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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 witii any <br /> applicable deed restrictions. <br /> uNucqicAg C,Oj,V AND CONTRACTOR RESPONSIBILITIES;, If .t . . gwrtgr ha ,bi,ed a contractor or <br /> contractol'S10 undertake Wdrk,'they may be required to be licensed in accdl4farfc c s'fiate - dnd Iteafigjulations. If the <br /> contractor is not licensed as required by law, both the owner oontractor. ay, tsd.fQr �. is nor violation <br /> under state law. If the owner or intended contractor are uncerta�ri'ae tv lvir�fi ficranstn teritenlg rh9y"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. ., r <br /> TRANSt 'fATION IMPACT /UTILITIES IMPACT AND REACtt kig f CQ'y Rtf;) rtEa..The'Urab ned understands <br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of <br /> use in existin ?bpit dingei if existing,builings, as specified in Pasco County' far ;?umber 89 -07 and <br /> 90 -07, as amended. The undersignedilso understands, that such fees, as may be due, will be identified at the time of <br /> permitting. It is further understood that Transportation.jpipact 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 f e.s mist.Lig prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact <br /> fees are due, they must b'eMcWartcrpermit issuance in accordance with applicable Pasco County ordinances. <br /> CONSTRUQT•IOthbltAW (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 . , copy of a "Flori a CQnsttuggi Lien Law — Homeowner's <br /> Protection Guide" prepared b t ►rt' is Iihiefit^1d.'Agr '� ctbli �VilAtrairS- tithe applicant is someone <br /> other than the "owner ", I Ggrtjfy that I have obtained a copy of the described document I.pron i in good faith to <br /> ioY <br /> deliver it to the "owner" pr o Atilmeccement. ' ^ .•.5' <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, zoningInd lan¢,0evelopment. Applicatior•is <br /> hereby made to obtain a permit to do work and installation as indicated. I certify that rio 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. <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 A bs yAND ge • _ - y <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 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 /> 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 NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT (F.S. 117.03) ��rr <br /> OWNER OR AGEN . s 1.•`� CONTRACTOR /�' e^, <br /> Subscribed and sworn t r ffi ed) be or g��i(s 5 bscri edd and sworn toS9r - y' ed) before me this i✓ <br /> 2 7 -1CByrk 6.8, 42 �'°On1 t 2- �!V by rk<ofl = 1' Ci• Gvc°.Ge <br /> Who Is /are, personally known to me or has/have produced Who is /pre personal y known to me or has/have produced <br /> as identification. i (fin as identification. <br /> °s JAG(JL1FI INF P(J $ Notary Public Notary Public <br /> =•_ <� = Co mmission OD 621 ,,��cciY JA • • <br /> Comml _;;` i ii3V reflecember �A1A Commissia _ •� COMM. lb' frIrNEgpGES <br /> 8ondedTawTroyFaininsurance8800386 .7079 tl �s .'fit ••� � 1 <br /> k E fL.x4, d L + pres . 7r <br /> Decembmb er 12. m c <br /> Name of Notary typed, printed or stamped Name of Notary typed, prided tgrelredoc- 8sao19 <br />