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i� <br /> � r - � �' <br /> ' � I 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 conVactor 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 /> j; 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 /> , 1 contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco I <br /> Counry. <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 /> I� permitting. It is further understood that Transportation Impact Fees and f2esource Recovery Fees must be paid prior to <br /> � receiving a"certificate of occupanc�l'or final power release. If the project does not involve a certificate of occupancy or <br /> Ifinal power release,the fees must be paid prior to permit issuance. Furthermore,if Pasco County WateNSewer Impact <br /> fees are due,they must be paid prior to permit issuance in accordance with applipble Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713,FloNda 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 Construction Lien Law—Homeowner's I <br /> Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone <br /> other than the"owner",1 certify that I have obtained a copy of the above described document and promise in good faith to i <br /> deliver it to the"owner"prior to commencement. j <br /> 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 consVuction,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 pertormed to meet standards of all laws regulating ' <br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also I <br /> certify that I understand that the regulations of other govemment agencies may apply to the intended work, and that it is <br /> my responsibiliiy 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,WaterlWastewater Treatment. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering � <br /> Watercourses. , <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays. ; <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 Authority-Runways. � <br /> I understand that the following restrictions apply to the use of fill: <br /> - Use of fill is n�t 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 /> - 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. i <br /> - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent � <br /> II 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 inform the owner of the permitting conditions set forth in i <br /> this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, I <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 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 I <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 exc ninety(90)days and will demonstrate <br /> justifiable cause for the extension. If work ceases for ninety(90)consecutiv ays the'ob is considered abandoned. � <br /> � <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTIC OF CO ME EMENT MAY RESULT IN YOUR � <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 1 YOU IN ND OBTAIN FINANCING,CONSULT �� <br /> WITH YOUR LENDER OR AN ATTOR EY BEFORE RECORDIN YOUR TI OF COMMENCEMENT. ' � ���� <br /> FLORIDA JURAT(F.S. 7.03) � � �� <br /> OWNER OR AGEN� i i /��[�� ��'�`�'� CONTRACTOR �C�D1�. � �� <br /> u cri ed nd m to(ar aflirtned)before me this Subscribed and m to ed be o e this Qf' <br /> y Ilitii d v.�, �ti.�4�.C.ti '�I m <br /> �o i are personalty known to me or has/t�a4e produced Who is/are pers ally known to m o has/have produced ��� ^� <br /> � u���:L:-, �-"L�v.�•L�as identificatian. 1=\s, : n\.; \�Y��%e G''�Ll�as�ide`nfification. � a� <br /> � ���'� ����%� �1�� °�i <br /> � <br /> Ij � Notary Public Notary Public ��`�� <br /> � �� I <br /> , Comm�ionNo.�'_ �i�� ��L CommissionNo.�Y:��c�t�1 -� , � �� Ca <br /> uc <br /> � \ �� i ���� t.l�.s�=-,�--���r�'�1���._/.�--` �\'�� �'1?i,.t'..: .�t,����`.\C� t Q� *�e �� � <br /> Name bf Notary typed,printed or stamped Name of Notary typed,printed oY sfamped I � ao � <br /> r S' <br /> o, oy <br /> d S.ti.�e <br />