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<br />NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restnctlons <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 -84 7- <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 01 <br />use in existing buildings, or expansion of existing buildings. as specified In Pasco County Ordinance number 89-07 ami <br />90-07. as amended. The undersigned also understands, that such fees, as may be due. will be Identlflecl at tile time ul <br />permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid pnor tu <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 $2.50000 or more I <br />certify that I. the applicant. have been provided with a copy of the "Florida Construction Lien Law-Homeowners <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, Altenng <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 stern 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 LEN ER OR ATTORNEY BEFORE RECORDING YOUR NO OF COMMENCEMENT <br />FLORIDA JURAT (F. 17. <br /> <br />~""VI~"., <br />:;~W:A""~~";-< <br />=*:0 'a~ <br />- - <br />~~. .:!(E <br />~~. .~..." <br />'....~iif::fr..'r.(t-.'.. <br /> <br /> <br />CONTRACTOR <br />sUbf5"bed and swor Z (or affirmed) before me Ihls 70..0 Did <br />~ .1{ !l~ by-/l f'(( t? '[) ;>11D D k fuN -- <br />Who Is/are personally Iglown 10 me or has/have produced <br />R Nil JAJ /II as Identification <br /> <br /> <br />otary Public <br /> <br />'"~~ <br /> <br />1d N h~JLJj) IJ /) A rJ j I2-.___ <br />Name of Notary typed. printed or stamped <br /> <br />__ ___~_~__ Notary PubliC <br /> <br /> <br />".. .. <br />..,..... .fI.... <br />t "11I1 Ill!::' .... <br />Cl ".L .IID_ <br /> <br />Name of Notary typed. printed or stamped <br />