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r <br /> w' <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 lie 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 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 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 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 number 89-07 and <br /> 90-07, as amended. The undersigned also understands,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,ifPasco 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$2,5D0.00 or more,I <br /> certify that I, the applicant, have been provided with a copy of the "Florida Constriction 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 /> 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. 1 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. 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 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"%r 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 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, 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 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,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 fora period of six(6)months after the time the work is commenced. An extension <br /> may be requested, in writing,from the Building Official fora 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 <br /> .YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU&NOTICE OF C MMENCEMENT. <br /> FLORIDA JURAT(F.S.117.03) _ <br /> OWNER OR AGENT- CONTRACTOR <br /> Subscribed andswom to.(or affirmed)before me this offirmeed-) reds is Q <br /> Who is/ personally known to me or hasftve produced W `islare rsonally known me or has(have produced <br /> as identification. - as identification: <br /> Notary Public Notary Public <br /> Commission No. +.m!.I.n No. <br /> Name of Notary typed,printed or stamped Name of No IA A.CAMPBELL <br /> t ?_ �`"�otjryPublic=Stateo or <br /> •:�" •= Commission#GG 112939 <br /> ;uyr aes My Comm.Expires.lul19,2021 <br /> ''9�OF F�.\'' Bonded through National Notary Assn <br />