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<br />A. NOTICE OF DEED RESTRICTIONS <br /> <br />The undersigned understand that this penn it may be 8Ubject to "deed restrictions" which may be more restrictive than County regulations. The <br />undersigned assumes responsibility for compliance with any applicable deed restrlctlons. <br /> <br />8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES <br /> <br />If the owner has hired a contractor or contractors to undertake work, he may be required to be licensed in accordance with State and local <br />regulations. It the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under <br />State law. If the owner or Intended cOntractor Is uncertain which Ifcerislng requ~nts may apply for the intended work, he is advised to <br />contact the Pasco County Building Inspections Division, licensing Section, at (727) 847-8009. <br /> <br />Furthennore, If the owner has hired a contractor or contractors, he is advised to have the contractors sign portions of the "Contractor Block" of <br />this appllcatlon for which he will be responsible. If you as the owner sign as the contractor, you are indicating that you, rather than the <br />contractor, are responsible for the work. If the contractor wishes you to sign as contractor, that may be an Indication that he Is not properly <br />licensed and Is not entitled to permitting privileges in Pasco County. <br /> <br />C. IMPACT FEESIUTIUTlES IMPACT AND RESOURCE RECOVERY FEES <br /> <br />The undersigned understands that Impact Fees and Resource Recovery Fees may apply to the construction of new buildings, change of use <br />In existing buildings, or expansion of existing buildings. The undersigned also understands that such _ as may be due will be identified ~t <br />the time of pennlttlng. It Is further understood that Impact Fees and Resource Recovery Fees mUlt be paid prior to receiving a "Certificate of <br />Occupancy" or final power release. If the project does not involve a Certificate of Occupancy or final power release, the fees must be paid <br />prior to pennlt Issuance. Furthermore, If Pasco County Water/Sewer Impact Fees are due, It must be paid prior to pennlt Issuance in <br />accordance with applicable Pasco County ordinances. <br /> <br />D. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, a8 amended) <br /> <br />If valuation of work 'is $2,500.00 or more, I certify that I, the applicant, has been provided with a copy of the Florida Construction Lien Law- <br />Homeowner's Protection Guide prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone other <br />than the owner, I certify that I have obtained a copy of the above-descrlbed document and promise In good faith to deliver It to the owner prior <br />to commencement. <br /> <br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT <br /> <br />I certify that all the InfonnatlOfl in this application Is accurate and that all work will be done in compliance with ail applicable laws regulating <br />construction, zoning, and land development. <br /> <br />Application Is hereby made to obtain a pennlt to do work and Installation as Indicated. I certify that no work or installation has commenced <br />prior to issuance of a pennit and that all work will be perfonned to meet standards of all laws regulating construction, County codes, zoning <br />regulations, and land development regulations In the jurtadlctlon. I also certify that I underatand thet the regulations of other govemment <br />agencl8$ may apply to the Intended work and that It Is my responsibility to identify which actions I must take to be in compliance. Such <br />agencies Include, but are not limited to: <br /> <br />. Department of Environmental Protection: Cypress bayheads, wetland areas, environmentally sensitive lands, and water /wastewater <br />treatment. <br /> <br />. Southwest Florida Water Management District: Wells, cypress bayheads, wetland areas, and altering watercourses. <br /> <br />. Anny Corps of Engineers: Sea walls, docks, and navigable waterways. <br /> <br />. Florida Department of Children and Family Services, Environmental Health Unit: Wellb, wastewater treatmant, and septic tanks. <br /> <br />. U.S. Environmental Protection Agency: Asbestos abatement. <br /> <br />. Federal Aviation Authority: Runways. <br /> <br />I understand that the following restrictions apply to the use of fill: <br /> <br />. Use offill Is not allowed In Flood Zone "V' unless expressly pennltted. <br />. If fill material Is to be used In Flood Zone "A," It Is understood that a dra~ plan add~111.Q a "com.Pf!nsatlng volume" will be <br />submitted at the time of permitting whIch is prepared by a professional engineer lICensed by the state of Frorida. <br />If fill material is to be used in Flood Zone "A" In connection with a pennitted building using stem-wall construction, I certify that fill will <br />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 adlacent pJ".Operties. If use of fill Is found <br />to adversely affect adjacent D.l'OP.8rt1e8, the owner may be cited for violating the c;gndlUons of the BullCl.lng Pennlt INued under the <br />attached pennit applICation. For lots leas than one (1) acre which are elevafiKI by fill, an engineered drainage plan Is required. <br /> <br />. <br /> <br />e <br /> <br />If ram the AGENT FOR THE OWNER, I promise in good faith to Infonn the owner of the pennittl09 conditions set forth in this affidavit prior to <br />commencing construction. <br /> <br />I understand that a separate penn it may be required for electrical work, plumbing, signs, wells, poo,-, air conditioning, gas, or other Installations not <br />specifically Included In the application. <br /> <br />A pennlt Issued shail be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of <br />the technical codes nor shall issuance of a pennlt prevent the Building OffIcIal from thereafter requiring a correction of errors In plans, construction. or <br />violations of any codes. Every pennlt issued shall become Invalid unless the work authorized by such pennlt Is commeneed within six months of pennlt <br />issuance, or if work authorized by the pennit Is suspended or abandoned for a period of six months after the time the work has commenced. An <br />extension In writing, may be requested from the Building OffIcIal for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the <br />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 PAYING lWlCE FOR IMPROVEMENTS <br />TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING <br />YOUR NOTICE OF COMMENCEMENT. <br /> <br /> <br />SIGNA".,., ~~ SIGNATURE, _/fJ1~~ <br /> <br />STATE OF FLORIDA COUNTY PASCO STATE OF FLORIDA COUNTY PA CO <br /> <br />The foregoing instrument was acknowledged before me this <br />200 by <br />(name of person acknowledging), whO Is personally known to me or who <br />has produced <br /> <br />The foregoing instrumel't was acknowledged before me this <br />200 by <br />(name of person acknowltldglng), who Is personally known to me or who <br />has produced <br /> <br />NOTARY <br /> <br /> <br />NOTARY <br /> <br /> <br />(type of <br /> <br />(type of <br /> <br />dv/pc93043032 <br /> <br />........ ................ ... .................. <br />: JAMES R. TELLEZ : <br />. \"IUHIII C . <br />: l~~\ 0I1llTlM DOCl34I22I i <br />: s ~ ~. ~ ExpllM 1123I2OOI : <br />: \'J?'CI'l\.~1 Bonded l/lru (800)432-4254: <br />. ~1"'It"'" Fbrida Not8rv Assn Inc . <br />I............... ... ....... ...... i......;.....i <br /> <br />r...........jAMES. R~ .TELlEZ...........! <br />. . <br />i ~......~~~',I" ComrnI DD0348228 : <br />: g~~~\ Expi_ a/231200l1 : <br />i ~"f!Jl Bonded l/lru (BOO)432-4254! <br />......:::~:~.......~~~~.~~2.~~.;.'~~.i <br />Rev. 3/1/05 <br />