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NOTlCE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" <br /> ,�hi�h may be rt�e res�ictive than Counry regulations. The undersigned assumes responsibility for compliance with any <br /> applicable deed restricdons• <br /> UNLICENSED C�1'�►CTORS �►N� CONTRACTOR RESPONSIBILITIES: If the owner has htred a contractor or <br /> ���� t� und�lce work, they may be required to be licensed in accordance with state and local regulations. If the <br /> contractar is not iicensed as required by law, both the own�r and contractor may be cited for a misdemyan�op Yiolation <br /> under state law. If the owner ar intended contractor are uncsrtain as to what licensing requirements ma a I for the <br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- <br /> 8009. Furthermae, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign <br /> pcxtions of the "contractar Blodc" of this application for which they will be responsible. If you, as the owner sign as the <br /> contractor, that may be an +ndication that he is not property licensed and is not entitled to permitting privileges in Pasco <br /> Counry. <br /> TRqNSPt?RTATfON IMPACT1UTtLiT1ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s <br /> that Transpo�fatioA ►cnpact F'ees and Re�rse Recovery Fees may apply to the construction of new buildings, change of <br /> use in e�ost'sFiB buildings, or e�ansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and <br /> 90-07 as a�nd�� ��igne� �so understands, that such fees, as may be due, will be idenafied at the time of <br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to <br /> �eceiying a°ce�te of occupancy" or final power release. If the project does not involve a certificate of occupancy or <br /> final pawer release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer Impact <br /> fees are due, they must be paid p�ior to permit issuance in accordance with applicable Pasco County ordinances. <br /> CONSTRUCTIOW L1EN LA1A1(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I <br /> certify that I, the appticaM, 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 "owne�', I certify that I have obtained a copy of the above described document and promise in good faith to <br /> deliver it to the "pwne�' prior to c�ocnr�encement. <br /> CONTRACT�t'S�lDWNER'S AFFtDAVIT: � certifY that all the information in this application is accurate and that atl work <br /> w�p be done in corr�tiance with all applicable Iaws regulating construction, zoning and land development. Application is <br /> hereby mac� to obtain a permit to do work and installaaon as indicated. I certify that no work or installation has <br /> commenced prior to issuance of a perrnit and that all work will be performed to meet standards of all taws regulating <br /> constructian, Counry and Ci1y codes, Zoning regula�ons, and land development regulations in the jurisdiction. I also <br /> cer6fy that I understand that the regulations of other government agencies may apply to the intended work, and that it is <br /> my �esponsFbitiry to identify what actions I must take to be in compliance. Such agencies include but are not limited to: <br /> _ pepartment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands, WaterlWastewater Treatment. <br /> _ Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering <br /> Watercourses. <br /> _ Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. <br /> _ pepartrnent of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> Federal Aviation Authortty-Runways. <br /> I understand that the follawing �ricgons apply to the use of fill: <br /> Use of fili is not aliowed in Flood Zone "V" unless expressly permitted. <br /> If the filt material is to be used in Flood Zone "A", it is uncferstood that a drainage plan addressing a <br /> "compensating votume" wifl be submitted at time of permitting which is prepared by a professional engineer <br /> iicensed by the State of Ftorida. <br /> !f the fitl 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 fiil is found to adversely affect adjacent prope�ties, 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 ninery (90) consecutive days, the job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEM NT MAY RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEM YOUR PROPERTY. IF YOU INTEND TO AIN FINANCING, CONSULT <br /> WITH YOUR LENDER OR AN EFORE RECORDING YOUR NOTIC ENCEMENT. <br /> FLORIDA JURAT (F.S. 117.03) <br /> OWNER OR AGENT COtdTR.4CTOR <br /> Subscribed and swom to (or atfirmed) is �/��F�'+ Subscribed and swom to (or a fore this Sfo:�.v <br /> �� oii by ✓o v t � <br /> yyh i�w nc�rsonallv known to me or has/have produced Wh �re personallv known to ms or ha ave produced <br /> —�— as identiflcation. as identification. <br /> .�--"� <br /> Notary Public Nofary Public <br /> Co ission No. D D 77� O2'3 Commission No. D D�]�] � D <br /> Name of Notary typed, printed or stamped Name of Notary ryped, p�inted or stamped <br /> r.+rr■ <br /> a ��,�. �Com DD � <br /> ���',t'� F11S5A M. HOLLERAN =�' ` <br /> _,. <br /> � Commission DD 774023 � ' Expires June 6, 2012 <br /> ��% „� e <br /> � �= Expires June 6, 2012 <br /> ,�� ,.` Bord�a Thn+troy F6n Imwance 800389�1019 <br />