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,i <br /> • ' . ,� . <br /> . NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" <br /> ' which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 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 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, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign <br /> portions of the"contractor Block"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 properiy 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 Impact Fees and Resource Recovery Fees must be paid prior to <br /> receiving a"certificate of occupanc�'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 County Water/Sewer Impact <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,I <br /> certify that I, the applicant, have been provided with a copy of the "Florida Construc6on Lien Law—Homeowners <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"owne�'prior to commencement. <br /> i CONTRACTOR'S/OWNER'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 applicable 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 standards of all laws regulating <br /> ,i construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also <br /> ,I certify that I understand that the regulations of other govemment agencies 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 agencies include but are not limited to: <br /> � - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands,Water/Wastewater Treatrnent. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> � Watercourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> ! - Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, <br /> �� Septic Tanks. <br /> I _ US Environmental Protection Agency-Asbestos abatement. <br /> I _ Federal Aviation 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 /> ' - 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 /> i 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 material 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 conditions of the building permit issued under the 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 infortn the owner of the permitting conditions set forth in <br /> ithis affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, <br /> i 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 provisions of the technical codes,nor shall issuance of a permit prevent the Building 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 /> �I 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 /> ijustifiable 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 OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> � FLORIDA JURAT(F.S.117.03) � <br /> � OWNER OR AGENT CONTRACTO Gt-- <br /> `��\11111/1/// <br /> Subscribed and swam to(or affirmed)before me this S_u�scri¢e_d a��swom to Pr a ed)before me this �\� �/� <br /> I bY ��.]_L��by ��G�����'��h'L \�� �C7� ` ��� <br /> i Who is/are personally known ta me or has/have produced Whb fs/�re personelly known to m or has/have produced �� �'� 'r�r �i <br /> p as identlfication. as identificadon. : \ f��••••�(`G � <br /> � � �r� �J�Q�j SC,�'i" 1� _� <br /> � Notary Pubiic L Notarj;PubliG ���P.`' � � <br /> / ,. ��(F. p'�0`,\G i' � <br /> Cammission No. Commissi�o. / ��y'�� 9 % k QJ f � <br /> � �/jJ"�'��'�'.� � t�''••..�., ..•'f� • ``� <br /> Name of Notary typed,printed or stamped ame o� f Notary typed,printed or stamped ','�� �+ol� �\��`` <br /> ����f1111111\\\ <br />