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. NOTtGE OF QEED FtESTRiCTiONS: The undersigned undersfands.#hat ihis permit may be subject to"deed"restrictions" <br /> which may be more rest�ictive than County regulations. 7he undersigned assumes respansibility for cQmpiiance with any <br /> applicabie deed Pestrictions. <br /> lJNLICENSED CONTRAGTORS AND 'CONTRACTOR RESRONSfBILiTiES: !f the awner has hired a contractor or <br /> contractors#o undeRake work,they may be required to be licens�d in acaordance wikh state and local regulations. !f the <br /> contractar is not ticensed as required by iaw, both the awner and contractor may be cifed for a misdemeanor violation <br /> under state law. !f the owner or intended contractor are uncerEain as ta what licensing requirements may apply fof the <br /> intended work,they are advised to contact the Pasca County Building Inspection Division—Licensing Section at 727-&47- <br /> 8QQ9. Furtt�ermare, if the owner has hired a contractor or contractors, he is advised to have the cantractor(s)•sign <br /> portions af the"contractor Block"of this applica6on for which they wil!be resgonsible. !f yau,as the owner sigri.as the <br /> contractar,that may be an indication that tie is not properly 1'icensed and is not entitled to permitting privileges in Pasco <br /> Couniy. I <br /> TRANSPOR7A710N IMPACT/UTI!!TlES IMPACT A�dD RESOURCE RECOVERY FEES: Ttie undersigned understands <br /> khat Transporfation impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change ot <br /> use in existing bvildings,or expansion of existing buildings, as speafied in Pasco Counky Ordinance number 89-07 and <br /> 90-b7,as amended. The undersigned also understands,that sueh fees,as may be due,will be identified aY the time of <br /> permitting. t#is further understood that Transpoftation Impact Fees and Resource Recovery Fees must be paid prior to I <br /> r'eceiving a"certificate of occnpancy"or fnai power retease. !f the project daes not invoive a cer#ificate of occupancy or <br /> final power release,the fees must be paid prioc to p�rmit issuance. Furthermore, if Pasco County WaterlSewer Impact <br /> fees are due,they must be paid prior to permit issuance in accordanc�with appticabie Pasco County ordinances. <br /> CONSTRUCTlON l.IEN lAW(Chapter 713;Fforida Statutes,as amended): if valuation af wark is$2,504.00 or rnore,i <br /> certify that I, the applicant, have been provided with a capy of the "Florida Construction Lien L.aw—Hameowner's <br /> Protecfian Guide"prepared by the Fiorida Department af Agriculfure and Consumer Affairs. if the applicant is sameane <br /> ather than the"owner",1 certify thak I'have obiained a copy af fhe above described document and promise in good faith to <br /> deliver it to ihe"owne�"prior to commencement. <br /> CON'FRACTOR'314WNER'S AFFIDAVIT: !certify that aii Ehe infarmation in this appiication is accurate and that ati work <br /> wiil be d'one in complia�ce with all applicable laws regulating construction,zoning and land development. Applicatiort 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 priar to issuance af a permit and tiiat ai!wortc�wil( be performed to meet standards of all faws regulating <br /> construction, County and City cades, zoning regulations, and land development regulations in the jurisdiction. I atso <br /> eertify that I understand that tfie reguiations-of other government agencies may appiy to the intendeii work,and that it is <br /> my responsibility to identify what aciions i must take to be in comptiance. Such agencies inc3ude but are not(rmited io: <br /> - department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally SensiUve <br /> Lands,Wa#erJWastewater Treatrnent. <br /> - Southudest Florida Water Management District-Wells, Gypress 8ayheads, Wetiand Areas, Altering <br /> WatePcourses. <br /> - Army Carps of Engineers-Seawa(1s,Docks,Navigable Waterways, <br /> - Department of Health & Rehabilitative 8eru'ices/Environmenta! liealth Unit-Wells> Wastewater 7reatment, <br /> Septic Tanks. <br /> - US Environmental Protectlon Agency-Asbestos abafement. <br /> - Federal Aviation Authority-Runways. <br /> i uriderstand fhat the fotiowing restrictions.apply fo the use of fitl: <br /> - Uss of fil!is nat a!lowed in Flaod 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 vo(ume"wi1l tae submitted at time of permitfing which is prepared by a professiona(engineer <br /> licensed by the State of Florida. <br /> - If the fill material is to be used in Flood Zone "A"in conrieotion with a permitted building using stem wall <br /> construction,i certi{y that fiil witt be used only ta filt the area within#he stem wall. <br /> - !f fill material is to be used in any area, ! ceRify that use of such fitl will not adverselp affect adjacent <br /> properties. li use of fiIl is found to adversely affect adjacent properties,the o,wner may be cited for viola�ng <br /> the conditians of the buitding pemzit issued under the aftached permif apptication,for lots less than one(4} <br /> acre.which are elevated by.fill,an engineeTed drainage plan is required, <br /> if I am the AGENT FOi2 THE OWNER,I promise in good faith to inform the owner of the,permitting conditians set forth in <br /> ihis at�davit prior to commenc�ng,coristructiori. i unHerstand ihat a separate permit may be required for electrical work, <br /> plumbing, signs, wells, pools, air conditioning,gas,ar othe�installations not specifically Included in the aQplication. A <br /> permit issued shall be consfrued to be a ticense ta praceed with the work and not as authority to violate,cancel,alter,or <br /> set aside any provisions of the 2echnica!codes,nor shatl issuance af a permit prsvent ihe Building Official from.thereaiter <br /> requiring a carrection of eirors in plans,construction or violations af any aodes. Every permit issued shall becbme invalid <br /> unless the work authorized by such pemtit is cammenced within six months of permi#issuance,ar if work authorized by <br /> the permit is suspended or abandoned for a period of six.(6)months after ihe iime the work fs commenced. Ari extension <br /> may be requested,in wriGng,from the Building Official for a period not to exceed ninety(90)days and will demonstrate <br /> justifiable cause for tha exiension. If wark ceases for ninefy{94}consecutive days,#he job is cpnsidered abandoned. <br /> WARNiN6 TO OWNER: YQUR FAILURE TO RECORD A NOTICE OF CQMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TV1tICE FOR IMPROVEME(d7S 70 YQUR PROPER7Y. !F YOU 1hfTEND T4 OB'LA2N FINANCiN6,CdA45ULT <br /> WITH YOUR LEMDER QR AN Al`TORNEY BEFQRE RECORQING YOUR NdTICE OF CQMMEAfCEMENT. <br /> Fl4RtDA JURAT(F.S.117.03} <br /> ' OWNER 4i2 AraENT GOH7RACTOt2 �r.% Y-„�r�i'G% �.../ <br /> Subscribed and swom to(6r affirmed)before me this Subscribed an tn to(or affirm befOre me this <br /> by by <br /> Who is/are personally known to ine or haslhave produced Who Islare persona y nown to me or hasltiave produced <br /> as identification. as identitication. <br /> Notary PubSic Notary Public <br /> Commission No. Commission No. <br /> Name of Notary typed,printed or stamped Nams o[NoSary typeil,printed or siamped <br />