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NOTICG OF DECD RCSTRICTIONS: The�undersigned understands fihat fihis permit may be subjecfi to "deed" restricfiions" <br /> which may be more restricfiive fihan County regulafiions. The undersigned assumes responsibility for compliance with any <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR [�ESPONSIBILITIGS: lf the owner has hired a contractor or <br /> contractors to undertake work, fihey may be required to be licensed in accordance wilh state and local regulafiions. If the <br /> contractor is not licensed as required by law, both fihe owner and coniractor m�y�be cited �For a misdemeanor violation <br /> under state law. If the owner or infiended contractor are uncertain as to whafi licensing requirements may apply for the <br /> intended work, fihey are advisecl fio•coniact the Pasco County Building Inspection Division—Licensing Section at 727-8�7- <br /> 8009. f=urthermore, if the owner has hired a coniractor or contractors, he is advise.d to have the contractor(s) sign <br /> portions of'the "contractor 131oc1<" oF fihis application For which they will be resnonsible. If you, as the owner sign as the <br /> contractor, that may be an indication that he is riot properly licenseci and is not enfiitled to permitting privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RCSOURCG RL-COVCRY FCES: The undersigned understands <br /> that Transportation Impact 1=ees and Recourse Recovery Fees may apply to the construction o�f new buildings, change of <br /> use in existing 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, ihafi such �Fees, as may be due, wiil be identified at the time of <br /> permitting. Ii is �Furlher unclerstood fihat Transportation Impact Fees and Resource Recovery Fees must be paid prior to <br /> r�ceiving a "certificate of occupancy" or final power release. I��the projeci does noi involve a certificate of occupancy or <br /> iinal power release, the fees must be paid prior to permit issuance. Furfihermore, if Pasco Counfiy WaterlSewer Impacfi <br /> fees are due, they must be paid prior to permifi issuance in accordance with applicabie Pasco County ordinances. <br /> CONSTRUCTION LIL-N LAW (Chapter 7�13, Florida 5tatutes, as amended): If valuation oF work is $2,500.00 or more, l <br /> certify ihat I, the applicant, have been nrovided with a co�y o�f the "Florida Consiruciion Lien Law—Homeowner's <br /> Protection Guide" prepared by the Florida Department of Agriculfiure and Consumer Affairs. If the applicant is someone <br /> other than the "owner", I certify thafi I have.obiained a copy of the above described document and promise in good�faith to <br /> deliver ifi to the owner �rior to commencement. <br /> CONTRACTOR'S/OWNER'S AF1=IDAVIT: I certi�Fy thafi ali fihe information in this application is accurate and that all woric <br /> �� <br /> will be done in compliance wifih all applicable laws regulating construction, zoning and land developmenfi. Application is <br /> hereby made to obtain a permii to do work and installafiion as indicated. I certify fihat no woric or installation lias <br /> commenced prior to issuance of a permifi and fihafi all worlc will be perFormed to meefi standards of all laws regulaking <br /> construction, County and City codes, zoning regulations, and land develo�ment regulations in the jurisdiction. I also <br /> certify that I understand thafi fihe regulations of other government agencies may apply to ihe intended work, and fihat it is <br /> my responsibilifiy to identify wl�afi actions I musl fialce to be in compliance. Suci� agencies include bufi are not limited to: <br /> - Department of Environmenfal Protecfion-Cypress [3ayheads, Wetland Areas and Environmentally Sensitive <br /> Lands, WaterlWastewater Tre�tment. <br /> - Southwest Florida Water Managemenfi Districfi-Wells, Cypress Bayheacis, Wetland Areas, Aliering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls, Qocks, Navigabfe W�fierways. <br /> - Departmenl of I-lealth & Rehabilitative Services/Environmental Health Unifi-Welis, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Env.ironmental Profection Agency-Asbesfios abalement. <br /> Federal Aviation Authority-Runways. <br /> I undersfiand that fihe following restrictions apply to�the use o�Ffill:� <br /> Use of fill is nof allowed in Flood Zone "V" unless expressly permitted. <br /> If the fill material is to be used in Flood Zone "A", ifi is understood thai a drainage plan addressing a <br /> "compensating volume" will be submitfied at fiimE of permitting which is prepared by a professional engineer <br /> licensed by the Siate of Florida. <br /> lf the �Fill materi�l is to be �used in Flood Zone "A" in connecfiion with a permitted building using stem wall <br /> � construction, I cerfiify that fill will be used only to�(ill ihe area within fihe sfiem wall. <br /> If.�ill materiai is to be used in any area, I certify that use of such •Fill will nofi adversely afFecfi adjacent <br /> properties. If.use ofi fill is found to advers�ly affect adjacenf properties, the owner may be cited for violating <br /> the conditions of the building permifi issued under the attached permit application, �For (ols less than one (1) <br /> acre which are elevated by fill, an engineered drainage plan is required. <br /> lf I am the AGENT FOR ThIE OWNGR, I promise in good�faiih fio inform the owner o�f the permififiing conditions set Forth in <br /> this affidavit �rior to commencing construction. I understand thal a separate permifi may ue required for electrical work, <br /> plumbing, signs, wells, pools, air conditioning, gas, or other install�tions noi specifically included in the application. A <br /> permit issued shall be construed fio be a license io proceed with ihe work and not as aufihority to.violate, cancel, alter, or <br /> set asicle any provisions of the fiechnical codes, nor shall issuance of a permit prevent the f3uilding Oificial��rom thereafter <br /> requiring a correction oF errors in plans, construction or violafiions o�F any codes. Every permit issued shall become invalid <br /> unless the work authorized by such permii is commenced wifihin six months of nermit issuance, or iF work authorized by <br /> the permit is suspended or abandoned�For a period o�F six(6) months after the iime the woric is commenced. An extension <br /> may be requested, in writing, from the Building 'Official �for a period not to exceed nineiy (90) days and will demonstrate <br /> the ob is considered abandoned. <br /> justifiable cause for fhe extension. i�t worlc ceases for ninety (90) consecutive days, j <br /> WARNING TO OWNER: YOUR.rA1LURE TO RECORD A NOT[CC �F COMMENCEMENT MAY RESULT 1N YOUR <br /> PAYING TWICC FOR IMPROVEMENTS TO YOUR PROI'CRTY. It=YOI:1 INTEND TO OBTAIN I=INANCING, CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RCCORDING YOUR NOTICE OF COMMENCEMENT. <br /> �LORIDA JURAT(1=:S.117.03 . <br /> � • CONTRACTOR w � � 'a'c-- <br /> OWNER OR AGENT ��- bscribed and sworn to,(�a��ed)b re �,is p� <br /> O�ubscribed and sworn to( afFUmed)b�for�e,m e this �''"- d����Y � <br /> TM• �0lW+ � °Cse �!��-/ 'a1------ <br /> Who is/are personallvlsnawn to me or has/have produced Who islare pers�'Nn to me or has�lSa�en fi afi na <br /> as identifcation. <br /> G��r��., O- Notary Public <br /> %��� Notary Public <br /> Commissf No. Commission No. �:. _�j , <br /> S��zanne Bahr ., . Suzanne Bahr <br /> � � omtni3s��`� <br /> � ' Name of Notary ryped,printed or st : Expires :ti GV.22,2014 <br /> Name of Notary typed�, , xpire. NOV.22,2014 <br /> � BOi"DEDTf?RC�.t:._S-r;� �,,.\1�NGCO,INC. <br /> B01'DED THRC ATI.L�� t P6\'!)LtiGC0.,1NC. <br />