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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 Dlvlsion-Llcenslng 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 "contractorBlock~ 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 th~t 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 paidp~ior 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, WaterlWastewater 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 "An 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?Jacent <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 required. . . . . . <br />If I am the AGENT FOR THE OWNE~, I promise in good faith to inform the owner ~f the permitting conditions ~et forth In <br />this affidavit prior to commencing construction. I understand that a separate perm~t may be required for electrica.1 work, <br />plumbing signs wells pools air conditioning gas or other installations not speCifically Included In the application. A <br />ermlt is~ued shall be 'cons~ed to be a IIcen~e to proceed with the work and not as authority !o vlolat~, cancel, alter, or <br />~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the Bull.dlng OffiCial from the~eafter <br />re ulrin a correction of errors In plans, construction or violations of any codes. Eve'Y ~ermlt Issued shall become Invalid <br />un(ess ~e work authorized by such permit Is commenced within six months of permit Issuance, or If work author~zed i by <br />the ermit'ls sus ended or abandoned for a period of six (6) months after the time the work Is commenced. An ex ens on <br />ma: be request:d, in writing, from the Building Official for a period not t~ exceed nin~ty (90) days anj ~II ~emodstrate <br />,justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job Is considere a an one . <br /> <br />~:~~~~~EO~~EI~P:g~::~~~ ~~~:~~~~~~Ti~~gti 1~~:':nE~g~~~~rN 'f.JA:~~~~~d~N~~~~ <br /> <br />WITH YOUR LENDER OR N,ATTORNEY BEFORE RECORDING YOUR N TIC COMM NCE ENT. <br />FLORIDA JURAT (F.S. 11703) <br /> <br />CONTRACTOR <br />Subscribed and swom to (or amnned) before me this <br />by <br />Who is/are personally known to me or has/have produced <br />. as Identification. <br /> <br /> <br />OWNER OR AGENT <br />Subscribed and swom to (or afflnned) before me s <br />by <br />Who lsiare personally known to me or has/have produced <br />as Identification. <br /> <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 - 8)0./ Co 1-~'14 - 0 <br />