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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 />. applic~ble .dee.t;I. 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 />understate 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 hljlshlred 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/UTll,..lTIESIMPAcT 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 paidprlor 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, Wastewate( 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 rill 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 wall. <br />If fill materl~1 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 than one (1) <br />acre which are elevated by fill, an engineered drainage plan is required. . , . . . <br />If lamthe 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 separate perm~t may ~e reqUired for elect~lca.1 work, <br />plumbing, signs, wells, pools, air conditioning, gas, or other Installations not speCifically 1n?luded.ln the application. A <br />ermit 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 />~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the BUlI,dln9 OffiCial from the~eaft~r <br />requiring a correction of errors In plans, construction or violations of any codes. Every ~ermit Issued. shall become. invalid <br />unless the work authorized by such permit is commenced within six months o,f permIt Issu~nce, or If work authorized. by <br />th mit Is suspended or abandoned for a period of six (6) months after the time the work IS commenced. An extensIon <br />m::~~ requested, in writing, from the Building Official for a period not to exceed nin~ty ~90) dars and will demo~strate <br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS conSidered abandone . <br /> <br />URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br />~:~:~~~EO:t:~P:g~:~~~s 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.) . . -;-,./, / ~ L:f" /' <br />U c ~ CONTRACTOR ~ ~ <br />OWNER OR AGENT ~.. z---- Sub crl ed and sworn to (or amrmep) before me s <br />Sub~crlbed and sworn to or am,rmed) before ~~.;: .:; ;)- i) 07 by n'\c~d~ ~. ---rhc/"I'V' ~i~ <br />_;> ( .)-0 J 0 I by met;( k 7 tV) ~ ^n;f <. du ed WIlo Is/are personally known. to me or has/have prod ced <br />Who Is/are personally..known to me or as ve pro c }J 1-\ .\) (Z. \J.'l. \ \ C as Identlflcation. <br />WI . ~ ~~ tu-'-'- as Identlllcatlon; . <br />. D~\i:z. L\<.:... <br /> <br /> <br />~-2 0 _ .0 )"" ~ 0J-- Notary Public <br /> <br />c.\C~ ,~ '--~ ---n l. \ ~ <br /> <br />Notary Public <br /> <br />CommissIon No. <br /> <br /> <br />Commission No. <br /> <br /> <br />; Name of Notary typ <br /> <br />':!"; <br />