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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;thley may be-req;'Wred'to be licenseit in accordance with state and' 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`contractoe-are uncertain as to.what licensing requirements may,applyf&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 fired'a contractor or.-contractors, he.is advised to have the contractors)'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 properly licensed and is not entitled to permitting privileges,in,Pasco <br /> County. <br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands.. <br /> that Tranpor station 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 maybe 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-'"ect 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 Immpact <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'rrore,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 /> otherlthan 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:.I7certify 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. 1, also <br /> certify that I understand that the regulations of other government agencies may apply to the.intended work,and tht 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, Wetiand Areas and Environmentally Sensitive <br /> Lands,Water/Wastewater Treatment. ! <br /> Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland 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 /> 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 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"-wiil..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•---s-to 1n be used ,,Flood Zone"A".>in:`connection with a permitted building using stem wall <br /> construction,I certifyahat 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-joe 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-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,rsigns, 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,norshall 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 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 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 f <br /> WARNING:TO OWNER:--Y S-T <br /> O•UR.FAILURE TO RECORD A NOTICE OF COMMENCEMENT_MAY RESULT.IN YOUR <br /> PAYING TWICE FOR IMPROVEMENT OPERTY:"IF YOU INTEND TO OBTAIN;FINANCING;'CONSULT <br /> WITH YOUR LENDER`OR AN'ATTORNEIF BEFORE RECORDING YOUR'NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT(F.S.117.03) <br /> OWNER OR AGENT- CONTRACTORS— — <br /> Subscribed'arid swum to for affirmed)before me this Subscc��bed a d-svrom}a nnetl)b me�y�s <br /> by / :L' 1 .bv _ � i l C. <br /> Who is/are personally known to me or has/have produced �onally-kpgqven.to m r-haslhave produced: _ <br /> as identiflptlon. > i'WKS L�CU%LT,— as Idenfifieation.' <br /> n <br /> Notary Public �2. Notary Public <br /> Commission No. Com is n No <br /> Name of Notary typed,printed or stamped Name of No d r <br /> om I5slon#FF 150422 <br /> ?; Expires December 12,2018 <br /> bonded TW Troy Fain Insurance 000-M-7019 <br />