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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pertnil may be subject to"deed"restrictlons' <br /> which may be more restrktive lhan County regulations. The undersigned assumes responsibitky for compliance with any <br /> applicable deed restrictions. <br /> UNLICEN3ED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE3: If fhe owner has hired a contractor or <br /> contractors to undertake work,they rney be required to be licensed in accordance with state and local regulatans. If the <br /> contractor is not licensed as required by law, both the owner and contractor rriay be cited tor a misdemea�or violation <br /> under state iaw. If the owner or intended cbnVactor are unceAain as to what licensing requirements may apply for the <br /> intended work,they are advised to contad the Pasco County Building Inspection pivisiun—Licensing Section at 727-847- <br /> 8009• Purthermore, if the owner has hired a conVaclor or contractas, he is advised to have fhe contractor(s) sign <br /> portions of the"conUactor Bbck"of this application for which they wili be responsible. If you,as the owner sign as the <br /> contractw,that may be an indication that he is not properly Iicensed and is not entitled tp permitting privileges in Pasco <br /> County <br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transportation Impad Fees and Recourse Recovery Fees may appy to the c�nstruction of new buildings,change of <br /> use in existing buildi�s,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,wip be identified at the dme of <br /> permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to <br /> fi�iving a"certificate of occupancy'or final power release. If the project does r►ot involve a certificate of occupancy or <br /> power release,the fees must be paid prior to permit issuance. Furthemwre, if Pasco County WatedSewer Impact <br /> fees are due,they must be paid prior to pertnit issuance in axordance with applicable Pasco Counly ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713,FloHda Statutas,as amended): If valuation of work is$2,500.00 w more,I <br /> certify that t, the applicant, have been provided with a copy of the 'Florida Construction Lien Law—Homeowners <br /> Protection Guide"prepared by the Fbrida Department of Agricufture and Consumer Affairs. If the appiicant is someone <br /> other than the'owne�',1 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'3/OWNER'3 AFFIDAVIT: I certify that all the infortnation in this appllcation is accurate and that all work <br /> will be done in compliance with aN applicable faws regulating consUuction,zoning and land development. Application is <br /> hereby made to obtain a permit to do waic and installaiion as indicated. I certify that no woric or installation has <br /> comniern�d prior to issuance of a permit and that all work wiN be performed to meet standards of all laws regulatlng <br /> consUucUon, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also <br /> certify that I understand that the regulatbns of other govemment agenaes may apply to the intended work,and that it is <br /> my responsibility to idendfy 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,WateNWastewater Treatment. <br /> - Southwest Fiorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> - Artny Corps of Engineers-Seawalls,Dodcs,Navigable Waterways. <br /> - Department of Heakh 8 Rehabilitative Services/Environmental Health Unit-Weils, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> Federal Aviation Authority-Runways. <br /> I understand fhat the folbwing 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 materiat is to be used in Flood Zone 'A", 8 fs understood that a drainage plan addressing a <br /> "compensating volume°wiN be submitted at time of pertnitting which is prepa�ed by a professional engineer <br /> licensed by the State of Fbrida. <br /> - If the fiN material is to be used in Flood Zone "q• in connection with a permitted building using stem wall <br /> consUuction,I certify that fill wiH be used only to fill the area within the stem wall. <br /> - If fill material is to be used in any area, 1 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 owne�may be cited for violating <br /> the conditions of the building pertnit issued under the aUached permit application, for bts tess 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 infortn the owner of the permitting conditions set forth in <br /> this affidavit prior to comme�cing construction. i understand that a separate permit may be required tor e�cal woric, <br /> plumbing, signs, weils, pools, air conditioning, gas, or other installatbns not specifically included in the application. A <br /> permit issued shall be c�nstrued to be a license to proceed with the work and not as authority to violate,cancel,atter,or <br /> set aside any provisions of the technical codes,nor shall issuance of a pertnit prevent the Building Official from thereafter <br /> requir(ng a correction of errors 1n plans,oonstrucUon or violadons of any codes. Every permit issued shall become invalid <br /> the permit is s�s authorized by such permit is oommenced within six months of permft issuance,or if work authorized by <br /> pended 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 ni�ety(90)days and will demonstrate <br /> justifiable cause for the extension. If work ceases for ninery(90)consecuGve days,the job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUIT IN YOUR <br /> PAYIN(i TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> FLORIDA JURAT(F.S.117.03) <br /> N � M <br /> OWNER OR AGENT CONTRACT <br /> Subspibed and swom to(pr afflrtned)be{pre rr�e mis s Ib d to or a1fi ) me this <br /> � L <br /> WFa is/are personaly krrown to me or harlhave produced Who is/are Ily known b me or hes/have produced <br /> aa identificaUon, • <br /> aa Idenlificatlon. <br /> �Y..�.vr� <br /> ,yu... G � <br /> Notery PubNc <br /> ry Public <br /> Cammission No. C ss - EJ( If@S �Cf'1 �.f �' <br /> Name of Nota �'�$:�"t• , BaMed 11ru Tmy Fain Inuanc �;-a"�..�•t+ <br /> �Y�YP�.Pnnted w stamped Name d Nafary tyPed.Prinled w atamped <br />