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. <br /> . . . <br /> NOTICE [)F DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" <br /> C <br /> vvhiuhnnaybernorereathubvg than County regula�ono. The undersigned aosunnesreaponaibU�yfor oonop|iuncew�hany <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR'RESPONSIBILITIES: If h hired� e owner am re a contractor or <br /> contractors tounda�ukevvork. they may ba required tobo Ucnnsad |n accordance vv�hstate and-local regulations. (�the <br /> contractor is not-licensed as required by |ovv, 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' <br /> Building Inspection Division—Licensing Section at727-847- <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 B|onk" of this application for which they will be responsible. If you, as the owner sign <br /> — 'o th� <br /> oontnaotor, 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 Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buUd|nQa, change of <br /> use in gX|oUng buildings, Or expansion of existing buildings, as specified in Pasco OoUnh/ Ordinance number 89-07 and <br /> 90-07. as amended. The undersigned also Undenotanda, 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 Water/Sewer Impact <br /> fees are due,they must bepaid prior to permit issuance in accordance with applicable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as onnnndadD: If valuation of Work is $2.500..00 or more. | <br /> certify that |, the applicant, have been provided with a copy of the "Florida Construction- Lien Law—Homeowner's <br /> Protection Guide" prepared by the Florida Department ofAgriou|ture.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|tto the"oxvne/' prior tocommencement. <br /> CONTR\CTOR`S/OWy0ER'0 AFFIDAVIT: | 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 conotruotion, zoning and land development. Application is <br /> hereby mode to obtain a permit to do work and installation as indicated. | certify that no work or installation has <br /> commenced prior to issuance of a permit and that all work will be performed to, rnnst standards of all |avva regulating <br /> nonotruCt|on. County and City Omdeo. zoning regulations, and land development regulations, in the jurisdiction. | 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 | must take tobeincompliance. Such agencies include but are not limited to: <br /> ' Department of Environmental Protection-Cypress Bayheads. VVet|andAreas and Environmentally Sensitive <br /> Lands,VVator��astewatnrTnsatn�en1. ' <br /> ' Southwest Florida Water Management District-Wells, Cypress. Bayheads, Wetland Areao, Altering <br /> Watercourses. <br /> ' Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. ' ' <br /> Department of Health & Rehabilitative Services/Environmental Health Unh-VVa}|s, Wastewater Treatment, <br /> Septic Tanks. <br /> ' US-Environmental Protection /\genoy'Aobe8tooabatement. <br /> ' Federal Aviation Authority-Runvvaye. <br /> | understand that the following restrictions apply tothe use offill: <br /> - Use of fill ia not allowed in Flood Zone"V" unless expressly permitted. <br /> |f the fill nna1eha\ 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 vva|| <br /> construction, l certify that fill vvU) ba used only to fill the area within thestennwall. <br /> ' If fill material is to be used in any area. | 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 |arequi?ed. <br /> If | 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.. | understand that a separate permit may be.required for electrical work' <br /> p}unnbing, siQns, vveUa' poola, air conditioning, gas.,or other installations not specifically included in the application. A <br /> pe[rnitiaauadshe|| beuooatfuedtobea |ioeneetoproceadvvi1h-thevvorkandnotaeauthor|tytovio|a1e. oanoe|, a|ter. or <br /> set aside any provisions of the technical codes, nor shall issuance.of m permit prevent the Building Official from theresdte'r <br /> requiring a correction of errors Jn plans, construction or violations of any codes. Every permitissued shall become invalid <br /> un|eoa,the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by <br /> the peOn�|ssUspandedor abandoned for apehod^of six (G) months after the time the Work iscommenced. An extension <br /> may be requested, in vvri1|ng, from the Building Official for a period not to exceed ninety (90) days' and will demonstrate <br /> � justifiable cause o fortheext�no\on. |fwor� eanosforninmty (QO) nonsocutivedays.the'ob |scono\d8rad8bandUned. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT )NYOUFf <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FlNA0CJ0G. CONSULTWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> OWNER OR AGENT CONTRACTOR <br /> Subscribed and sw n to(or af Subscribed and sworn to(or affirmed)before me this <br /> Who is/are personally known mm"mxasw'uvpprmouuud Who is/are personally known nomeor has/have produced <br /> identification. . <br /> otary Public Notary Public ` <br /> ` <br /> Commi <br /> \J. ( ) -----�— ' <br /> Nam <br /> _—of Notary_ typed,printed or stampedPOW";,` <br /> ,A,State of Florida-Notary Public <br /> My Commission Expires <br /> ' <br />