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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 dramage plan. addressl~g 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 material is to be used in any area, I certify that use of such fill Will not adversely. affect a?Jac~nt <br />roperties If use of fill is found to adversely affect adjacent properties, the owner may be Cited for Violating <br />ihe 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 ~f the permlttln~ conditions s~t forth In <br />. .' commencin construction. I understand that a separate permit may be reqUlr~d for elect~lca.1 work, <br />~'S ":daVII pnor :e1IS poolS a~ conditioning gas or olher installations nol speclfically Included In the application. A <br />p urn .;~g, sl~nshall be 'constr~ed to be a Iicen~e to proceed with the work and not as authori~y !o violat~, cancel, alter it or <br />~:':~I~:'~~Y ~rovislons of the technical codes. n?r shall.lssuance of a permll prevenllhe ':;'~I:~~e~~a~: :::;::~a~~ <br /> <br />requiring a correction o! "':to:: In p~ns. c~~stru~~~~~':;I~:~ ~:::;ro~:~ :;:;Z r.'suance. or II work aulhorized by <br />unless the work authOrize Y suc perm I IS C. . onths after the time the work is commenced. An extension <br />the permit is suspe~ded ?r ab~ndo~~d f~r .flerl~~:II~~~~ ~eriod not to exceed ninety (90) days and will demonstrate <br />may be requested, In writing, .rom e UI Ing f . t (90) consecutive days, the job is considered abandoned. <br />justifiable cause for the extenSion. If work ceases or nine y <br />A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br />WARNING TO OWNER: YOUR F~~~~~ ~~~:;~~~ERTY IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br />PAYING TWICE FOR IMPROVETTMEORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br />WITH YOUR LENDER OR AN Ii. <br />FLORIDA JURAT (F.S. 11 03) \. ~~ <br />CONTRACTOR <br />OWNER OR AGENT Subscribed and sworn to (or affirmed) before m Is <br />Subscribed and sworn to (or affirmed) before me by <br />by Who is/are personally known to me or hasfhave produced <br />Who is/are personally known to me or has/have produced as Identmcatlon. <br />as Identification. <br /> <br />Notary Public <br /> <br />Notary Public <br /> <br />commission No. <br /> <br />Commission No. <br /> <br />Name of Notary typed. printed or stamped <br /> <br />Name of Notary typed. printed or stamped <br /> <br />J5;<D -, gj 0~ h 1-{;;'74~D <br />