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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" <br />whfch 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 IMPACTJUTILITIES 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 offill 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 installations not specifically included in the application. 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 thereafter <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 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 N C MENT. <br />FLORIDA JURAT (F.S. 117.03) <br /> <br />OWNER OR AGENT TRACTOR E:. , t~;f ~cfc7"e..I'CA-t- C"&<~7L. <br />\~UQscnbed and sworn to r SubscribJlP !'nd.sworn to affirmed) before me. <br />Iv '(f '7 by I/;L 6'/tJ 7by ....,.ec.L .~ <br />\M10 ,s/are personally known to m~o~~Rl:MOdU, \M10 l!;Ja(e p~onallv kn~n to me or has~ r~clI IJ , <br />~ flit 'Ii' ~~~~t . ..l"~ " "" ..s~. ~df~. ..(##fA! , <br />fIIt~tv~~~\SSIO.v~~(\,.. .L1---. A ]~.'. ?cP~~\8SION~ ::~(\'.. <br />~~t'~ary~"iO..~---n) .~.~~I&.;~Q:"- <br />. _ (fl (')... 7. . ,~'~ 'iP :-('\... <br />Commission No ...,. N~lIttmber 29,2608 : ,,_ &mm,ssion No. Ill: :...!. 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