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NOTICE OF(SEED 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 dead 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 /> cordrector 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 ea to what licensing requirements may apply for the <br /> Intended work,they are advised to contact the Pasco County Building impaction Division-t imnsfng Section at 727-847- <br /> 8009. Furthermore,if,the-owner has hired a contractor or contractors, he is advised to have the contraotor(s)sign <br /> portions of the'contractor Biocfc of this application for which they will bra responsible, If you,as the owner sign as the <br /> cxintrEctor,that may be an indication that he is not property licensed and.is not entitled to permitting privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transportation Impact Fees and Recouree Recovery Fees may apply to the constriction of new buildings,change of <br /> use in exialing buildings,or expansion of existing buildings,as specified in Pierre County Ordinance number OM7 and <br /> 90-0?,as amended. The undersigned also Understands,that such fees,as may be due,will be Identfied at the time of <br /> permiHing. It is further understood that Transportation Impact Fees and Resource recovery Fees must be paid prior to <br /> receiving a"certificate of o,mpancy"or final power release. If the project does not involve a cameate of occupancy or <br /> final power release,the fees must-tie paid prior to permit issuance. Furthemurre,if Pasco County WaterfSerwer impact <br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. <br /> CONSTRUCTIQN 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 bean provided with a copy of the "Florida Construction Lien Law-Homeownees <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 1 have obtained a copy of the above described document and promise In good faith to <br /> deliver It to the"owner"prior to commancemant. <br /> CONTRACTOR SIOMER'S AFFIDAVIT: I certify that all the information In this application is accurate and that ail work <br /> will be done in compliance with all applicable laws regulating construction,zoning and land development Application is <br /> hereby made to obtain at permit to do work and installation as indicated. 1 certify that no work or Installation has <br /> commenced prior to istuamss of a perms#and that all worn will be performed to meet standards Of all laws regulating <br /> construction,County and City codes,zoning regulations, and land development regulations to the jurisdiction. I also <br /> ramify that t understand that the regulations of other govemmerit 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 agendas Include but are not limited to. <br /> Department of Environmental Protection-Cypress Baybeads,Wetland Areas and FEnvironmentally Sensf Nra <br /> !.ands,WaterMastewater Treatment. <br /> Southwast Florida Water Management DlsUtot Wells, Cypress Bayhsads, Wetland Areas. Altering <br /> Watercourses. <br /> Army Corps of EngineeTe-Saewails,Docks,Navigable Waterways. <br /> • Department of Heaths & Rehabilitative ServiceslEnvi►unmental Health Unit-Wells, Wardewaier Treatment, <br /> SeptfcTanks. , <br /> US Environmental Protection Agency-Aabastoa abatement <br /> - Federal Aviation Authority-Runways. <br /> I understated that the following restriciforrs apply to the use of fill: <br /> - Use of nil is not allowed In flood Zone`V"unless expressly permitted. <br /> - If 8re fill maWal 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 connection?with a permitted building using stem wall <br /> construction)cartiry that f t will be used only to fill the area within the stem wall. <br /> If ill 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 effect adjacent properties,the owner may be cited for violating <br /> the condifJons of the building permit issued under the attached permit application,for lots less than one(1) <br /> acre which are elevated by flit,an engineered drainage plan is required. <br /> ff I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions sat forth in <br /> this of davit 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,of <br /> set aside any provisions of the ttsdrnical codes,nor shelf Issuance of a permit prevent His 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 N work authorized by <br /> the permit is suspended or abandoned for a period of six(5)months after the time the work is co mmencad. An extension <br /> may be requested,in writing,from the Building CMHcW for a period not to exceed ninety(90)days and will demonstrate <br /> justifiable cause for the esdeasion. If work ceases for ninety(90)consecrative daya,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 IMPRovENIENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LIENDEft OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OLOOMENCEMEhM <br /> M=DA JURAT(F.8&7 ) <br /> MNERORAOENT cO mcl. <br /> j�ra6a a�rsnadj th b{riser' be s <br /> 1� e� � - <br /> M islare lurOM1Vn me Or tsaeanave prodrecaU Who Isr rgiy k to ma or hea iim produced <br /> �s kfapli6//ryy(a//ya//nff. ma Iden111karion <br /> ^GG ^ Notary Putwo <br /> Na Gommisarps t3o. ' <br /> NmW of Notary typed,printed or stamped Noma or Notary treed.POW or skzrrped <br /> wSyl.VIAA,CAMPBELL 1^Ny'p ,, SYLVIAA.CAMPBELL <br /> ; ,. NotaryPublic-StateofFlorida ?rY �� Notary Public-State ofFlorida <br /> * • . Commission#GG 112939 .# .; Commission#GG 112939 <br /> M Comm.Expires Jul 19,2021 'ti My Comm.Expires Jul 19,2021 <br /> y Assn. <br /> or•s+s IrandedthroughNatonalNotary oFF°,`" BandedlhroughNallonalNolaryAisn, <br />