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NOTICE OF DEEO 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 /> i 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 /> Iintended 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 /> i 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 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 /> I90-07, 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 Resource Recovery Fees must be paid prior to <br /> receiving a"certificate 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 County WateNSewer Impact <br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. <br /> I CONSTRUCTION LIHN 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 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'S/OWNER'S AFFIDAVIT: I certify that ail the information in this application is accurate and that all work <br /> i 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 /> 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 other government 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,WaterNVastewater Treatment. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, <br /> Septic 7anks. <br /> - US Environmental Protection qqency-Asbestos abatement. <br /> - Federal Aviation Authority-Runways. <br /> I 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 /> , - 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 wiil 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 fiil 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 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 electrical work, <br /> piumbing, signs, welis, pools, air conditioning, gas, or other instailations 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 /> 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 wiil 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 /> i 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 /> � /I �j�� �, • <br /> OWNER OR AGENT ' C K �/��� CONTRACTO �. <br /> S scrib d a t or rtned)bef re me this S scri ed and swom t (or ed e or me is <br /> / I by 1�C[Z I� v�FMs �Zby O�Cqct/f.��' <br /> Who is/are personally knawn to me ar has/have produced o Is/are personaiiy kno n o me or has/have produced <br /> — as idenGficaUon. s�� as identification. <br /> I <br /> y,�r� � � Notary�u6lic / �� ' �ryotary Public <br /> � Commi sion No. Commission No. <br /> Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped <br /> �J Y'P� SPENCE�;ItASS <br /> I :b��`Y"y�• SPENCEH fJ1SS ��..Y° <br /> '�_�� �"' MY COMM�ISSION;.FF 033D74 <br /> _+� 't= MY COM�ISSION> _'� '*' <br /> , FF033074 �- EXPIRES:November 1,2017 <br /> :r: �; <br /> I ;;.,.�� �o: EXPIRES:November 1,2p17 ':;�••••o?•' Bonded Thru Notary Public Undzrvrri:ers <br /> ; �qf,;�;4"'� Banded Thru Nctary Public Underwciters ?f"�4� <br /> i ' � - .... <br />