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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictiGns" <br /> w ich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any <br /> ap�lic�ble deed restrictions. <br /> U LIC�NS�D CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contrac�or or <br /> co�tractors to undertake work, they may be required to be licensed in accordance with state and local tegulations. If the <br /> Co�tractor is hot licensed as required by law, both the owner and contractor may be cited for a misdemeahor Violation <br /> under state Caw: If the owner or intended contractor are uncertain as to what licensing requirements may appfy for the <br /> int;�nded woFk; they are advised to contact the Pasco County Building Inspection Division—Licensing S�ction at 7�7-$47- <br /> 80�9. FuFt�ietmore, if the owner has hired a contractor or contractors, he is advised to have the co►�tractor(s) sign <br /> po�tions of �he �contractor Block" of this application for which they will be responsible. If you, as the owner sign as the <br /> cot�tractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco <br /> County. <br /> TF�ANSPOR�'ATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> thfit T�anspo�tation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, change of <br /> us�e in existi�ig buildings, or expansion of existing buildings, as specified 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 identi�ed 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 applicabte 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 Department 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 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 /> ce�tify 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 /> - , "U�S Environrnehtal, Pratee�i0n Agency-Asbestos abatement. <br /> Federal Aviatiori 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 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 O AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT (F.S. 11 . 3 <br /> � , CONTRACTOR �" <br /> OWNER OR AGENT / g c' and sw r d befor tl7i� I �/) Q,;� <br /> Sups�cr b and swe ffl befor e thf ` b � `�r� <br /> b y Who s/ ersonally known t me or haslhave u ed <br /> C�� � I known to e or ha roduced <br /> c <br /> � � Notary Public <br /> tary ublic <br /> Commi ioR �� KIMBERLY A. Commis on No <br /> ,` �ti P � y Y P KIMBEHLY A. HILLEN <br /> :�o� ���,% otary PuGlic - State ot florld� � r°� ��: Notar - <br /> � f � % <br /> Name .� p n�����E 96377 Name of Nota N ��zpires Jun 27, 2015 <br /> "; �: Commiasion #� EE 96377 <br /> .� <br /> �''��,°,°,�� d''� Bonded TINapA N� �ol�ry �� '��'��°� �;:�'' Bonded ihro�h N�tion�lllot�ry Assn. <br />