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which NOTICE <br /> may DEED RESTRICTIONS: be more restrictive than County regulations. The undersigned as assumes responsibility it for compliance restrictions" <br /> any my y <br /> applicable deed restrictions. <br /> UNLICENSED CONTRA`C y CONe g RAe d TOo RESPONSIBILITIES: accodance with state and local regulations. If be contractors to undertake they <br /> u t a is not lic the owner a as o intended contractor are uncertain as to what licensing requirements may violaion <br /> under state law. If the own Division— <br /> i <br /> intended wor r mo y are the oe ow ner has hi ed contractor t or B contra g ctors, he dvised to have the contractor(s) sign <br /> 8009. Furthemore, if the <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 /> erstands <br /> TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOVERc t FEES: <br /> n o f new bgne u of <br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the <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, Water/Wastewater Treatment. Bayheads, Wetland Areas, Altering <br /> - Southwest Florida Water Management District - Wells, Cyp ress Y <br /> Watercourses. <br /> Army Corps of Engineers - Seawalls, Docks, Navigable Waterways. <br /> Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment, <br /> - <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 /> - <br /> construction, I certify that fill will be used only to fill the area within the stem wall. <br /> jacent <br /> If fill material is to be used in any area, I certify that use of such fill will <br /> n not d ve r se l cited affect d for a djace n t <br /> properties. If use of fill is found to adversely affect adjacent properties, the <br /> the conditions of the building permit issued under the attached permit application, for Tots 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 understand that <br /> rth in <br /> i faith <br /> d inform the <br /> may be req g be for i electr electrical l <br /> this affidavit prior to commencing construction. <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. <br /> permit issued shall be construed to be a licdeeSenor shall i sua a pe miaprevent the Official from thereafter <br /> requiring set aside any previsions of the technical codes, <br /> requiring a correction of errors in plans, construction ienced within six months of permit ermit uor work become <br /> authorized by <br /> unless the work authorized by such permit is is commenced. An <br /> the permit is suspended or abandoned for a period �ial for pert no <br /> to the <br /> exc nety work <br /> (90) days and will demo ate <br /> may be requested, in writing, from the Building consecutive days, the ^ job is considered abandoned. <br /> justifiable cause for the extension. If work ceases for ninety (90) NCEMENT <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD TIF ICE OF YOU INT OBTAIN FI CONSULT <br /> PA TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT (F.S. 117.03) <br /> //1 <br /> OWNER OR AGENT eONTRACLOR - b t fr' affirmed) before me this <br /> Subscribed and sworn to (or affirmed) before me this by <br /> by Who Is %a a personall known to me or has /have produced <br /> Who is/are ersonally known to me or has/have produced as identification. <br /> as identification. <br /> Notary Public <br /> Notary Public <br /> Commission No. <br /> Commission No. __ _ <br /> Name of Notary typed, printed or stamped <br /> Name of Notary typed, printed or stamped <br />