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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 �esponsibility for compliance with any <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS 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 licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation <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. 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 appiication for which they will be responsible. tf 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 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 buildings, or expansion of existing buildings, as specifled 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 Depa�tment 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 ce�tify that no work or instaliation has <br /> commenced prior to issuance of a permit and that all work will be performed to meet standards of ail laws regutating <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 Environmentaily 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 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 /> construction, i certify that fiil 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 buiiding 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 1 am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set fo�th in <br /> this affidavit prior to commencing construction. �as� o installatons specfcally ncluded the appl cat on� <br /> plumbing, signs, weils, pools, air conditioning, g <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 correctiori bf errors in plans, construction or violations of any codes. Every permit issued shall become invalid <br /> unless the work authorized by ndoned e od of six (6) m after t e t m the comme ced An sion <br /> the permit is suspended or aba P <br /> may be requested, in writing, fr nm f work oe (9 ) onsecutive days, the job is ed aha <br /> Justifiable cause for the extensio <br /> WARNING TO OWNER: YOUR FAILS TO YOUR PROP RT1f. YOU INTEND TO BTAIN F NANC NG, CONSULT <br /> PAYING TWICE FOR IMPROVEMENT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT (F.S. 117.03) <br /> CONTRACTOR <br /> OWNER OR A(3ENT scrib and svwr+ to (or a rmed) before me this <br /> Subscribed and swom to (or atfl►med) before me this by � n n,i <br /> bY Who a e per atly known to me or aslhave produced <br /> Who Is%are personally known to me or has/have produced � as ident�ication. <br /> as IdentlflcaUon. <br /> ��.----- Notary Public <br /> Notary Pubtic <br /> Co missl n No. �� ��� � 3 � <br /> Commisslon No. <br /> Name of No n r m ed <br /> Name �yRJk� e <br /> �►►� ^W Notary Public State of Flonda <br /> o a 9 'r ��i. Notary Publie Stafe of Florida +° �' Joseph L Mass� <br /> = 1 � i f` Joseph L Massa ��: My Commission DD942937 <br /> M�;_sy �:+ My Commission OD942937 '�t� fl o� Expires 11/29/2013 <br /> ?o«ct� Expires 11J29/2013 <br />