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� _ �� 14 <br /> , � tdQTICE OF DEED RESTRICTlONB: The undersigned unders:ands that this permii may be subjzct io"deed"restric:ions" <br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compiiance wi[h any <br /> applicable deed restrictions. <br /> UPILICENSED COPITRACTORS APID COWTR�4CTOR RESPOPISIBtLfTtES; 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 iicensed as required by iaw,both the owner and contractor may be ciYed 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 Biock"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 IMPACTIUTILITIES IMPACT AtdQ 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 lhe time of <br /> permitfing. 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. I the project does not involve a certificate of occupancy or - <br /> fin�l-powerrelease, the fees must be pald prior to permit iss nce. Furthermore, if.Pasco County Water/Sewer Impact- <br /> fees are due,they must be paid prior-to permit issuance in ac rdance with applicable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes as amended): If valuation of work is$2,500.�0 or more,I . � <br /> certify that I, the applicant, have been provided with a co y of the "Florida Construction Lien Law—HomeowneYs <br /> - --- -- --Protection-Guide"prepared by the Florida Departrnent of Agri ulture and Consumer Affairs. If the applicant is someone � - <br /> other than the"owne�',I certify that I have obtained a copy of t e 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 informafion in this application is accurate and that all work <br /> will be done in compliance with all applicable laws regulating onstruction,zoning and land development. Anoiication is <br /> hereby made to obtain a permit to do work and installatio as indicated. I certify that no work or installation has <br /> commenced prior to issuance of a permit and fhat all work iil be pertormed to meet standards of all laws regulating <br /> construction, County and City codes, zoning regulations, an land development regulations in the jurisdiction. I also <br /> certify that I understand that the regulations of other govermm �t agencies may apply to the intended work, and that it is <br /> my responsibility to identify what actions I must take to be in co pliance. Such agencies include but are not limited to: <br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands,Water/Wastewater Treatment. <br /> - Southwest Florida Water Management Distri -Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Naviga le Watervvays. <br /> - Department of Health & Rehabilitative Services nvironmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos ab tement. <br /> - Federal Aviation Authority-Runways. <br /> I understand that the following restrictions apply to the use of fil: <br /> - Use of fill is not allowed in Flood Zone"V"unless e. ressly 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 f permitting which is prepared by a professional engineer <br /> licensed by the State of Florida. <br /> - If the fili material is to be used in Flood Zone "A in �onnection with a permitted building using stem wall <br /> construction,I certify that fill will be used only to fill�he area within the stem wall. � <br /> - If fill material is to be used in any area, I certi, that use of such fiil 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 underlthe 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 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 provislons of the technical codes,nor shall issuance of a permit prevent the Bullding Official 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 wriUng,from the Building Offlcial for a period not to exceed ninery(90)days and will demonstrate <br /> justifiable cause for the extension. If work ceases for ninety(90)conse�utive days,tha job is considared abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A PIOTICE OF COMMENCEMENT MAY.RESULT IN YOUR - <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN i'IPIANCIPIG,CONSULT o ,;'�is�"��va�: <br /> � co WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDtNG YOUR NOTICE OF COMMENCEMENT "�` <br /> �:o; '��= <br /> � � FLORIDAJURAT(F.S./11s7.03) �:�; .}c; <br /> � � N t Lt� /�+l 1J(� �/ /_"�f` �b `;°qo � �co;: <br /> � � N u OWNER OR AGENT Q CONTRACTOR_(�/� � �, "'••.4 <br /> Q v- N � $ub§cri ed and swo (�y�f�rm befo me thi� Sy 6scribe�J and swo to(or affirtned)before me[his r' �� <br /> � � �, � 6^!- � by �q�/Vs�1'u�� (�-1-(� by �'d /�QN�ff �...�...� <br /> � Z � .�a' Who is/are personallv knownln me ar has/have produced IA�ho is/are oersonallv known to m or has/have produced � � <br /> � � U � as idenOficatlon. as identificat(o�. � 37 O m <br /> g � � � Q � � 'L7 <br /> ��J1� ��/�� � ��� I � � <br /> � O � � ����"^MbtaryPublic "w"`+ W� NotaryPublic � o cI� � <br /> " a � /7a ��l � / �j Q �, o <br /> (/) � x Commission No._� . Co�nmission No. FF r 7� �/�(/ r � Z � <br /> IlJ S'f''So�.r9�h i�e G�i''c•P S e i9vi �e <¢/`G e � N T D <br /> T �4�i � <br />� ,,,0j� ' >o bo_ �I Name of [a ry ry p ed,printed or stam ped N a m e o f N t a ry ty p e d,p ri n t e d o r s t a m p e d o N � � <br /> _°.�_: �F� 3 ; O C) <br /> :�� o=� °' m <br /> ; � <br /> =:;oN . S��r;; o ou °' <br /> ....,.. e <br />