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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pennit 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, Furthennore, 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 property licensed and is not entitled to pennitting 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 />pennitting, 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 pennit issuance, Furthennore, if Pasco County Water/Sewer Impact <br />fees are due, they must be paid prior to pennit 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 infonnation 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 pennit to do work and installation as indicated, I certify that no work or installation has <br />commenced prior to issuance of a pennit 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 />Anny Corps of Engineers-Seawalls, Docks, Navigable WatelWays. <br />Department of Health & Rehabilitative ServiceslEnvironmental 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 "Y" unless expressly pennitted. <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 pennitting 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 pennitted building using stem wall <br />construction, I 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 properties, the owner may be cited for violating <br />the conditions of the building pennit issued under the attached pennit 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 infonn the owner of the pennitting conditions set forth in <br />this affidavit prior to commencing construction, I understand that a separate pennit may be required for electrical work, <br />plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application, A <br />pennit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or <br />set aside any prOVisions of the technical codes, nor shall issuance of a pennit prevent the Building Official from thereafter <br />requiring a correction of errors in plans, construction or violations of any codes, Every pennit issued shall become invalid <br />unless the work authorized by such pennit is commenced within six months of pennit issuance, or if work authorized by <br />the pennit 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 (90) days 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 OMMENCEMENT, <br />FLORIDA JURAT (F.S. 117,03) <br /> <br />OWNER OR AGEN~12J:JLl <br />~ Srbscribed and 'SW to (or affirm <br />J ,lI-'clq by t1 <br />Who i are personally k me r haslheve produced <br />CJ. s identification, <br /> <br />~. >,t:.~' tL .tI~~ <br /> <br /> <br />, mlssi~ o. . <br /> <br /> <br />.........,.. JA OUELlNE A VA JEZ <br />tj.),. .. "" ' " <br />I :f-\ Notary Public. S1IIte o' FIOIIlII <br />. .;.ty Commission Expires J ul 21. 2ID1O <br />l~ .r.,fli Commission tI 00549872 <br />...... Bonded National Not,,-! ~ <br />