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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permtt may be subject to "deed" restrictions" <br /> which may be more rest�ictive than County regulations. The undersigned assumes responsibility for compiiance with any <br /> applicable deed resfictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILIIIES: If the owner has hired a contractor or <br /> contractors to undertake work, they may be required to be tice�sed in accordance with state and local regulations. If the <br /> contractor is not ficensed as required by law, both the rnmer and contractor may be cited for a misdemeanor violation <br /> under state law. H the owner or intended conhactor are uncertain as to what Iicensing requirements may apply for the <br /> intended work, they are advised to contact the Pasco County BuHding Inspection Division—Licensi�g Section at 727-847- <br /> 8009. Furthermore, if the ovmer has hired a contractor or conhactors, he is advised to have the conhactor(s) sign <br /> portions of the "contractor Block' of this appifcation for which they wNl be responsible. If you, as the owner sign as the <br /> contractor, that may be an indicatfon that he is �ot properly licensed and is not entitled to pertriitting privileges in Pasco <br /> County <br /> TRANSPORTATION IMPACTIUTILITIES 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 of <br /> use in existing bulldings, or expansbn of existing buildings, as specfFred 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 Transportatlon Impact Fees and Resource Recovery Fees must be paid prior to <br /> receiving a"cert�cate 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, ff Pasco County Wate�/Sewer Impact <br /> fees are due, they must be pald prior to permk issuance I� accordance with applicable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): if valuation of work Is 52,50U.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', 1 certify that 1 have obtained a copy of the above descxibed document and promise in good fafth to <br /> deliver it to the °owner prior to commenceme�t. <br /> CONTRACTOR'S/OWNER'S AFFIDAVIT• i certify that all the i�formation in this application is accurate and that ali work <br /> will be done in compliance with ali applipble laws regulating constructlon, zoning and land development. Application is <br /> hereby made to obtafn a permit to do work and insta(►ation as Indicated. I certify that no work or instailation 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 jurisdicfron. I also <br /> certify that I understand that the regulations of other govemment agencies may apply to the intended work, and that it is <br /> my responsibility to identify what actions 1 must take to be In compliance. Such agencies include but are not limited to: <br /> - Department of Envkonmentai Protection-Cypress Bayheads, WeBand Areas and Environmentally Sensitive <br /> Lands, WatedWastewater TreaGnent. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetiand Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. <br /> - Depa�tment of Heaith & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> - Federai Aviation Authority-Ruriways. <br /> I understand that the foilowing resUicUons apply to the use of flll: <br /> - Use of fill is not allowed in Flood Zone °V" unless expressly permitted. <br /> - If the fl!I mate�lal 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 fiil material is to be used fn Flood Zone "A" in connection with a permitted buiiding using stem wall <br /> constructlon, I certity that fiil wili be used only to fitl the area within the stem wall. <br /> - if fiil material is to be used fn any area, I certify that use of such fiil will not adversely affect adjacent <br /> properties. If use of fill is found to adversefy aftect adjacent properties, the owner may be cited for viatating <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 fql, an engineered drainage plan Is required. <br /> If i am the AGENT FOR THE OYVNER, I promise In good faith to inform the owner of the permitting conditions set forth in <br /> ihis a�davit prior to commencing construction. I understand that a separate permft may be required for electrical work, <br /> plumbing, signs, weils, pools, air conditloning, gas, or other installations not specitically induded in the application. A <br /> permit issued shall be construed to be a license to proceed wKh the work and �ot as authority to violate, cancel, alter, or <br /> set aside any provisions of the technica! codes, nor shall issuance of a permit prevent the Bufiding Official from thereafter <br /> requiring a correction of errors in pians, constructfon or vioiations of any codes. Every pemiit issued shall become invatid <br /> unless the work authorized by such permit is commenced within six months of permft issuance, or if work authorized by <br /> the pertnit Is suspended or abandoned for a period of six (8) months after the time the work is commenced. An extension <br /> may be requested, in writing, from tha Building Official for a period not to exceed ninety (90) days and will demonstrate <br /> just�able cause for the extensfon. If work ceases for �inety (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 FINANClNG, CONSULT <br /> WITH YO R AN A F RE EC R I G YO NO CE OF OM M NT� <br /> FLORIDA J T (F. . 17. ) �+ ��_�� � <br /> OWNER OR A[3ENT Rp,CT L�iv1'/�x- � <br /> Subscrfbed and swo a�irmed) be e e fhfs Subsufbed and !o (or affirmed) be ore me tlifs <br /> by <br /> Who is/are person rwvm lo me rn hasThave produced Who is/are y known (o me or has/have produced <br /> asidentlflca8on. asidentiflcation. <br /> Notary PubFC _Notary Public <br /> Canmission No. Commtssion No. <br /> Name of Notary typed, printed or stamped Name of Notary typed. printed or stamped <br /> b00/C00 d C£�# 6b Ol IIOZ/Ol/50 wo�j <br />