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/ <br /> • `NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"reSVictions° <br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance w�th any � <br /> applicable deed restrictions. �'\ <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or <br /> contradors to undertake work,they rtray 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—Lice�sing 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"conVactor 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 IMPACT/UTILITIES 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 Impad Fees and Resource Reoovery Fees must be paid prior to <br /> receiving a"certficate 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 permit issuance. Furthermore,if Pasco Counfy V1Fater/Sewer Impad <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,1 <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"owner",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"prior to commencement. <br /> CONTRACTOR'SlOWNER'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 applipble 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 work or installation has <br /> commenced prior to issuance of a permit and that all work will be performed to meet shandards of all laws regulating <br /> construction, County a�d City codes, zoning regulations, and land development regulations in the jurisdiction. I also <br /> certiFy that I understand that the regulations of other govemment agenaes 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 agenaes include but are not limited to: <br /> - Department of Environmental Protecdon-Cypress Bayheads,Wetland Areas and Environmentally Sensitive <br /> Lands,Watedl/Vastewater Treatment. <br /> - Southwest Florida 1Nater Management Distrid-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> - Army Corps of EngineersSeawalls,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 Authorify-Runways. <br /> I understand that the following restrictions apply to the use of fill: <br /> - Use of fill is not allowed in Flood Zone"W 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 certify that fill will be used only to fill the area within the stem wall. <br /> - If fill rrmterial 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 cond'Rions of the building permit issued under the attached permit application,for lots less than one(1) <br /> acre which are elevated byfill,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 commenang 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 specificalty 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,aker,or <br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Offiaal 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 author¢ed by <br /> the permit is suspended or abandoned for a period of sbc(6)months after the time the work is commenced. An extension <br /> may be reyuested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate <br /> justifiable 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 IMPROVEiNENTS TO YOUR PROPERN. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER OR AN ATTOR BEFORE RECORDING YOUR NO E OF COM N EMENT. <br /> FLORIDA JURAT(F.S.117.03) <br /> OWNER OR AGENT CONTRACTOR � <br /> Su ribed and swor umed)before is scri a m To(or affir efore me th's <br /> 1/ by �1.e � E.��> >L ���,�by 7hi7/Y1Q� A�.e�a.n� <br /> o islare personallv kn�n to me ortlaslhave produced o islare pev+��l�me or has/have produced <br /> as identification. as identification. <br /> i <br /> � �l Notary Pu61ic L Notary Public <br /> mmission No. �'"�-����h� ommission No. f� ►- g�7�/Ja/ <br /> �p rl.P.su� �v rd �2 r l e� �ot-� <br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or shamped <br /> 1�av PUB DARLENE FORD <br /> a°;•••.,��o <br /> a�`;���°B�% DARLENE FORD * * MY COMMISSION€FF 014875 <br /> * * MY COMMtSSION 9 FF 014875 N � EXPIRES;August 7,2017 <br /> EXPIRES:AUgust7,2017 ��'FOFFtc�"`O @enAeAThruBuagetNotaryServices <br /> N'��rF�F��oe.�O! 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