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NOTICE QF DE6D RESTR[GTtONS: The underslgned understands khat this permif may be subject to"deed°restrictions" <br /> whioh may be more restrictive#han County regulations. The undersigned assumes responsibAity for compiiance with any <br /> appficable deed restrictions. <br /> UNLtCENS�D G4NTRACTORS Atdp CONTRACTOR RE�P4NISi81LtTiES: If the owner has h'sred a aonMactar or <br /> contractors tp undertake wotk,they may be required to be 13censed in accordance wtth state and iocal reguEatians. !f fhe <br /> contractor is not licensed as required by law, both the owner and conVactor may be cited for a misdemeanor violatlon <br /> under state law. tf the ow�er nr intended cantractor are unoertaln as to whak lEcensing requlrements may apply for the <br /> intended wnrEc,they are advised to conta�f the Pasco Caunty Suiiding lnspeotion Division—LEcensing SeatEon a#727-847- <br /> 8009. Furthermore, ff the awner has hired a contractor or contractors, he is advised to have the contractor(s) sign <br /> portions of the"corttractor Block"of this applicatlon far which they will be responsible. .If you,as the owner s{gn as the <br /> conftac#or,tha#may 6e an Endicatian that he Is nof property ilcensed and is nof en�tled fo permitting priv�leges In Pasco <br /> County. <br /> TRANSPQRTATlON IMPACTlUTILlTIES lMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transpartation lmpact Fees and Recourse Recavery Fees may apply to fhe canstrucfion of new bui3dings,change of <br /> use in existing buildings,or expansion of existing buildings,as specffied in Pasco County Ordinance num6er 89-07 and <br /> 90-07,as amended. The undersigned also understands,that such fees,as may be due,wlll be identified at the time of <br /> permlf#ng. lt Is iurther understood thaf Transportatlan lmpact Fees and Resource_Recovery Fees must be paid psiar fa <br /> ' receiving a'certificate of accupancy"'a�flnal power"release. If the project daes 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 Sre due,they must be pald prlar ta permtt lssuarsce�n accordance wiEh appticable Pasc�County ordinances. <br /> � CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,5oR.00 or more,i <br /> ce�tify that I, the applicant, have been provided with-a copy of the 'Florida Construction Lien Law—Homeowner's <br /> Proteot�on Gu1de°prepared by the Ffortda Qepartment of Agric�lture and Consumer Atfairs. EF!he appiicanf is someone <br /> other than the°owner",i certify that I have obtairied a copy bf the above desaribed dacument and promise in good faith to <br /> deliver it to the"owner°prior to commencement. � <br /> CONITRAGTOR'SlOWNER'5 AFFIDAVIT; 1 certl�y that a1i the Iriformation in this appticatlon is acxurate and that ail work <br /> wil(be done in comptiarice with a0 appiicable laws regutaGng construction,zoning and tand deveiopmenl Apptication is <br /> hereby made to obtain a permlt to do work and InsNallatlon as indfcated. I ceHify thak no work or installation has <br /> commenced prior fo{ssuance af a pe[mit and fhat a(t_work w]it_be.performed to meet standards af at!laws regulaEing <br /> construcfion, County and City codes, zoning regulations, and tand development regulations m the jurisdic#ion. I al"sa <br /> certify that I Understand that the regulations of otFier govemment agencies may apply to the intended work,�nd that it is <br /> my respansibitity to identify what actEorts i must take to be in compllance. Such agenctes iriclude but are no#ifmited!o: <br /> - Department of Environmentat Protection=Cypre'ss Bayheads, VlleNand Areas and Environmentaily Sensifive <br /> Lands,WatedWastewater Treatmenk ' <br /> - Southwest RorEda Water Management Dlstrict-Wefis, Cypress Sayheads, WeUand Areas, AtteNng , <br /> Watercourses. <br /> - Army Corps of Engineer,�-Seawalis,Docks,Navig�ble Waterways. <br /> - Depa�tment o( Flealth & Rehatilittatfve°SeiviceslEnvironmental Health tlnit-Wells, Wastewater Treatment, <br /> Septic Tanks. �� <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> - Federal Aviation�uthority-RurnMays. <br /> 1 undets#and that the follffwing restrictions appty to fhe use of fiEl: <br /> - llse offili is not allowed in Flood Zone'V"unless expressly permikted. <br /> - !f the flll fnaterla! (s to be used in Flood Zone °A", It is understood that a drainage plan addressing a <br /> °compensating volume"wil!be svbmifted at time of percnttting whEch is prepared by a professiona4 engineer <br /> licensed by the State of Florida. <br /> - tf the flIR.materlal is to be used in:Flood Zone°A°in connecUon wfth a permitted building using stem wall <br /> ' canstrucfian,l certify ff�at fli1 w{t!be used only ta fill the area wtthin fhe sfem walt. <br /> - If flll material is #o be used in any area,-1 certify that use af such fill will not adversely affect adjacent <br /> properkies. !f use of flll is found to adversely affect adJacent pmperties,the owner may be cited for violaQng <br /> the contiltions af fhe building psrmi#Issued under the aitached perm�f applic�tfion,for iots less than ane{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 tn good faith to:inform the owner of the permitting conditions set forth in <br /> fh€s afffdav;t prlar to cocnmencing consfructiart. !undershand thaf a separate permit may be required for etechical work, <br /> plumbing, signs,weils, pools,_afr canditioning, gas, or other InstatlaGons not specificaliy induded in the applicafian. A <br /> permit issued shall be consdved to be a license to proceed with the work and not as authority to vivlate,cancel,alte�,or <br /> se#aside any prov3slons of the technical codes,nor shall issuance of a permEt prevent the Bulid"srig Ofliciat t�i"tn thersafter _ <br /> requiring a aorrection of errors in ptans,construcfion or viotatfons of any codes. Every permtf tssued shal(become invatid - <br /> unless tha work authorized by such permit Is commenced wlthfn six months of permit fssuance,or ff virork auihorized by <br /> fhe perm'st is suspended or abando�atf for a period af sl�c{B}trianths aftes the tirne the work is commenced. Art extension <br /> may be requested, In writing,irom the Building_Oflicfei for a period nof to exceed nineiy(90}days and wili demonstrafe <br /> justf�abie cause for the extension. If work ceases for ninety(90)consecutive days,the�ob is considered abandoned. <br /> WARNtNG TO OWNER: YOUR FAlLURE TO RECORD A NOTiCE OF COMMENCEMENT MAY RESULT 1N YOUR <br /> PAYING TWIGE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> YitITF#YOtlR LENDER Oit AFt ATTORHEY BEFORE REGORDING Y'OUR NOTIGE OF GOMMENGEMENfi. ' <br /> FLOF2IDA JURAT(F.S.117.03j <br /> OWNER OR AQENT CONTRACTOR <br /> gvbsqlbed and swom ta(ar a#Elrtned)betore ma�Is Subsatbed and svuom fo(or affirmed}betore me ffits <br /> qy by <br /> Who islare personaliy known to me or harJhave produced Who Islare personaily Imown to me or haslhave produced <br /> as fdentlficadon. as IdentlticaHon. <br /> Notary Public Nptary Public <br /> Commission No. ' Commisston No. <br /> Name of Naiary typed.PHnted or stsmped �Name af.Noiary iyped:Pdnted ar stamped <br /> � _,,��' r <br />