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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 respon$ibility for compliance with any <br />applicable deed restrictions. <br />. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBlLmES: If the owner has hired a contractor or <br />contractors to undertake work. they may be required to be licensed in accordance with state and local regulations. If the <br />contractor Is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation <br />under state law. If the owner or intended contractor are uncertain as to what Ilcensing requirements may apply for the <br />Intended wol1t. they are advised to contact the Pasco County Building Inspection DivisIon-Licensing SectIon at 727-847- <br />8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign <br />portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the <br />contractor. that may be an indication that he is not property licensed and is not entitled to permitting privileges in Pasco <br />County. <br />TRANSPORTATION IMPACTIUTIUTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br />that Transportatlon Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, Change of <br />use in existing buildings, or expansion of existing buUdings. as specified in Pasco County Ordinance number 89-07 and <br />90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of <br />permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to <br />receiving a "certlftcate of occupancy" or final power release. If the project does not Involve a certificate of occupancy or <br />final power release, the fees must be paid prior to permit issuance. Furthermore. if Pasco County Water/Sewer Impact <br />fees are due, they must be paid prior to permit i$suance in accordance with applicable Pasco County ordinances. <br />CONSTRUCTION LIEN LAW (ChIi.r 713, FIorIdII S...... .. 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 "FIoI1da 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'SIOWNER'S AFFIDAVIT: I certify that all the information in this appllcation is accurate and that all work <br />wUl be clone in compliance with all applicable laws regulating construction, zoning and land development. Application Is <br />hereby made to obtain a permit to cIo work and installation as indicated. I certify that no wort< or installation has <br />commenced prior to issuance of a permit and that all work win 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 responsibnity 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, Watland Areas and Environmentally Sensitive <br />Lands, WaterlWastewater Treatment. <br />Southwest Florida Water Management District-Wells, Cypress Bayheacls, Watland Areas, Altering <br />Watercourses. <br />Army Corps of Engineers-8eawalls. Docks, Navigable Waterways. <br />Department of Health & RehabiHIative ServiceslEnvironmental Health Unit-IlVells, 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" wiD 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 vloIating <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 sat forth in <br />this aflldavit prior to commencing construction. f understand that a separate permit may be required for electrical work, <br />plumbing, signs. wells, pools, air conditioning, gas, or other installations not specilically 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, aiter, or <br />sat aside any provisions of the technicaJ codes. nor shaD Issuance of a permit prevent the Building 0fIIciaI 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 wol1t authorized by such permit Is commenced within six months of permit issuance, or if wol1t authorized by <br />the permit Is suspended or abandoned for a period of six (6) months after the time the wol1t is commenced. An extension <br />may be requested, in writing. from the BuUding 0fIicia1 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 YO,! LfNDER OR AN ATTORf{EY BEFORE RECORDING YOUR NOTICI OF COMMENCEMENT. <br /> <br />~ :~Yj;,03) '; 17 , A ~ e . <br />~~~~~~~~/14 =a::~~~4~~~;:OILLr <br />~ ~ knalam to me or hasIhsve produced ~ll/8te peraonaIly known to me or hasIheve produced <br />as identificatiOn. as ldentilication. <br /> <br /> <br />Public <br /> <br />cZA fjE) q(iaAJr ~ <br /> <br />Nota'YPublic <br /> <br />Neme 01 <br /> <br /> <br />L:-.~_;.i~!~: r'~ay (;,;, )'Xi') ~ <br /> <br />", ",I' :",'- ..: lo,;',;;~." ;';:~G'."_:! _\~:_.'.. c,~. .""J <br />{,,, 1',.j-.","".," ';'~-V"~-/.l;p~l' 4';..."'\..~~-'\:"'..r~"~iw--'-"...'\J\J.J; <br />