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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restricflons" <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, 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 "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 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 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 of the permitting conditions set forth in <br />this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, <br />plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallations not specifically in?luded. in the application. A <br />permit issued shall be construed to be a license to proce~d 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 BUlldmg OffiCial from thereafter <br />requiring a correction of errors in plans, c~n~truction or violat~o~s o! any codes. Every ~ermit issued. shall become. invalid <br />unless the work authorized by such permit IS commenced wlthm SIX months of permit Issuance, or If work authOrized by <br />the permit is suspended or abandoned for a period of six (6) months after the time th~ work is commenced: An extension <br />may be requested, in writing, from the Building Officia~ for a period not t~ exceed nln~ty ~90) da~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) .~1"/ ~ C}/I/( 'C <br /> <br />OWNER OR AGENT J1/' <C ~V'_ CONTRACTOR f/t/ . <br />Sub crlbp,d and sworn to (or affirmed) efpre me this ,Supscrlped and sworn t~ (or affirmed efore ~e thiS <br />r9112--tp, byl)..)\\h'<'l'y\.9du.,),,,,", ~JlI....,;r~" 8-!l~Ic-D7 by L0\\'I""~ 'i'~HJ',,"", t-J.QI~I'",", <br />Who isfare personally known to me or has/have produced Who Islare personally known to me or haslh~ve produ~ed <br />FL \) l2u (2 u. C as identification. K l) ~..j ~ L\ c- as Identification. <br /> <br /> <br />c\n':;~~~/~ <br /> <br />Notary Public <br /> <br />.~"-"" d ~ ~ L , <br /> <br />Notary Public <br /> <br />Commission No. <br /> <br /> <br />Commission No. <br /> <br />