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NOTICE gFDEED : 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:omp}ia 'nce 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 bo requiredtoba |icenoedinaccondencevvithotateand \oco| regulagiono. If the <br /> contractor is not licensed as required by |aw, both the owner and contractor may be cited fora 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 oontnmoboro' he is advised to have the contractor(s) 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 /> contnyctor, that may beao indication that haio 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 nf new buildings, change of <br /> use in existing bui|dingo, or expansion of existing bui|dinQm, an specified in Pasco County Ordinance numbar8Q-07 and <br /> 90-07. as amended. The undersigned also undamtendu, that such feea, as may be due, will be identified ot 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 na|aooe 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 CountyVVater/Sswvar Impact <br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco Countyordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713. Florida Statutes, msmnomndmd): |f valuation of work io $2'SOO.UOor more, | <br /> certify that |' the app|iomnt, have been provided with o copy of the "Florida Construction Lien Law—Homeowners <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 obtained a copy of the above described document and promise in good faith to <br /> deliver itto the"mwner" prior tocommencement. <br /> CO0TRACTOR'S/OW0ER'GAFFIDAVIT: 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. | certify that no work or installation has <br /> commenced prior to issuance of permit and that all work will be performed to meet standards of all |mvva regulating <br /> conotruction. County and City nodao, zoning nagu|ediono. and land development regulations in the jurisdiction. | also <br /> certify that | understand that the regulations of other government agencies may apply to the intended wmrh, and that it is <br /> my responsibility to identify what actions | must take tobeincompliance. Such agencies include but are not limited to: <br /> - Department ufEnvironmental Protection-Cypress 8ayhaado. Wetland Areas and Environmentally Sensitive <br /> Lands,Water/Wastewater Treatment. <br /> ' Southwest Florida Water Management District-VVa||o, Cypress Bayheads, Wetland Anaom, Altering <br /> Watercourses. <br /> ' Army Corps ofEnginaere-GemwaUs. Docks, Navigable Waterways. <br /> ' Department of Health & Rehabilitative Services/Environmental Health Unit-VVa||a, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> - Federal Aviation Authority-Runvmayn. <br /> | understand that the following restrictions apply to the use offill: <br /> - Use of fill io not allowed in Flood Zone"V" unless expressly permitted. <br /> ' If the fill nnotaha| 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 bv the State ofFlorida. <br /> - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall <br /> construction, |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, | certify that use of such fill will not adversely affect odomani <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 |ays than one (1) <br /> acre which are elevated by fill, on 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. | understand that m oeponobe permit may be required for electrical work, <br /> p|umb|nQ, oigna, wmUa, poo|o, air nonditioning, gom, or other installations not specifically included in the application. A <br /> pennitioauodahoUb000nstruedhobea |ioenaetopnnomedvvithihevvorkaDdnotomauthority violate, cancel, alter, or <br /> set aside any provisions of the technical codes, nor shall issuance of a permit,prevent the Building Official from thereafter <br /> requiring correction of errors in plans, tr uti n or violationsofanyoodes 'Eve permit issued shallb 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 th'e 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,tlie 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 TQOBTAIN FINANCING, CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> OWNER OR AGEN' 0111 IA— CONTRACTOR <br /> —440i(ol <br /> - -' - <br /> Subscribed and sworn (or affirmea)More-me this Subscribed and swo 0( r&ffirmed)bYore me this- <br /> Who is/are personally known to me or hasihave PFOdUG Tv o�rs/are Personally known to me or hasihave pfeda <br /> _---7-�:ms identification. as identification. <br /> Notary Public. __Notary Public <br /> Commission No. FB98637 Commission No. FF98537 <br /> EfismaM.Holleran Gliuma M.BoDcruu <br />