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NOTIC� OF DEED RESTRICTIqNS: The undersigned undecstands that this permit may be subject to"deed"restrictions" � <br /> which rrtay be more restrictive than Gounfy cegulations. The undersigned assumes responsibi}ity for compllance with any <br /> applicable deed r.,estrictions. <br /> UN�lCENSED CQNTRACTORS AND GONTRACT�R RESPC?NSIBILtT1ES: !f the awner has hired a confractor or <br /> con#ractors 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 cont�actor may be cited for a mEsdemeanor vlolation � <br /> under state law. If fhe owner or intended contracfar are uncertain as fo what iicensing requirements may appiy for the <br /> intended work, they are advised #o contaot the Pasco County Building Inspection Division—Licensing Sectian at 727-847- <br /> 8009. Ftarthermore, if the owner has hired a contractar or contractors, he is adVised to have fhe contractor{s} sign <br /> partions af the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the ', <br /> cantractor, that may be an indication tha# he is nof properly licensed and ss not entitied to permitting privileges in Pasco <br /> Counfy. <br /> TRANSPORTATlON IMPACT/UTILITlES lMPACT AND RESOURCE RECCIVERY FEES: The undersigned understands <br /> that Transportation Impact Fees and Recourse Recovery �ees 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-Q7, as amended. The undersigned also understands, that such fees, as may be dtte, vuill be identified at the tirr�e of <br /> permitting. It is further understoad that Transportakion Impact Fees and Resource Recovery Fees must be paid prior to <br /> receiving a "certificate of occupancy" or final power release. if the praject does not involve a certificate of occupancy or <br /> final power �elease, the fees musf be paid prior to permit issuance. Furthermore, if Pasco Caunty Water/Sewer impact <br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco Caunty ardinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713, Ftorida Stattttes, as amencfed}: If va[uafion af worEc is$2,5Q0.00 or more, t <br /> cerkify that I, #he applican#, have been provided with a copy of the "Flarida Construction �Lien Law---Homeowner's <br /> Protection Guide" prepared by the Florida Departrnen# of Agriculture and Gonsumer Affairs, Ef the applicant is sameane <br /> othe�than the"'owner", I certify thaf I have obtained a copy of the abave described documenf and promise in good faith tv <br /> delive�it to the'bwner"prior to commencement. <br /> CCINTRACTOR'S/OWNER'S AFFiDAVtT: 1 cerfify fhat all the information in this applicafion is accurate and that a!i work <br /> will be dane in complian,ce with all applicable laws regulating canstruction, zoning and land development. Application is <br /> hereby made to obtain a permit to do work and insfallation as indicated. 1 certify thaf no wark or insfallation has <br /> commenced prior to issuance of a permit and that all wark wili be performed ta meet standards of all laws regulating <br /> constructian, Caunty and City codes, zonRng regulations, and land develapment regulations in the jurisdiction. I aisa <br /> cer#ify that I understand that the regula#ions of ofher government agencies may apply fa the Pn#ended work, and #hat it is <br /> my respansibility to identify what actions�! must take to be in compliance. Such agencies include but are not limited to: <br /> - De�partment of Environmental Pratectian-Cypress Bayheads, Vtleflancf Areas and Enviranmentaily �ensitive <br /> Lands, Water/Wastewater Treatment. <br /> - Sottfhwest Florida Water Managemen# District-V1leEls, Cypress Bayheads, Wetland Areas, Alfering <br /> Watercourses. <br /> - Army Corps af Engineers-Seawalis, Docks, Navigabie Waterways. <br /> - Department of Health � Rehabilitafive SeruiceslEnvironmental Nealfh Unit-WeOs, Wastewa#er Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbesfas abatement. <br /> - _ _ Federal Aviation Autharity-Runways. <br /> 1 understand fhaf the foEbwing restrictions apply to the use of fill:� <br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. ' <br /> - lf the #ilE materiai is to be used irs Flood Zone "A", it ts understood that a drainage plan addressing a <br /> "cam'pensating volume" will be submitfed af time of permitfing which is.prepared by a professional engineer <br /> licensed by the State of Florida. <br /> - If the fill ma#erial is to be used in Flood Zone "A" in connectian with a permiffed building t�sing stem wall <br /> construction, I certify that fill will be used only ta fill the area within the stem wall. <br /> - If fill material is to be used in any area, 1 certify that use af such fiil wi!! not adversely affect adjacent <br /> prop�rties. If use of fill is found to adversely affect adjacent properfies, the owner may be cited fior vio(afing <br /> the conditions of the building permit issued under the attached permit application, for lots less than one (1) <br /> acre which are elevated 6y fill, an engineered drainage p(an is required. <br /> If I am the AGENT FOR THE OWNER, 1 promise in good faith to inform�the owner of the permitting condi#ians set forth in <br /> this affidavif prtiar ta commencyng cons#ructian. 1 understand that a separate permit may be required fior electrical worlc, <br /> plumbing, signs, wells, poo�s, air conditioning, gas, or other installations not specifically included in the applica#ion. A <br /> perm9t issued sttall be construed to be a license to proceed with the work and nat as authority to.violate, cancel, alter, or <br /> set aside any provisions of the t�chnical codes, nor shall issuance of a permit prevent the Building Officiai from thereaffer <br /> requiring a correction of errors in plans, construction or vialations of any codes. Every permit issued shall become invalid <br /> unless the work aufhorized by such permit is cammenced within six months of permit issuance, or if work acifharized by <br /> the permit is suspended or abandaned for a period of six(6) manths after the time the work is commenced.. An extension <br /> may be requested, in wrifing, from the Building Offtcial for a periad not to-exceed ninety (94} days and w31! demonstrate <br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days, #he`jab is considered abandoned. <br /> WARNING TO OWNER: YOUR FAIL.URE TO RECORD A NOTtCE OF COMMENCEMENT MAY RESULT IN Yt?UR <br /> PAYING TWlCE.FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CClNSULT <br /> W{TH YQUR LENDER OR AN ATTQRNEY BEFOF2E E2ECORi3li�v Yt3i�R NC4T����F�C0;�6ME�IG�MENT. _ ____ _ _ _- <br /> FLORIDA JURAT(F.S. 1 .03) � <br /> OWNER OR AGENT CONTl2ACTQR r��`''"-� <br /> Subscribed and sworn to(ar i ed)b re me#his � Subscribed and sworn to(or ff ed) fore me this <br /> <{-17r t f� by �/f yY� /1-r t-(.6 by cl�" M�'�^- <br /> Who is/are„g�ersonally kn to me or has/have produced Who Estare�ersanall_v know o me or haslhave produced <br /> as idenUfication. as identlfication. <br /> � x�,ys�puq�r Notary Public State of Florida 1 ( / ro�o�pus`� Notary Public State F ori <br /> y;� Tammy Verc�Pd�+publ#c �"'•'{•—�' o�ary�'ub <br /> ,�ta My Commiss+an FF 18 d Q�9 �� �a My Cammissian FF 184019 <br /> Commisslon No. '�orw�" Expires 1?J1812018 Commisslon No. <br /> Name of Natary typed,printed or skamped Name of Notary lyped,printed ar stamped <br />