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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 RESPONSIBILITES: 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 misdemeanor violation <br /> under state law. If the owner or intended contractor are uncertain as to hat licensing requirements may apply for the <br /> intended work,they are advised to contact the Pasco County Building Insp ction 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 /> 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 i not entitled to permitting privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE REC 3VERY FEES: The undersigned understands <br /> that Transportation Impact-Fees and Recourse Recovery Fees may apply t the construction of new buildings,change of <br /> use in existing buildings,or expansion of existing buildings,as specified ir Pasco County Ordinance number 89-07 and <br /> 90-07,as amended. The undersigned also understands,that such fees,es 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 Joes not involve a certificate of occupancy or <br /> final power release,the fees must be paid prior to permit issuance. Furth rmore,if Pasco County Water/Sewer Impact <br /> fees are due,they must be paid prior to permit issuance in accordance with pplicable 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 "Fonda Construction Lien Law—Homeowner's <br /> Protection Guide"prepared by the Florida Department of Agriculture and onsumer Affairs. If the applicant is someone <br /> other than the"owner',I certify that I have obtained a copy of the above de cribed document and promise in good faith to <br /> deliver it to the"owner"prior to commencement. <br /> CONTRACTOR'SIOWNER'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,Izoning and land development. Application is <br /> hereby made to obtain a permit to do work and installation as indicateo. I certify that no work or installation has <br /> commenced prior to Issuance of a permit and that all work will be perfo ed to meet standards of all laws regulating <br /> construction, County and City codes, zoning regulations, and land devel pment regulations in the jurisdiction. I also <br /> certify that I understand that the regulations of other government agencies I may apply to the intended work,and that it is <br /> my responsibility to identify what actions 1 must take to be in compliance. Such agencies include but are not limited to: <br /> - Department of Environmental Protection-Cypress Bayheads tland 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"V"unless expressly perms itted. <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 connectign 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 rc quired. <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 vin the work a d not as authority to violate,cancel,alter,or <br /> set aside any provisions of the technical codes,nor shall issuance of a perrr�it 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 month st of permit issuance,or if work authorized by <br /> the permit is suspended or abandoned for a period of six(6)months after th,time the work is commenced. An extension <br /> may be requested,in writing,from the Building Official for a period not to x Geed ninety(90)days and will demonstrate <br /> justifiable cause for the extension. If work ceases for ninety(90)consecutivi 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 FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> C co <br /> FLORIDA JURAT(F.S.117 3) <br /> V O OWNER OR AGENT CONTRACTORr/% <br /> O a = ubs"cr�ibed�and sw to(or af ri ed) fora matr�s subed and sworn to(or affirmed)before me this <br /> 0 � rr 7�LL by Mc l5tir���j e nnP tt �/ �/� by— <br /> CO I <br /> =) U. Q N is/a a personally known to me or haslhave produced who tslare personally knowitito me or hasihave produced <br /> (L u- as Identification. as identification. <br /> LJ L6_ <br /> .� <br /> 1. X �1/'-�l Notary Public Notary Public <br /> O f� 1 <br /> Z tT U U I Commission No.C'G I l H�� Commission No. <br /> 6G0585 <br /> } Name of Notary typed,printed or stamped Nam of d,print ZO <br /> i Y��pses <br /> yb f �•� ��«��' � EX <br />