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NOTI E 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 /> appli able deed restrictions. <br /> UNLI ENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or <br /> L,contr clors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the <br /> contr ctor is not licensed as required by law,both the owner and contractor may be cited for a misdemeanor violation <br /> unde state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the <br /> inten ad 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 contractor(s) sign <br /> port! ns of the"contractor Block"of this application-for which they will be responsible. If you,as the owner sign as the <br /> cont ctor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco <br /> Cou ty. <br /> TRA SPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that ransportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of <br /> use n existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and <br /> 90-0 , as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of <br /> pe itting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to <br /> rece ving 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 be paid prior to permit issuance in accordance with applicable Pasco County ordinances. <br /> CO!,ISTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I <br /> cerli that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's <br /> Prot ction'Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone <br /> othc "owner",I certify that I have obtained a copy of the above described document and promise in good faith to <br /> a" wn ir than <br /> the <br /> dell, ,it to the"owner'prior to commencement. <br /> CO TRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work <br /> will e done in compliance with all applicable laws regulating construction,zoning and land development Application is <br /> her by made to obtain a permit to do work and installation as indicated. I certify that,no, work or installation has <br /> co enced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating <br /> con truction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also <br /> cert that I understand that the regulations of other government agencies may apply to the intended work,and that it is <br /> my esponsibility 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, Welland Areas and Environmentally Sensitive <br /> Lands,Water/Wa6tewater 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 un erstand that the following restrictions apply to the use of fill; <br /> - Use of fill is not allowed in Flood Zone"V'unless expressly permitted. <br /> If the fill material is to be used in Flood Zone W, 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 4m the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in <br /> thi aff <br /> idavit <br /> �prior'r 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 /> per it 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 /> req jiting a correction of errors in plans,construction or violations of any codes. Every permit iss*ued.shall become invalid <br /> unles:5 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 /> ma I be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate <br /> jus,ifiable 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 /> PA ONG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN6-YQUR NOTICE OF CON ENCEMENT. <br /> FL C RIDA JURAT(F.S.117.03) <br /> OW 1JSR OR AGENT CONTRACTO <br /> Sub scribed and swom to(or affirmed)before me this bwlbayn orb d1befdre me this <br /> by by fX&i;n�_1qLos-ffkme <br /> 11 <br /> Wht i iware personally known to me or hasthave produced wWV 4islare per, ally has/have produced <br /> ----as identification. a identification. <br /> Notary Public Notary Public <br /> Co mission No. com So <br /> Com sion No. <br /> ' <br /> -- BELL <br /> Nar to of Notary typed,printed or stamped Name of Notary typed,p 1,1 I <br /> Notary Pt-state of Florida <br /> GG 1 12939 <br /> Commission lIGG112939 <br /> M Comm. Jul 19 <br /> C Expires Jul 19,2021 <br /> koFfL hnitig N.UcmlNo,�Y�'s, <br /> Banded through Natiorill 1401alY Assn- <br />