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i <br /> 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, they may be-required 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 misIdemeanor 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 contractors) sign <br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as'theli 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 Transportation 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 inumber 89-07 and <br /> 90-07, as amended. The undersigned also understands, thatsuch 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 mt lust 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: Furthenihore, if Pasco County Water/Sewer Impact <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 I,-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 /> 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 it to the"owner"prior to commencement. <br /> CONTRACTOR'S/OWNER'S.AFFIDAVIT:: I certify that all the information in this application is accurate and that all work <br /> i will be done in compliance with all applicable laws regulating construction, zoning and.:larid development. Application is <br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work for installation has <br /> commenced prior.to issuance of a permit and that all work will be performed to meet standards of fall laws regulating <br /> construction, County and City coddes;=zoning regulations,,,and land development regulations in the'jurisdiction. I 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 I must take to be in compliance. Such agencies include but-are not limited to:- <br /> Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environimentally Sensitive <br /> Lands,WaterMastewater-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, Wast water Treatment, <br /> Septic Tanks. <br /> US Environmental Protection Agency-Asbestos abatement. <br /> Federal Aviation Authority-Runways. <br /> 1,understand that the following_restrictions apply to the use of fill: <br /> Use of fill is not allowed"in Flood Zone W"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 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; I certifythat'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 the 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, signs, wells, pools, air.conditioning, gas, or other installations not specifically-included ih'.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, nor shall 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. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FdWIMPROVEMENTS TO;YOUR PROPERTY. -IF YOU INTEND TO?OBTAIN FINANCING;CONSULT <br /> WITH YOUR LENDEWOR AN ATTORNEY-BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT(F.S.117.03) <br /> NEkt MAGEN;=—- ' CONTBRC TAR` it4 ,-_� - <br /> Subscnbed nd sworn or affi ed befor me this K "'Subscnbed and swom_to �r affi e�)_ ef re. 3his �Z <br /> _A_ayt <br /> Who is/ person Ily known tome or has/have produced Who is/are perso to me or has/have produced <br /> as identification. as identification. <br /> Notary Public 04� Notary Public <br /> Co si o. 9 QI/ <br /> 'lr:: All `' x I rlileoi�a G®Bi <br /> f Notary PGG27Bg <br /> ed <br /> ��sd?hro57 anlesdraep <br /> Name o �01 <br /> Deer 12,2 3 <br /> iM cembYFell InauraR <br /> �SlOf9 <br />