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N�TICC OF DECD R�STRICTIONS: The� undersigned understands that this permit may be subject to "deed" restrictions" <br /> which may be more resfiriciive ihan County regulations. The undersigned assumes responsibility for compliance with any <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIL[TICS: If the owner has hired a contractor or <br /> contractors to undertake work, they may be required to be licensed in accordance with sfiafie and local regulations. If the <br /> contractor is not licensed as required by law, both the owner and confiractor may�b� ciied �For a misdemyan�opyiolation <br /> under state law. If the owner or iniended contracior are uncerfiain as fio what licensing requirements ma a I for the <br /> intended worlc, ihey are advised fio�contacfi the Pasco County Building Inspection Division—Licensing Section at 727-8�7- <br /> 8009. 1=urthermore, if fihe owner has hired a contractor or confractors, he is advise.d to have the contracfor(s) sign <br /> portions of'the "contracior Blocic" o�F this application �For whicl7 they will be resnonsible. If you, as the owner sign as the <br /> contractor, that may be an indication thafi he is riot properly licensed and is not eniitled to permiiting privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACT/UTILITIES !MI'ACT AND RC50UI�CE RCCOVCRY FCCS: The undersigned understan s <br /> that Transportation Impact Fees and� R�course R�covery Fees may app�Y to the construction of new buildings, change of <br /> use in existing buildings, or expansion of existing buildings, as speci�Fied in Pasco County Ordinance number 89-07 and <br /> 90-07, as amended. The undersigned also undersfiands, th�t sucl� �fees, as may be due, will be idenfiified at the time of <br /> permitting. It is furlher understood that Transporfiation Impact Fees and Resource Recovery Fees must be paid prior to <br /> receiving a"certificate of occupancy" or fiinal power release. If the projecfi does not involve a certificate of occupancy or <br /> final power release, the f�es must be paid prior to permifi issuance. Furfihermore, if Pasco Counfiy WaterlSewer Impaci <br /> fees are due, they must be paid prior fio permifi issuance in accordance wifih applicable Pasco Coun�y ordinances. <br /> CONSTRUCTION LIEN LAW (Chapfer 713, 1=lorida 5tatutes, as amended): If valuation oP work is $2,500.00 or more, I <br /> certify fihat I, the applicant, have been provided witl� a copy o�( ihe "Florida Construction Lien Law—Homeowner's <br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. IF ihe applicant is someone <br /> other than the "owner", I certify thafi I have .obfiained a copy of�the above described document and promise in good faith to <br /> deliver ifi to the "owner" prior to commencement. <br /> CONTRACTOR'SIOWNER'S AF1=IDAVIT: I certifiy that all ihe information in this application is accurafie and that all worlc <br /> wili be done in compliance with all applicable laws regulating construction, zoning and land development. Application is <br /> hereby made to obtain a permii to do work �nd installation as indicated. I certiFy ihat no worlc or installation has <br /> commenced prior to issuance of a permit and ih�i all worlc will be �erFormed to meei standards of all laws regulating <br /> construction, County and City codes, zoning regulations, and land devefop Y npp Y ulations in the jurisdiction. f also <br /> certify that i understand that the r�gulations of otiier government agencies ma a I fio ihe infended work, and that ifi is <br /> my responsibiliry to identify whai actions I musl talce to be in compliance. Such agencies includ� bufi are not limited to: <br /> - Department of Environmental f'roiection-Cypress l3ayheads, Wetiand Areas and Environmentally Sensitive <br /> Lands, WafierlWasiewater Tre�imenfi. <br /> - Southwesfi Florida Water Management Districf-Wells, Cypress B�yheacls, Wetland Areas, Allering <br /> Wafiercourses. <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Wafierways. <br /> - Departmenfi of I-lealth & Rehabilitative Services/Environmental Heafth Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Env.ironmenfal Profiection Agency-Asbestos abatement. <br /> Federal Aviation Authority-Runways. <br /> I understand that fihe following restrictions apply to� the use o�F filf:� <br /> Use of fill is not allowed in Flood Zone "V" unless expressly permitfied. <br /> If the fill mafierial is fio be used in Flood Zone "A", it is understood that a drainage pfan addressing a <br /> "compensating volume" will be submifited at fiime of permififiing which is prepared by a professional engineer <br /> (icensed by the Siate of Florida. <br /> If the �fill material is to be �used in Flood Zone "A" in connecfiion witli a permitted building using stem wall <br /> construcfiion, I certify that fill will be used only fio �(ill fihe area within the sfiem wall. <br /> IF. fill material is to be used in any area, f certify fihafi use of such fill will noi adversely afFect adjacent <br /> � properties. if.use of �fill is •found to adversely af�ecf adjacenfi properties, fihe owner may be cifed for violating <br /> the conditions of ihe building permifi issued under the aitached permit application, �Por (ols less than one (1) <br /> acre which are elevafied by fill, an engineered drain�ge plan is required. <br /> If I am the AGENT FOR ThIE OWNGR, I promise in good �Faifih to inform the owner of the permifiting conditions set forth in <br /> this affidavit prior to commencing construction. �asn or inst Ilafiops sp cfi ally nclud d n� he appl cati n� <br /> plumbing, signs, wells, pools, air conditioning, g <br /> permit issued shall be construed fio be a license to proceed with the work and not as auihority to. violate, cancel, alter, or <br /> set aside any provisions of the technical codes, nor shall issuance of a permii prevent the 13uilding Official from thereafter <br /> requiring a correction of errors in pian ��rmil strcotmmenceld'within siX�months of perm p sua wo autl oeized by <br /> unless the work authorized by su p <br /> the permit is suspended or abandoned �for a period of six (6) monfihs a�fter the lime ihe worl< is commenced. An extension <br /> may be requested, in writing, from lhe Building 'O�F�icial For a period not io exceed ninefiy (90) days and will demonstrate <br /> the ob is considered abandoned. <br /> justifiable cause for the exfiension. IF wor{c ceases �For ninety (90) consecufiive days, j <br /> WARNING TO OWNER: YOU �C �T� TO YOUR PROPERTI(. YOU INTC D TO OBTA NM NANC NG C <br /> PAYING TWICG FOR IMPROVE <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RCCORDING YOUR NOTICE OF COMMENCEMENT. <br /> �LORIDA JURAT (F:S. 117.03) , � � , C r�„ C � /�„ _ �� <br /> CONTRACTOR � /` <br /> OWNER OR AGEN � _ •�� Subscribed and bwor tp ��frme�i)�� me this ./,2.. -e�-�� <br /> 5ubscribed and sworn t� (or afFrme�d)�� e me this Y �j � <br /> —bY ��`�-�« � Who is%are persona�^ to me or has/have produced <br /> Who is/are nerson� o`�� to me or haslhave produced as identification. <br /> as identificafion. <br /> Notary Public <br /> Notary Pubiic <br /> Commis n No. <br /> Comm' 'on No. <br /> N e of Notary ped, printed or stamped <br /> me of Nota typed, printed or stamped NOTARY Pti h.,�C-STaTE OF FLORIDA <br /> OTARY PLBLIC-STATE OF FLORIDA ""' Suzanne B3�lI' <br /> Suzanne Baht = Ccmmission # EE044504 <br /> �� �=Commission # EE044504 ;�s EXUire , �TOV. 22, 2014 <br /> '•,,�'t Exp�r;:� "�OV.2Z,2014 Boh�enniR� . _�r��. �,>;�vcco,arc. <br /> BONDED'1'Hk: Aii ?�TI�nU\PLVGCO,INC. <br />