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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 . de,e,O. 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 h~shired 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 hot properly licensed and. is not entitled to permitting privileges In Pasco <br />County. <br />TRANSPORTATION IMPACT/UTII,..ITIES IMPACT AND RESOURCE RECOVr;RY 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. Theundersigneo also understands, that such fees, as may be due, will be identified at the time of <br />permitting. If 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 doe~ 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 ru~et, .~tandards of all laws regulating <br />construction, County and City codes, zoning regulations, and land develop-ment re'g.ul~(jons In the jurisdiction. I also <br />certify that I understand that the regulations of other government a'gEMbt~~.w:ay ap~Jy,.th,the intended work, and that it is <br />my responsibility to Identify what actions I must take to be In compHanee. . Such agencies include but are not limited to: <br />Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br />Lands, Water/Wastewater 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 rn 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 />Iicense~ 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 s,eparate perm~t, may ~e required for elect~ica,1 work, <br />plumbing, signs, wells, pools, air conditioning, gas, or other Installatrons not speCIfIcally 1n?luded.ln the appllcatron. A <br />permit 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 permit prevent the Building Official from the~eaft~r <br />requiring a correction of errors In plans, construction or violations of any codes. Every permit issued shall become, invalid <br />unless the work authorized by such permit is commenced within 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 Official for a period not t~ exceed n1n~ty ~90) days and WIll demonstrate <br />justifiable cause for the extension. If work ceases for ninety (90) consecutrve 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 YQU.R 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) . <br /> <br />OWNERORAGENT~~~- / <br />Subscribed and sworn to (or affinnEil,ll before me this <br />. +V\ - "Si <br />Who Islar personally known to me r has/have produced <br />_ s Identification; <br /> <br /> <br /> <br /> <br />CONTRACTOR <br />Subscrlbed and sworn to (or affinned) before me this <br />. by <br />Who Is/are personally known to me or has/have produced <br />as Identification. <br /> <br />..~~ .w. . .2 ~ 5"- <br /> <br />7 <br /> <br />Notary Public <br /> <br />Notary Public <br /> <br />Commission No. <br /> <br /> <br />Name of Notary typed. prlnted or stamped <br />