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<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 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 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 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, 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 />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. I 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 .V" 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 ~all. . <br />If fill materi.al is to be used in any area, I certify that use of su~h fill will not adversely, affect a?Jac?nt <br />properties. If use of fill is found to adversely affect adjacent propertl~s, the.ow.ner may be Cited for Violating <br />the conditions of the building permit issued under the attached permit apphcatlon, 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 ~f the permlttln~ conditions s~t forth In <br />this affidavit prior to commencing construction. I understand that a s.eparate perm~t may ~e reqUlr~d for elect~lca.1 work, <br />plumbing signs, wells, pools, air_ conditioning, gas, or other installations not specifically 1n?luded. In the application. A <br />ermit is~ued shall be construed to be a license to proceed with the work a~d not as authon~ !o vlolat~, cancel, alter, or <br />~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng ~ff~I~11 ~om the~eaftI7~ <br />requiring a correction of errors in plans, construction or violations of any codes. Everr ~ermlt Issue ifs a k ec~r;e. In\~t ~ <br />k th . d b h permit is commenced within six months of permit Issuance, or wor au onze Y <br /> <br />~:?;~~r::h~:~rn~~~~~~~ ~~ifdrn-:~~b<~~~ ~:i~ ~:':dh;::~ ~;\~)~:~~II ~~~~~:: <br /> <br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS cons ere a an one . <br /> <br />ECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br />WARNING TO OWNEI~P~g~::~~~~~ ~~~R PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CoNSULT <br />~;~';O~I~~:g: OR AN ATTORNEY BEFORE RECORDING YOU OTICE OF MMENCEMENT. <br />FLORIDA JURAT (F.S 17. 3) (' <br /> <br /> <br /> <br />Notary Public <br /> <br />Name of Notary typed. p <br /> <br />I W .. <br />n .. ~ <br />.~ <P~" ~ <br />=*: d>~ :. <br />- I "wtmh d .*- <br />Name of Notary 1:!!P~..prlnted or s pe : = <br />~o~ #00368086 :~~ <br />~;:;>-.*. .S:;;::- <br />~ ~ ..70'1- ~f1ded \\l~ .~....~.. ~ ~ <br />~ 'J-A~~:lJ/)licU~~..,.s; *' <br />~ ,.~ ........:...c. .....---~ <br />~/II. Vc STA\i:. \J\,,~ <br />~'III';"IlII\\\\\~ <br />