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NOTICE OFDEED RESTRICTIONS: The undersigned understands that thiapmrnnitmaybeaubjeotto "deed" reathctiona" <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 hirdd' 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 \nvv, both the owner and contractor may be cited for 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. FurtherO)ons, if the owner has hired a contractor or onDtuacbo[a' he is advised to have thb contractor(s) sign <br /> portions of the "contractor Block' of this application for vvhidl they will be responsible. If you, as the mvvnar 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 Tnansporbabon |nnpactFees and Recourse FlecoveryFees nomyapply to the oonmtnuotinnof new buildings, change of <br /> use in existing bui|dinge, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and <br /> 90-07, as amended. The undersigned also undarsbaoda, that such faaa. as may be due' will be identified at the time of <br /> permitting. It is further understood that Transportation Impact Feea'and Resource Recovery Fees must be paid prior to <br /> receiving g "certificate of occupancy" o�fino| power release. If the project does not involve a certificate of occupancy or <br /> final povvecna|eaae' the fees must be paid prior to permit issuance. Furthermore, J Pasco County VVotaVSenwar 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, F\o6da Statutes, omanmeoded): If valuation of work|a$2.S0U.00or more, | <br /> certify that |, the appUnont, 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 itLo the"ovvner" prior bocommencement. <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. | certify that no work or installation has <br /> nnrnnnencad prior to issuance of perrOit and that all work will be performed to meet standards of all {ovva regulating <br /> construction, County and City codes, zoning regulations, and |gOd development regulations in the jurisdiction. | also <br /> certify that | understand that the regulations of other government agencies may apply to the intended work, �nd that �Ys <br /> my responsibility to identify vvhatactions | must take tobaincompliance. Such agencies in�udebut are not||nnitedto: <br /> - Department ofEnvironmental Protection-Cypress 8ayheada. VVetlond Areas and Environmentally Sensitive <br /> Lands, Water/Wastewater Treatment. <br /> - Southwest Florida VVotei Management District-Wells, Cypress Boyheada' Wetland Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. <br /> - Department of Health 8 Rehabilitative Services/Environmental Health Un{t-WaUo, VVao[evvatmr Treatment, <br /> Septic Tanks. <br /> - UG Environmental Protection Agency-Asbestos abatement. <br /> - Federal Aviation h oOAuth� ty vv <br /> �Runayo. <br /> | understand that the following restrictions-apply to the use offill: <br /> ' Use of fill ia not allowed (n Flood Zone"V"unless expressly permitted. <br /> ' |f the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a <br /> "compensating vol.unle" will be submitted at time of permitting Which is prepared by o professional engineer <br /> licensed by the State ofF|6rido. <br /> - If the fiU'onoterial is to be used in Flood Zone ''/Y' in connection with o parnnd±ad building using stem wall <br /> construction, I certify that flit 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 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 |eae than one (1) <br /> acre which are elevated by fill, an engineered drainage plan ierequired. <br /> If | am the AGENT FOR THE OWNER, | promise in good faith to inform the owner of the permitting conditions set forth in <br /> this affidavt prior to commencing construction. | understand that a separate permit may be required for electrical work, <br /> plumbing, o(gOu. vveUs, pOo|o, air conditioning, goa' or other installations not specifically included in the application. A <br /> per[nitiseuedsha|\ beoonstruodtnbeo |icensetnprnoeedw/iththevvorkondnotaaauthoritytovio|oha. cmnce|. a|ter. ur <br /> set aside any provisions of the technical codes, nor shall issuance ofa 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 /> uO|auo the work authorized by such permit is commenced within six months of po[[n\t \Geuanma, 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 (AO) days and will demonstrate <br /> justifiable cause for the extension. \f work ceases for ninety(Q0)consecutive doyn. the job ia considered abandoned. <br /> ' <br /> V0\R0)NG TO OWNER: YOUR FAILURE TO RECORD ANO0CE 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 ATTOEINEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> OWNER OR AGENT— CONTRACTOR <br /> Subscribed and sworn to(or affir d)befori�me this Subscribed and sworn to(or affirmed)before me this <br /> identification.Who is/are p or has/have prodtlued Who is/are personally knov�n to me or has/have produced <br /> as as identification._ <br /> 'Notary Public Notary Public <br /> ^ — w <br /> Commission No. Commission <br /> Name of Notary typed,printed or t Name of Notary typed,printed or stamped <br /> La PIP,,#, Notary Public St4te of Flodda <br /> lymy commission GG 057321 <br /> 120 <br />