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• n <br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions° � <br /> which may be more restricGve than County regulations. The undersigned assumes responsibility for compliance with any <br /> applicable deed restricfions. <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 apply 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 Blocf�'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 entiUed to permitting privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACTNTILITIES 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 occupanc�'or final power release. If the project does not involve a cert�cate 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"owne�',I certify that I have obtained a copy of the 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 information 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 worlc 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 govemment 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,WatedWastewater Treatment. _ <br /> - Southwest Florida Water Management District-Wells, 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 ceri"rfy that fill will be used only to fill 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 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 induded 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 Official from thereafter <br /> requiring a correction of errors iri plans,construction or violations of any codes. Every pemiit 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 <br /> justfiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. <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,CqNSULT <br /> WITH YOUR LENDER OR AN A'iTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT(F.S.117 03) / <br /> OWNER OR AGENT � CONTRACTOR <br /> ��--_� <br /> cri �a swom to( affi )bef m this S '¢ aqdswom to(or atfirm )bef re me t ' <br /> Od <br /> .s� by 0 by <br /> o Is/are pe on I kn i h uced Who Is/are personall kno or ha ve p�aAneed <br /> as(der��fica i as identification. <br /> - �����,,,, dNt ALL <br /> '��n�����c- . <br /> . , : N �y public- e Florida <br /> "� 2015 <br /> =• `�+'= m.Expires 0 0�� publi .�`���v a;'�. Notary Publi <br /> :N w a� 1�U ,�n ,-• N <br /> � o-,: mmission# . „ <br /> C rf�� Commission N ~ ' ' • <br /> ��������� ;,,» _ oP; My Comm.Expires Oct 25,2015 <br />, NameofNotarytyped,printedorstamped NameofNota typ ,�n�+� �Lrstam mmission#EE 131770 <br />