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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 Counry regulations. The undersigned assumes responsibility for compliance with any <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTOR3 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 Iicensed as required by law, both the owner and contractor may be cited for a misdemeanor viotation <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. Furthermor�e, 'rf the owner has hired a coMractor or contractors, he is advised to have the contractor(s) sign <br /> portions of tt�e "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 undersgned understands <br /> that Transportation Impact Fees and Recourse Recovery Fees may appy to U�e construction of new buildings, change of <br /> use in e�cisting buildings, or expansion of existing buildings, as speafied in Pasco County Ordinance number 8&07 and <br /> 90-07, as amended. The undersigned aiso understands, that suc� 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 ocxupancy° or final power release. If the project does not invoNe a certificate of occupancy or <br /> final power reiease, the fees must be paid prior to permit issuance. Furthermore, 'rf Pasco CouMy WateNSewer impact <br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. <br /> CONSTRUCTION UEN LAW (Chapter 713, Florida Statubes, 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 Construcdon Lien Law—Homeowner's <br /> Protection Guide" prepared by ihe Florida Department of Agriculture and Consumer Affaiis. If the appiicarrt is surneone <br /> other than tl�e "owne�', I certify that f have obtained a copy of the above described document and promise in good fafth to <br /> deliver it to the "owner° prior to commencement. <br /> CONTRqCTOR'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 appiicable 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 pertortned to meet standards of all laws regulaGng <br /> construction, Counry and City codes, zoning regulations, and land development regulations in the jurisdicGon. I also <br /> certify that I understand that the regulations of ottier govemment agencies may appy to the intended work, and that ft is <br /> my responsibility to id�tify what actions I must take to be in compliance. Such agenaes indude but are not limited to: <br /> - Department of EnvironmeMal Protection-Cypress Bayheads, Wetland Areas and Environmentalty Sensitive <br /> Lands, WatedWastewater Treatment. <br /> - Southwest Ftorida Water Management Distrid-Wells, Cypress Bayheads, WeUand Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls, Dodcs, Navigable Waterways. <br /> - Departrnent of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatrnerrt, <br /> Septic Tanks. <br /> - US Environmerrtal Protection Agency-Asbestos abatement. <br /> Federal Aviatlon Authority-Runways. <br /> I understand that the following restrictions appy to the use of fill: <br /> - Use of fill is not allow�ed in Fiood Zone "V" unless expressly permitted. <br /> - If the fill material is to be used in Flood Zone "A", it is understood that a drainage pian addressing a <br /> "compensating volume° will be submitted at time of pertnitting 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 /> consVuction, I certiy that fill will be used ony 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 adjacerrt properties, the owner may be cited for violating <br /> the conditions of the building permit issued under the attached permit application, for Iots less than one (7) <br /> acre which are elevated by fill, an engineered drainage plan is required. <br /> If I am the AGENT FOR THE OWNER, t promise in good faith to inform the owner of the permitting conditions set forth in <br /> this affidavit prior to commencing consVUCtion. I understand that a separate permit may be r�equired for electrica� work, <br /> plumbing, signs, wells, pools, air conditioning, gas, or other instatlations not specifically induded in the application. A <br /> permit issued shall be c�nstrued to be a license to prooeed with }he 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 corredion of errors in pfans, construction or violations of any codes. Every permit issued sha11 become irnalid <br /> unless the work authorized by such permit is canmenced within six months of permit issuance, or if work authorized b <br /> the pem�it is suspended or abandoned for a period of six (6) months after the time the work is commenced. An e�ctension <br /> may be requested, in writiny, from q�e g�i�ding Official for a period not to excxed ninety (9p) days and will demonstrate <br /> justifiable cause for the extension. If work ceases for ninety (g0) consecutive days, the job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYIN(i TNVICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CON3ULT <br /> WITH YOUR LENDER O N ATTORNEY FORE RECORDING YOUR N0T10E OF COMMENCEMENT. <br /> FLORIDA JURAT (F.S. 117.03) <br /> OWNERORAGENT F�o,yn o`( Lenc� �- CONTRACTOR_ ��9 pu� �2viC('- 7'IVC. <br /> pnd swo to (or eHi�T�Q) before me s Subsaibed and swom ro(or aRmiad) before me this <br /> I by � �—�--�} (.E � by <br /> is/ere personaly Imo�m to me or has/have produced Who is/are Personaly known to me or haslhave produced <br /> as ideMficaBan. as idendficetion. <br /> � � Notaty Public <br /> Nofary Public <br /> Commissiai No._ �� 7�{'� O�f '9 Commission No. <br /> � -� ' �.� <br /> `= 0���,�µV P�jB����� , sfamped Name M Nota�Y �YPed. Printed or sfamped <br /> DAVID BARNES <br /> , °: Notary Public - State of Florida <br /> ;,��,' * �i My Commission Expires May 13, 2012 <br /> /, ���FOFFI�� �� Commission # DD 788099 <br /> �r11f1�� <br />