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, <br />, NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed°restrictions' ! <br /> which may be more restrictive than Counry regulations. The undersigned assumes responsibilily for compliance with any , <br /> applicabie deed restrictions. � <br /> UAILICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or <br /> contractors to undertake work,they may be required to be Iicensed in accordance with state and local regulations. If the ° <br /> contractor is not licensed as required by faw, both the owner and contractor may be cited for a misdemeanor violation i <br /> � under state law. If the owner or intended contractor are uncertain as to what Iicensing 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 contracior(s) sign <br /> po�tions of ihe"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 enliUed to permitting privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACTIUTILRIES IMPACT ANO RESOURCE RECOVERY FEES: The undersigned understands <br /> that TrensportaGon Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of <br /> use in existing bufldings,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 occupancy"or fina�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 permlt issuance in accordance with applicabfe Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuatfon of work is$2,500.00 or more,I <br /> certify ihat I, the applicant, have been provided with a copy of the "Fiorida Construction 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',1 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'S10WNER'S AFFIDAVIT: I certify that ali the information in thfs application is accurate and ihat ali work <br /> will be done in compliance wilh all applicable laws regulating consUuction,zoning and land development. Application is ' <br /> hereby made to obtain a permit to do work and inscailation as indicated. I certify that no work or installation has <br /> commenced prior to issuance of a permit and that all work will be pertortned to meet standarcls of all laws regulating <br /> consiruction, County and City codes,zoning regufations, 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,Wetiand Areas and Environmentaily Sensitive <br /> Lands,Water/WastewaterTreatment. <br /> - Southwest Fiorida Water Management District-Welis, Cypress Bayheads, Weiland Areas, Altering <br /> Watercourses. . <br /> - Army Corps of Engineers-Seawalis,Docks,Navigable Waterways. <br /> - Department of Health & Rehabilitalive Services/Envfronmental 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 follow(ng restrictions apply to(he 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 /> "compensaUng volume'will be submitted at time of permitting which is prepared by a professional engineer <br /> licensed tiy 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 /> construcfion,I certify that fill wiil be used only to fill the area within the stem wali. <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 1 am tha AGENT FOR THE OWNER,I promise in good failh to inform the owner of the permitting conditions set forth in <br /> ihis affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, <br /> plumbing, signs,wells, pools,air conditioning,gas, or other installatians 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 lssuance 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 slx 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 wilt 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 70 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 LEIVDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT(F.S.117.03) <br /> > �,�y. <br /> OWNER OR AGENT CONTRACTOR � <br /> Su.b�s 'bed nd w (or i d)before me this S s ribed d s o to(or Nmed)before e I <br /> ho islaro petsona I o me or has/have produced o is re personally k own me or has ave produced <br /> �P.N!'n,�c-��o�o�e <br /> as identi(icafion. as fdentiftcaUon. <br /> ������g�EN�!STAF���i <br /> �....... <br /> `��.�����$$�OH��• Nolary Public �� d �— Notary PubGc <br /> , • q a �I <br /> . , <br /> + i.���QA��? ssfo6Plo. Cammfssian No. <br /> � •� � y,' <br /> � � � �� 1 Y �%Qi� <br /> =*; •s� u►. � <br /> ! ; Name sf oCffy lyped,printed or stamped Name ot Notary lyped,prin d ' ' <br /> %�• �y�qg .•0= _ '�� MY COMMISSION#FF091745 <br /> ����,,�, �a,�,,, .,,���Q; �� IXPiRES:fEB 14,2018 <br /> /�� .,�'�PoI,kUrpc�;`:�,��� eonded through 1st State Insurance , <br /> /'/y"''�//1111 111 O�``\`\ I <br />