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NOTiCE OF DEED RESTR(CTtONS: The undersigned understands that fhis permit may be subject to"deed"res#rictions" <br /> which may be more res#rictive than County regulations. The undersigned assumes resporisibility for compliance with any <br /> appiicable daed restrictions. ' ' <br /> UNLICENSED COMTRACTORS AND CONTRACTOR RESPQNSIBtLiTIES: If the owner has hired a contracfor 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 nat licensed as required by law, both the owner and contractar may be cited for a rnisdemeanor violation <br /> under state law If fhe owner or intended contracfor are uncertain as fo whaf ticensing requiremenfs may app(y for the <br /> intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- <br /> 8Q09. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the cantractar(s}sign <br /> gortions of the"contractor Block"of this application far which fhey wil]be responsible. If you, as fhe awner sign as fhe <br /> cantractar,that may be an indication that he is not properly licensed and is no#entitled to permitting privileges in Pasco <br /> County ,�• <br /> TRANSPORTATIdN[MPAG'CIUTiL1TtE8 IN]PAGT AND FtESQURCE ftEG4VERY FEES: The undersigned understands <br /> that Transportatian 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 /> 90-47,as amended. The undersigned also undersfands,that such fees,as may 6e due,wi[2 be identified at fhe time of <br /> permitting. It is further understaod that Transportation Impact Fees and Resource Recovery Fees mus#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 gower release,the fees must be paid prior to permit issuance. Furthermore,if Pasco Gounty Water/Sewer Impact <br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. <br /> CONSTR.UCTIdN LIEN LAW(Ghapter?13,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I <br /> certify that 1, the applicant, have been pravided with a copy of the "Florida Gonstruc6on Lien.Law—Hameawner's <br /> Protec6an Guide"prepared by the Florida department of Agricu(ture and Consumer Affairs. if the applicant is sameone <br /> other than the"awner',I certify that I have obtained a copy of the above described document and promise in good faith ta <br /> deliver it to the"owner"prior to commencement. <br /> CONTRACTOR'S/OWNER'S AFFIDAVtT: (certify fhat all the informatian in this application is accurate and that all work <br /> will be done in campliance with all applicable laws regulating canstruction,zoning and land development. Application is <br /> hereby made to abtain a permit to da work and instaliation as indicated. ! certity that no work or installation has <br /> commenced prior to issuance af a permit and that alI work will be perFormed to meet standards of ali laws regu(ating <br /> construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I alsa <br /> ceetify that I understand that the regulations of other government agencies may apply to the intended work,and that it is <br /> my responsi6i(ity fo idenfify what acfions 1 musf take#o be in compliance. Such agencies inc(ude but are not(imited to: <br /> - Department of Enviranmental Proteckion-Cypress Bayheads, Wetland Areas and Environmentaliy Sensitive <br /> Lands,WaterlWastewater Treatment. <br /> - Sout�west Florfda Wafer Management District We1ls, Gypress Bayheads, Wefland Areas, Alfering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> - Department of F2ealth & Rehabi(itative ServiceslEnvironmental Health Unit-Wel[s, Wastewafer 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 nat allowed in Flood Zone"V"unless expressly permitted. <br /> - Ifi the 8l[ materia( is to be used in Flood 2one "A", it is understoad thaf a drainage plan addressing a <br /> "compensating volume"will be submitted at time of permitting which is prepared by a professlonal engineer <br /> licensed by the State of Florida. <br /> - lf the fIl material is to be used �n Flood Zone "A"in connec#ian with a permitted buildEng using stem wall <br /> consfruction,I certify that fiI1 wiii be used oNy to fill the area wi#hin the stem wall. <br /> - If fill materlal is to be used in any area, I certify that use of such fill will not adversely affect adjacent <br /> properties. IF use of filI is found to adversely a{fecf adjacent properties,the owner may bs cited for violafing <br /> the conditions of the building permit issued under the atfached permit app(ication,for iots less than one(1) <br /> acre which are elevated by fill,an engineered drainage plan is required. <br /> If l am the AGENT FOR THE QWNER,i promise in good faith to inform the ownec of fhe permifting cand'sfsans set forth in <br /> this affidavit prior to commencing construction. I understand that a separate permit may be required fior eiecfrica(work, <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the applica#ion. A <br /> permit issued shall be co�strued ta be a license to proceed with Ehe work and not as authority to violate,caacei,after,or <br /> set aside any provisions of fhe technical codes,nor shall issuance af a permit prevent the Bui(ding Official from thereafter <br /> requiring a correction of errors in plans,construction or violations of any cades. 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}monfhs after the fime fhe work is commenced. An extension <br /> may be requested, in writing,from the Building Official for a periad not tcr exceed ninety(90)deys and will demonstrate <br /> justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandorted. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING 7WICE FOR IMPROVEMENTS TO YOUR PRORERTY. 1F YOU INTEND TO dBTAIN FINANCING,CONSULT <br /> WITH YC1UR LENDEF2 03i AN ATTdRNEY BE E t2EGORDING YCtUR NOTIGE 4F COMMENCEMENT. <br /> FLORIDA JURAT(F.S.117.0 ) /� <br /> OWNER pR AGEN7 +.L f.�[.+'-e CONTRAC70R <br /> Subscribed and swom t r affirmed for me t ' Subscribed and swarn to{or affirmed}before me this <br /> by an�Q c�n..c�� a.n�� by <br /> �Vho is/are personally knowR ko. r has/have produced Who is/are personally known to me or has/have produced <br /> 41�1(.1[�LL�(\`1/�253{.1��denGficaiion. as ideniification. <br /> i � ���,1L��-�-/IZotary Pubiic Notary Public <br /> Co mis an No.�'�'� �, Commission No. <br /> ���� ���� <br /> Name of Notary typed,print Flame of hlotary typed,prinfed or stamped <br /> Notary Public <br /> � State of fiorida <br /> M�r Commission Eacpires 8(22�2020 <br /> Commission Nn.FF 997474 <br />