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� NOTICE OF�EED RESTRICTiONS: The undersigned understands that this permit may Ce subject to°deed"restrictions" <br /> which may be more restrictivethan County regii{afions: The undersigned assumes responsibility for complian�z 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 contact the Pasco County Building Inspection Division—Licensing Section at 727-847- <br /> £i009. 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 wiil be responsible. If you, as the ovmer sign as the <br /> contractor,#hat may be an indica#ion that he is not properly"licensecl and is not entitled to perrriitting privileges in Pasco <br /> County <br /> TRANSPORTATION 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 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 po;�er release. If the project daes not invo{v�a certificate of occupancy or <br /> final povaer release,.the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewet 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 Statubes,as amended): If valuation of work is$2,500.00 or more, I <br /> certify that I, 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 Agricuiture 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"ownet"prior to commencement. <br /> CONTRACTOR'Sl�WNER'S AFFIDAVIT f certify that all the information in this application is accurate and that all work <br /> will be done in compliance with ali applicable larvs regulating construction,zoning and land deve{opment. Nppiication is <br /> hereby made to obtain a permit to dq work.and installation as ir.dicated. 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 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 compiiance. Such agencies include but are not limited to: <br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmenially Sensitive <br /> Lands,WaterMlastewater Treatment. <br /> - Southwest Florida Water Managemen# District-Wells, Cypress Bayheads, Wetiand Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawai(s,Docks,Navigabie Waterways. <br /> - Department of Heafth & 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 foilowing 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 matariai is fo be used in Flood Zone "A°, it is urderstood tha! a drainage pfar addressi^g a <br /> "compensating�o!ume"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, 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 I am the AGERIT FOR THE 01N11ER, I promise in good faith to inform the owner of the permitting conditions set forth in <br /> this aifidavit prior to commencing construction. i understand that a separate permit n�ay 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 O�cial 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 aRer the time the work is commenced. An extension <br /> may be requested, in vrriting, from the Buiiding Official for a period not to exceed ninety(90)days and wili 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 TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF O MENCEMENT. <br /> FLORIDA JURAT(F.S.117.03) • <br /> 01FJIVER OR AGENT CONTRACTOR <br /> Subsuibed and svrorn to(or aHirmecn beFore rr�this Subscribed and or affir cq b�(ore me <br /> yy �by ,� J��:h . c� yoL <br /> Who is;are personaily kno�m to nze cr has/have produced �isl��e e. �nalty kng . to me or i yhave produced <br /> as identification. .(� �-/ s identification. <br /> i <br /> Notary Public � Notary Public <br /> Commission No. Commission No. �.T� ��� K'./ <br /> Name of Natary typ'ed,printed or sYamped htame of o ry Yyped,printed o�sta <br /> ,?AYP DEBRAELAINE RUFFELL <br /> '�?'� �`��'' s n#GG 045343 <br /> �:+ ':�_Commis io <br /> :tiwr,�,,�c�:Expires November 7,2020 <br /> ���TPt�P�, BondedTtwTroyFainlnsurance800-385�7019 <br /> r���• <br />