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40TICE OF DEED RESTRICTIONS: The undersioned 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 /> appticable deed restrictions. <br /> UNLICENSE11 CONTRACTORS AND CONTRACTOR RESPONSIBILITIES- If the owner has.hired a contractor or <br /> contractors to undertake work,they may be requited 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 contractor(s)sign <br /> portions of the"contractor Block'of this"application for which they wilf be responsible. If you,as the owner sign as the <br /> contractor,that maybe an indication that he is;not properly licensed and is not entitled to perm.itting privileg6s in Pasco <br /> County. <br /> - <br /> TRANSPORTATION(MPACTIUTILMES IMPACT AND RESOURCE RECOVERY FEES: The.undersigned understands <br /> spat Transportation impact Fees and Recourse ecourse 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 /> 9"7,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 WatedSewef Impart <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 1, the applicant, have been provided with a copy of the 'Florida Ccinstruction Lien Lavv—­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 obtairted.acopy of the above described document and promise in good faith to <br /> deliver it to the"ovmer'prior to commencement <br /> -CONTRACTOWSIOWNER'S AFFIDAVIT: I certify that all 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 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 l'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 It ffifted to: <br /> - Department of Environmental Protection-Cypress Bayheads,Welland Areas and Environmentally Sensitive <br /> Lands,Water/WastewaterTreatment <br /> - Southwest Florida water Management bistrict-wells, Cypress Bayheads. Welland -Areas. Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, <br /> Seolic Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> - Federal Aviation Authority-Runways. <br /> I understand that the following restrictions apply lo the use of fill. <br /> - Use of rill 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 engmser <br /> licensed by the State of Florida. <br /> If the fill material is to-be used in Flood Zone"K 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 stern wall. <br /> If fit 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 toadversely affect adjacent properties,the owner may be cited for violating <br /> the-condiflons of the building permit issued under the attached.permit application,for lots less than one(1) <br /> acre which are elevated by fill,an ongineeted 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:nrRdavit prior to commencing construction. I understand that aseparate permit may bu required rut eleclrlt:al work, <br /> nlutinhinti•sIons,wells, pool&,air condifinnina,gniz,or other inst=lt2fions not.spoeffically inrJudod in the applicotion. A <br /> permit issued shag be construed to be a license to proceed with the work and riot as authority to violate,cancel,after,or <br /> set aside any provisions Of the technical codes,nor shall issuance of 8 permit prevent the Building Official from thereafter <br /> requiring a correction of,errors in plans,,consftction-orviolations of any codes. Every permit issued shag become invalid <br /> unless the work authorized by such permit is commenced vVilbin:six-months of permit issuance,or­if work authorized <br /> ized-by <br /> the permit is suspended or abandoned for a period or six(6)months after the time the work is commenced. An extension <br /> at.ay 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. Ifwork 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 TOYOUR PROPERTY. IF YOU INTEND To OBTAIN FINANCING.CONSULT <br /> WfM YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT- <br /> FLOPJDA JU I RAT(F.S C-01) <br /> AG CONTRACTOR____dR A CONTPACTOR <br /> his ahscribefend <br /> �t d M 0ff. belage-mal is <br /> r'efen,70� 0 <br /> �a prolluced low rsim2fly 10?ra oi VY60 Ware persona 17M me or produced <br /> IIMP ly. aw;M'dication. A C, --ritificatiom <br /> I NotaryP(ibllc Notary Putift <br /> Wish a. Comm on issi No. <br /> 1, <br /> bra of Notary typed,Ontodb?stamped Name of N poniedorsta <br /> Notarq' u <br /> �Gc Stara of Ftcxida <br /> Paula L Elliott <br /> My Commission FF <br /> NOTARY PUBLIC expires 101(5�12019 <br /> F <br /> Henry County <br /> State of Geo <br /> My Comm.Expires <br />