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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 727-841- <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 i=EES: The undersigned understands <br />that Transportation Impact Fees and Recourse Recovery Fees may apply to the constrUction of hew buildings, change of <br />use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance hUmber 89-07 ahd <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. SlIch agen~ies 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 "N, 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 "N in connection with a permitted building using stem wall <br />construction, 1 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 properti~s, the.ow.ner may be cited for violating <br />the conditions of the building permit issued under the attached permit application, for lots less thah 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 perm'ttln~ conditions s~t forth In <br />this affidavit prior to commencing construction. I understand ~hat a s.eparate perm~t. may ?e reqUlr~d for elect~lca~ ~or~, <br />plumbing, signs, wells, pools, air conditioning, gas, or other installations not speCifically 1n~luded.1n the application. A <br />permit issued shall be construed to be a license to proceed with the work a~d. not as authorl~y !o vlolat~, cancel,alter, or <br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.d'ng OffiCial from the~eaft~r <br />requiring a correction of errors in plans, construction or violations of any codes., Ever~ ~ermlt Issued. shall become. Invall~ <br />unless the work authorized by such permit is commenced within six months o.f permltlssu~nce, or If work authOrized .by <br />the ermit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extension <br />ma: be requested, in writing, from the Building Official for a period not t~ exceed mn~ty ~90) d,a~s and Will demonstrate <br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS conSidered abandoned. <br /> <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 />FLORIDA JURAT (F.S. 117.03) <br /> <br />CONTRACTOR <br />Subscribed and swom to (or affirmed) before me this <br />by . <br />Who Isfare personally known to me or haslhave produced <br />as Identification. <br /> <br />OWNER OR AGENT <br />Subscribed and swom to (or affirmed) before me this <br />by <br />Who isfare personally known to me or haslhave produced <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 />