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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 restrictions. <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 corrtact 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 Block"of this application for which they will be responsible. if you,as the owner sign as the <br /> contractor,that may be an indicafion that he is not properly licensed and is not entitled to permitting privileges in Pasco <br /> County <br />, TRANSPORTA7'ION IMPACTNTILITIES 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 Ordirrance 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 WatedSewer 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 amendedj: If valuation of work is$2,500.00 or more,I <br /> certify that 1, 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"owne�'prior to commencement. <br /> CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that ali 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 govemment agencies may apply to the irrtended 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,WatedWastewater Treatment. <br /> - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> - Department of Health & Rehabilitative Services/Environmentai Health Unit Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - U5 Environmental Protection P�qency-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 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 connectiori 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,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 drairnage 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 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 worlc 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 woric 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 /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT INANCING,CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU NOTICE OF MM NCEMENT. <br /> FLORIDA JURAT(F.S.117.03) r <br /> OWNER OR AGENT CONTRACTOR <br /> Sub rih d and svwrn to r affirmed),�fore me this Subsc be and swom to(or ume�)before me this <br /> /7 by �iVSq /4.�.'+. ��by ��vro7�+a �Cri:Nd:S <br /> Who islare personally known to e or has/have produced Who isfare personally k �wn to me or as/have produced <br /> ``����1111/����Dt ��p-//j-'7y-`�`2-O asidentifiption. F� L 2� 0 - L` 07-0 asidentification. `����t���Ee����i� <br /> ``�o�rv1D�L�Fe �i��� ���_ ' �� �-z� .���Q'�\pTARI-�c'�'G'���. <br /> `� Q�.••NprqRy� Notary Public Natary PubLA Q�:� '�� i <br /> = '' ' �G s�i y GG-��r�� = � s - <br /> : . <br /> + : �COm Commi's�ion No. Commission No. � • <br /> . _/ n �7 _ . My Comm.ExP res ; ! <br /> � �Decem m��ires ; = �Gt W G� �/JP�� �Gi���Gl �Dl�!'Gr y .: 'December 29�202�t� = <br /> � N�� No,GG 9''��1E�ne ofsfoTary typed,printed or stamped Name of Notary typed,printed or stamped � i No.GCi 589�4::�, = <br /> � ,`'� �p :� 2 ���j•'•. P�B1-�G•�� �Q�� <br /> -,,9�.••..VBL1G..•-o�,. %,qr••• .....••o��`. <br /> ���i�OF�FI.�P��`� ������►�i�������`` <br /> ��h��i������� <br />