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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 restr�ctions. <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 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 /> 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 contr�ctor(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 /> contractor, that may be an indication that he is not proper•ly licensed and is not entitled to permitting privileges in Pasco <br /> " County. <br /> TRANSPOFtTATIONiIMPACT/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 /> 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 Water/Sewer Impact <br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I <br /> certify that t, 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 all the information in this application is accurate and thaf 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 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 /> - Departrr�ent of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands, WaterM/astewater Treatment. - <br /> - Southw�st Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercqurses. � <br /> - - Army Cp�ps of Engineers-Seawalls, Docks, Navigable Waterways. <br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, <br /> Septic l'anks. , <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 fll 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 will be used only to fill the area within the stem wall. <br /> - If fill•;m`te�ial is to be used in any. area, I certify that use of such fill will not adversely affect adjacent <br /> �, <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 whlch 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 /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A <br /> permit issued shall �`e construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or <br /> set aside any provisibns of the technical codes, nor shall issuance of a permit prevent the Building Official frqm thereafter <br /> requiring a correction ofi errors in plans, construction or violations of any codes. Every permit issued shall become invalid <br /> unless the worl< auxtiorized by such permit is commenced within six months of permit issuance, or if work authorized by <br /> the permit is susper�ded 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 will demonstrate <br /> justifiable cause for the extension. If work ceases for ninety (90) consecutive days,the job is considered abandoned. <br /> �>,: � <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICEiFQR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSIDLT <br /> WITH YOUR LENDER'OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT(F.S. iy-7.0 <br /> . � <br /> OWNER OR AGENT, � I�� CONTRACTOR � <br /> Subsc Ibe and swqL`(�tof(or sffirmed)before me this Subs ibe and sworn to or affirrr�ed)before me this <br /> _�by .0�.'e—n n-c i3,r_�uC!-,c 1��c /fJ ,� by ��c�n e_�L �cy�r l-.r_�,� , <br /> W is/a e personally Icnown to me or has/have produced W o is/are personally known to me or has/have produced <br /> =i as identification. as identification. <br /> ' � . <br /> ;; <br /> ' Notary Public � ' Notary Public <br /> 4 <br /> Commission No. + Commission No. <br /> � i,� ' <br /> �� <br /> I° <br /> Name of Notary typed,prjnted or stamped Name of Notary typed,printed or stamped <br /> iysY k� Notary`„Public Stale of Florida o.aaY� Notary Public State of Florida <br /> o°��; Geil M Donahue ; � Gail M Donahue <br /> y �o� My Commieslon FF 170472 �oQ My Commission FF 170472 <br /> 9jPOFF,d" Expirea 11/18I2018 �pFp,o`' Cxpires 11/18/2018 <br /> r <br /> :1 ` ' <br />