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S�.— - �.1;, <br /> �,,; , R10TICE 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 COPITRACTORS 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 appiy 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 Bfock"of thiis.applicatibn for which they will be responsible. ff 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 IMPACTIUTILITIES 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 WatedSewer Impact <br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. <br /> CONSTRUCTIOP!LIEN LAlN(Chapter 713,Florida S4atutes,as amended): If valuation of work is$2,500.00 or more,I <br /> certity that 1, the appticant, have t�een provided with a copy ofi the "Florida Construction L'ien 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'SlOWNER'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 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 <br /> certify that I understand that the regulations of other gavernment agencies may apply to the intended work, and that it is <br /> my responsibility to identify what actions f must fake to 6e in compliance. Such agencies include but are not fimited to: <br /> - Department of Environmental Protection-Gypress Bayheads, Wetland Areas and Environmentally Sensitive <br />� Lands,WatedWastewater Treatment. <br /> - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> I - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <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 nDt 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. <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, fhe 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 whfch are elevated by fill,an eng(neered drainage plan is required. <br /> If I am the AGERJT FOR TFfE OWNER, f promise in good faith to inform the awner of the permitting condltions set fo�th in <br />, this.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 /> 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 O�cial 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,the job is considered abandoned. <br /> WARNlNG TO OWRIER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR_ <br /> PAYitliG TWICE�'OR YMPROVEtViEPlTS TO YOUR P4tOPE{�'C�f. iF�1011 ttVTEtYD�'U OBT�.iN FitVANCING,CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC OF COMMENCEMENT. <br /> IFLORIDA JURAT(F.S.117.0 <br /> I OWNER OR AGENT CONTRACTOR <br /> Subscribed and swam to(or affii before me this Subscribed and sworn to(or ed)be re me this <br /> by by <br /> Who Is/are personally known to ma or has/have produced Who islare personally known to i e or has/have pryd ced <br /> as identification. as i efff�fication. <br /> 3A�>3,..s� _..�.:a..ea�,..a:= .��c,m..... <br /> ���IPpY'PVB�. � I ta�"Fublic ��,,�.PYPV'•. Nota <br /> �����"'' ry$d���R{JNE ALLEN <br /> ;a. ��; u T-�ta�e oi Flor�c�� ;:. .�: Notary Public-State of Florida <br /> Commissio 190` ' ' ' S6 Cammission No. -. • �• '= <br /> =; . �; : ' ' n#FF 912586 <br /> �;, P�,• My Co .Expires Oct 25,201�� �;, � �s:` M Co ires Oct 25,2019 <br /> Name ot N ry t�tped�pHnted ough NatlOnal Not2ry Assn. ame of Notary typed,printed or stamp ''���;;1��`' Bonded through National Notary Assn I <br />