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, ' NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"dead"restrictions" <br /> which mey be more restrictive than County regulations, The unders(gned assumes responsibility for compliance with any <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES; If the owner has hfred a contractor or <br /> contractors to undertake work,they may be requfred to be Ifcensed In accordance wlth state and local regulatlons. 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 uncertaln as to what Iicensfng 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, ff the owner has hirad a contractor or contractors, he is advised to have the contractor(s) sign <br /> port(ons of the "contractor Block"of thfs application for which they will be responsible, If you, as the owner sign as the <br /> contractor, that may be an indicetion that he (s not properly Iicensed and is not entitled to permittfng 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 constructfon of new bu(Idings,change of <br /> use in exfsting buildings, or expanslon 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 /> permltting. It Is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prlor 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 permlt issuance. Furthermore, if Pasco Counry Water/5ewer Impact <br /> fees are due,they must be paid prior to permlt fssuance fn accordance with appiicabie Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuatlon of work fs$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 Gulde"prepared by the Florida Dapartment 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"owner"prfor to commencement, <br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certffy that all the information in thfs applicatfon is accurate and that ali 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 installatlon as indicated, I certify that no work or Installation has <br /> commenced prior to Issuance of a permft and that all work wlll be performed to meet standards of all laws regulatfng <br /> construction, County and City codes, zoning regulations, and land development regulations fn the)urisdictlon, 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 actlons I must take to be in compliance. Such agencies include but are not limited to; <br /> - Department of Environmental Protectlon-Cypress Bayheads, Wetland Areas and Environmentaily Sensftive <br /> Lands,Water/Wastewater Treatment, <br /> i - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses, <br /> I - Army Corps of Engineers-Seawalls,Docks,Navigable Watenvays, <br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment, <br /> Sept(c Tanks, <br /> - US Environmental Protectlon 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(s not allowed in Flood Zone"V"unless expressly permitted. <br /> - If the fli material is to be used in Flood Zone "A", it Is understood ihat a drainage plan address(ng a <br /> "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer <br /> licensed by the 5tate of Florida. <br /> - If the fll materlal Is to be used in Flood Zone "A" in connection with a perm(tted building using stem wall <br /> construction,I certify that flll will be used only to fill the area wlthin 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 flll is found to adversely affect adJacent properties, the owner may be cited for violating <br /> the conditions of the build(ng perm(t 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 fn <br /> this aftidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, <br /> plumbing, signs, wells, pools, air conditloning, gas, or other (nstallations not spec(fically included in the appl(cat(on. A <br /> permit Issued shall be construed to be a Ilcense to proceed with the work and not as authority to violate, cancel, alter,or <br /> set aside any provis(ons 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 vlolations,of any codes, Every permit fssued shall become invalfd <br /> unless the work authorized by such permit is commenced withln sfx months of permit Issuance, or if work authorized by <br /> the permit is suspended or abandoned for a period of slx(6)months after the time the work is commenced. An extension <br /> may be requested, in writing, from the Bullding Official for a period not to exceed ninety(90) days and will demonstrate <br /> Justiflable cause for the e�ension. 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 IMPROV,�MENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER OR ANIATTOR EY BEFORE RECORDING YOUR OTICE OF COMMENCEMENT. <br /> FLORIDA JURAT(F.S.117 <br /> OWNER OR AGENT � ,c.�C� CONTRACTOR <br /> S scrl6 d end swor (o befo e thls Su cribe end swor o(or eKrmed)b for e hl <br /> by -� �O � by <br /> W Isla er nown to e haslhave produced Is/are personally known o me or has/heve produced <br /> 4 Identlficatlon, as Identlfication. <br /> Notary Public , V 1� Notery Publlc <br /> Commission o, U O Commission N , "�'���l�C/J <br /> Neme of Notery�e�l��rinted or sta Name of Notary typed,prinled or stamped <br /> �01: ,.�.� `��A.VITO <br /> � ;..iv"�� •';�ION#FF 039560 2o�:a::;'e�.�, JOY A,VITO <br /> '�' ?�r ' �.;. ' Ati(�US13,2017 � .� MY COMMISSION#FF 039580 <br /> �'� �'1 EXPIFiES:August3,2017 <br /> ���TFOF Fti��`J, E0Q*fi�'"""°0"''i Notary ServiCCS �C�r��� ��<,°P Bc�dad Thru�99�et Notary 5erv;ces <br />