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� � ` e � <br /> NOTtCE OF DEED RESTRtCTIONS: The undersigned understands that this permit may be subject to"deed"restriciions" <br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any <br /> applicable deed restrictians. <br /> UNUCENSED CONTRACTOt2S ANd CONTE2ACTOR RESPONSIBI�ITIES: If the owner has hired a caniractor 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 licensed as required by law, both the owner and contractor may be cited for a misdemeanor uiolation <br /> under skate Iaw. If ttre owner or intended contractor are uncertain as to what Iicensing requirements may apply for the <br /> intended work,they are advised to contact the Pasco Caunty Building Inspection Division—Licensing Section at 727-84T- <br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have ihe contractor(s} sign <br /> portions of the"contractor B1ock"of this application for which they will be respansible. 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 /> 'ERANSPdRTATiON IMPACTlUTILITIES IMPACT AhtD RESOURGE R�CdVERY FEES: Tha 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 /> 90-47,as amended. The undersigned also understands,fhat such fees,as may be due,witt be identified at the time of <br /> permiiting. �t is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to <br /> receiving a"certificate af occupancy"or final power release. If the project does not invalve a certificate of occupancy or <br /> finai power relesse,The fees musi be paid priar ta permit issuance. Furthermore, if Pasco County WaterlSewer Impacf <br /> fees are due,they must be paid prior to permit issuance in accordance with appiicable Pasco Counry ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of wark is$2,500.00 ar more,I <br /> certify that i, ihe applicant, have been provided with a copy of the "Fiorida Constructian Lien Law—tiomeowner's <br /> Protection Guide"prepared by the Ftorida Department of Agriculture and Consumer Affeirs. If the applicant is someone <br /> other then the"awner', I certify that I have obtained a capy of the above described document and promise in good faith to <br /> deliver it to the"owner"prior to commencement. <br /> CdNTRACTOR'S/OWNER'S AFFIDAVIT !certify that a!I the information in this application is accurate and thet all work <br /> will be done in compliance with all applicable laws regulating construction,zoning and land development. Appiication is <br /> hereby made to obtain a permit to do work and installation as indicated. ! certify that no wark or instailation has <br /> commenced prior to issuance of a permit and that aII wark wiI( be perfarmed to meet standards of aII laws regutating <br /> construction, County and City codes, zoning reguiations, and land development regulations in the jurisdiction. I alsa <br /> certify that I understand that the regulations of other government agencies may apply to the intended work,and thai it is <br /> my responsibility ta identify what actians I must take fo be in campliance. Such agencies include but are not Iimited to: <br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands,Water/Wastewater Treatment. <br /> - Southwest Florida Water Management DisErict-Welts, Cypress Bayheads, Wetland Areas, Rltering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> - Department of Naalth 8� Rehabilitative ServiceslEnviroomental Heatth Unit-We1Is, Wastewater Treatment, <br /> Septic Tanks. <br /> - U8 Environmental Protection Agency-Asbestos abatement. <br /> - Federal Aviatian Authority-Runways. <br /> I understand that the following restrictions apply to the use of fill: <br /> - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. <br /> - !f the fill material is to be used in Flaod Zone "A", it is understood (hat a drainage plan addressing a <br /> "campensating volume"will be submitied at time of permitting which is prepared by a professional engineer <br /> licensed by the State of Florida. <br /> - if the fiii materiai is to be used in Flood Zane "A" in cannection with a permit2ed building using stem wall <br /> construction,I certify that fill will be used only to fill the area within the stem wali. <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 af fil!is found to adversely affect adjacent properties,the owner may be cited tor violating <br /> the conditions of the building permit issued under the aitached permit application, for Iots less than one (1) <br /> acre which are elevated by fill,an engineered drainage plan is required. <br /> lf I am the AGENT FOR TNE pWNER,(promise in good faith to inform the ownar of the permitting candifions set forth in <br /> this afftdavit 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 auihority to violate,cancel,aiter,or <br /> set aside any provisions of the tech�ical codes,nor shall issuance af a permit prevenT the Buildi�g d�cial fram 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 commencad within six months of permit issuance,or if work authorized by <br /> the permit is suspended or abandaned far a period of six(6}months after the time the wark is comme�ced. An extensian <br /> may be requested, 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO Q TAIN FINANCING,CONSULT <br /> WITN YQUR LEN E2 dR ATTdRNEY BEFORE R�CORDING YdUR NOTlCE OF MMENCEMENT. <br /> FLORIDA JURAT(F.S.'I .03) <br /> r <br /> OWNER QR AGENT CONTRACTOR <br /> �c n7Sd e,d) �e €NSON � and sworn ta o ff�ir�e�d��before i <br /> Who is/are ers nell know�:uas'sae��� Who is/a e pS�Csona. ` � '4er�re.ocJii�,a ��sc.— <br /> S b b d swom to �rm be o e this ub b <br /> �til �/ b it / <br /> P Y _...tlJl � <br /> :��..=,Q i t:<-�- ., .t .`,. ��K�uFM�N��2�`���tSON <br /> . , .;,.;.S::;JN.#r F��57�' ''' MY COMMISSION A�FF236573 <br /> .;�'��• �:�.�S Juna 02.���Publ '•4..�� EXP1RES St�n No ry Pubtic <br /> '.,c;` . , ' iS1 <br /> Co p9YS5ion No. x,t�.taSvu;ery5a•vxFl.wm Fior�mrNote So�v�cn.r,om <br /> Commission No. <br /> U�n,�.t•-�-- `�`�' �V.1-_'�.2vvvti"'� ��i,�,..._� `''�'�l'i Y_Y�'��.1`.,....� <br /> Na�Natary typed,printed or stamped Nams oi Notary typed,prinied or stamped <br />