be paid priar to <br /> receiving a "certificate af occupancy",or�nal pow►errelease. If the project.does not involve a certificate of occupancy or <br />'I #inal pawer reiease, 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 Is�uance(n accordance with applicable Pasco County ordinances. <br /> CONSTRUCTION L4EN LA1N{Chapter 713� Florida_Statutes�as amended�: !f valuation o#work is$2,500.�0 or more, 4 <br /> certify that 1, the applicant, liave been provided with a copy of the °Florida Construction Lien Law—Hameowner's <br />' Protectien Guide" prepared hy the Florida Department of Agriculturs and Consumer Affairs. If the applicant ts someane <br /> other#han#he°awner", t certify thaf t have..otitained a copy of the above described document and promise in gaod fai#h to <br /> deliver it to the"owner"prior to commencement. <br /> CQNTRACTOR'S1t?WNER'S AFFIQAVIT: 1 ce�tify tFtat all the information In this applicat(on is accurate and that a}I work <br /> will�be done in campliance with all applicable laws regulating constructian, zoning and land development. Application is <br /> I'� hereby made to obtain a permit to do work and instaifation as �ndicafed. 1 certify that na wortc ar instaitation has <br />' commenced prior to issuance of a permit and that.aq work will be performed to meet standards of all laws regulating <br /> construction, County and City 'codes, zoning regulatians� and land development regulations in the jurisdictic�n. ! also <br /> ce�tify that 1 unders#and that the �egulations a#other gavernrnent agencies onay apply ta the intended work, and that if is <br /> my responsibility ta iden#ify what actions I must take to be.ln compllance. Such agencies include but are.not limited ta: <br /> - Departmen# af Enviranmental Protec#ion-Cypress Bayheads, We#land Areas and Environmentally Sensitive <br /> Lands, WaterlWas#ewa#�r Trea#ment. <br /> - 8outhwest Florida Water Management District-WeNs, Gypress. Bayheads, Wetiand Areas, Aitering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. <br /> - Depar#ment of Health & Rettabilitafive ServiceslEnv'tronmental Health Unit WeEls, Wastewater Treatmenf, <br /> Septia Tanks. ` , <br /> - US Environmentai Protection Agency-Asbestas abatement, _ � , _ _ _. <br /> - -- Federal Aviation Authori#y-Runways. � - <br /> I understand that the following restrictions apply ta the use of flll:� <br /> - Use of fill is no#allowed in Flaod Zane"V"unless expressiy pe�mitted. <br /> ' - If the� fill material is to�be used in Flood Zone "A", it is understood #hat a drainage plan addressing a <br /> "cornpensati�g volume" wi11 be submitEed at time of periz�itting which is prepared by a professionai eng�neer <br /> licensed by#he State of Florida. <br /> - !f the fill material is to be used in Flood Zone "A" in�connectfon wiEh.a {�ermitted buiid�ng using stem wall <br /> construction, i cectify tha#fiN wiN be-used only ta.fill the area wi#hin the stem wai1. <br /> - If fill material-is ta be used in any area, I certify that use of such fill will not adversely affect adjacent <br /> prope�ties. If use af fill Is.found to adversely.affect adjacent propert#es, the owner may be cited for vio[ating <br /> � the canditions of the building permit issuecl under the attached permit application, for lots less than one (1) <br /> acre which are elevated by fill, an englneered drainage plan is required. . <br /> (f I am the AGENT FOR THE OWNER, l,promise in good faith to inform the owner of the permitting conditions set forth in <br /> this affidavit prior to commencing canstruc#ion. I understand #hat a separate permit may be required for etectrical work,. <br /> plumbing, signs, wells, paals, air conditioning, gas, or ofher instaltations nvt specifically included in.fhe applicatian. _A <br /> permit issued shall be construed to be a license#o proceed with the work and nat as authority to,violate, cancel, al#er, or <br /> set aside any provisians of the technlcal codes, nor shaEl issitance of a pe�mit prevent#he Build9rig O�c3al from thereafter <br /> requiring a correction of errors in plans, canstruction or violatians of any codes. Every permit issued shall became invalid <br /> unless the work authorized by such permit Es commenced wEthin s�x rn�nths of permit issuance, or if work au#harized by <br /> the permit is suspended ar abandoned for a periad of six(8)months after the time the work is commenced. An extension <br /> may be requested,.in writing, from the Building Official for a period not ta exceed ninety {90) days and will demonstrate <br /> justi#iable cause for.the extensibn. If wark ceases for ninety{90)consecu#ive�days,.the jab is cansidered abandoned. <br /> W�►RNING TO C?WNER: YOUR EAILURE T� RECORD A NQTiCE OP CQMMENCEMENT MAY RESULT iPt YQUR <br /> PAYING TWICE FOR,IMPROVEMENTS TO YUUR PROPERTY. IF YOU INT�ND.TO OBTAIN FINANGING, CON3ULT <br /> WITN YQUR lENDER:QR AN ATTORNEY BEFORE RECORDING YOUR NOTICE t�F COMMENGEMENT: __ <br /> _ Fior�rc�a�lu��r_��s._��z:oa��—___ --��-_.: ------ - � -.� � -- -- ___ � _ -- – _ <br /> QWNER QR AGENT �����,a�'� CONTRACTOR__G%�!i--�'-�—�!` 1�!,��`�t��`y'7�'r:7' <br /> Subscfibed and swom fo{or aflirmed)before me tt�is �' Sttbscribed and swom ta{or affirmed)before me this <br /> by by <br /> Who is/are person ly known to me or haslhave produced Who islare personail known to me or haslhave produced <br /> as Iden#ficaUon. as iden�fication. <br /> . � <br /> „ ,...,, ,.R :'=S''�..�— <br /> „ ��,,.,, E <br /> o ry Publia �' '�F"- �,�,�-�: 07 Notary Public <br /> �•s ?ti= Ex ires June 29,2418' � . ;. Ex�ires-!�ne 28,2Q18 <br /> �, �+`OfT) SS °$ P CommissE n O. J'+• ••••io;�'• &:�am7luutr fmnMnuranr.e886365d814 <br /> I , s�. 'ffTiBP'F&fi'ins9rance9�Md86 <br /> Pw�a` ��� �• <br /> fVame of Notary typed,printed or stamped hlame of otary fyped,printed ar sfamped <br />