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NOTICE OF DEED RESTRICTIONS: The underslgned understands that this permit may be subject to"deed"restrictions" <br /> which may be more restrictive than County regulations. The undersigned assumes responsibllity for compliance with any " � <br /> applicable deed restrictlons. , <br /> URILICEMSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or <br /> contractors to undertake work,they may be required to be Iicensed in accordance with state and local regulations. If the <br /> contraotor 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--Licensing Section at 727-847- ' <br /> 8009. Furthermore, ff the owner has hired a contractor or contractors, he is advised to have the contractbr(s) sign <br /> portions of the"contractor Block°of this application for which they will be responsible. If you, as the owner s(gn 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 I <br /> permitting. it is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to � <br /> receiving a'certificate of occupancy"or flnal power release. If the project does not invoive a certificate of occupancy or <br /> final power release, the fees must be paid prior to permit issuance. Furthermore,ff Pasco County Water/Sewer Impact <br /> fees are due,they must be paid prior to permit issuance in accordance with appllcabie Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation df work is$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 Guide°prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone v <br /> other than the"owner",I ce�tify 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 /> CONTRACTOit'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work <br /> will be done in compliance wfth all applicable laws regulating construction,zoning and land development. Application is <br /> hereby made to obtain a permit to do work and instaliation as indicated. I certify that no work or installation has <br /> commenced prior to issuance of a permit and that all work wlll be performed to meet standards of all laws regulating <br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also <br /> certify that I Understand that the regulations of otfier govemment agencies may apply to the intended work, and that it is <br /> my responsibility to identffy what actions I must take to be in compliance. Such agencies inciude but are not limited to: <br /> - Department of Environmental Protection-Cypress Bayheads, VUeUand Areas and Environmentally Sensitive <br /> Lands,WaterNVastewater Treatment. ' <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Area's, Aitering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> - Department of Health 8� Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protectlon Agency-Asbestas abatement. <br /> - Federal Aviation Authority-Runways. <br /> I understand that the following restrictlons apply to the use of flll:� <br /> - Use of flll is not aliowed in Flood Zone"V°unless expressly permltted. <br /> - If the flll material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a <br /> "compensating volume"will be submltted at time of permitting which is prepared by a professional engineer <br /> licensed by the State.of Florida. <br /> - If the iill 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 flll material is ta be used in any area, I certify that use of such fill will not adversely affect adjacent <br /> propertfes. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating <br /> the conditions of the building pertnit issued under the attached pertnit application,for lots less than one(1) <br /> acre which are elevated by flll,an engineered dralnage plan is required. <br /> If i am the AGENT FOR THE O{MMER,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 eleotrical work, <br /> piumbing, signs,wells, pools, air conditioning, gas, or other Installations not specificaliy included in the application. A <br /> permit issued shall be construed to be a license to proceed with the work and not as authorfty to violate,cancel,alter,or <br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Buildirig 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 ff 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 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,th�job is considered abandoned. <br /> VVARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IPI YOUR <br /> PAYING TWICE FOR IAflPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCIMG,CONSULT <br /> WITH YOUR LENDER OR AN A ORtdEY BEFORE RECORDING YOIDR Id0 E OF COMMENCEMENT. <br /> FLORIDA JURAT(F:S.11 .03 ` , <br /> OWNER OR AGENT <br /> CONTRACTOR � <br /> b alb and swpm r affirtned)be e m b-s�b:e�-d.end swom to(or rtned)b ' re me thls �G, <br /> — by/� H R1' ��' by � GL2LC rl2 <br /> lare rso Ily kn �rn,to me or ha ave produced S15(are�rso ally Rn wn to me or has/have prnduced <br /> - •l�as identlfiptlon. P"C l�G%Lc's�—. as Iden'6f'ica0on. <br /> 1 <br /> � <br /> '�` Notary Public .l' n t — J Notary Public <br /> �Comrp ssio o. Commis/sion o. <br /> L�� l <br /> Name ,�� �+vd,P�f11����1 Name of Notary e����1 or s <br /> .� �sw�, JACQ�ELIN <br /> ,�; �� Commission#FF 150422 ;.; . E BOGES <br /> Expires December 12,2018 �: �•= Commission#FF 150422 <br /> ;�,••,�'o= �a,a -r,�.P;�oP:' Expires Decemb <br /> ".;;o��g.` Bonded Tluu T�oy Fein Inwrence BOa3B5• 8 er 12,2018 <br /> °^�TMu hoy faln Insurar�ce gpp3B5,7019 <br />�_ <br /> I <br />