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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 responsibility for compliance with any <br /> applicable deed restridions. <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 FuRhermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign <br /> portions of the"contractor Biodc"of this application for which they will be responsible. !f you, as the owner sign as the <br /> contrador,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco <br /> County <br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transportation Impact Fees and Recourse Recovery Fees may appiy to the construdion of 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,that such fees,as may be due,will be identified at the time of <br /> permitting. It is further understood that Transportation Impad 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. Furthertnore, if Pasco Counly 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,aa amended): If valuation of work is$2,500.00 or more,I <br /> certiiy that I, the applicant, have been provided with a copy of the "Florida Construdion 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 t 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'SJOWNER'3 AFFIDAVIT I certify that all the information in this application is accurate and that all work <br /> will be done in compliance with al�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 certify that no work or installation has <br /> commenced prior to issuance of a permit and that aIl work will be pertormed 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 /> 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 identity what adions I must take to be in compliance. Such agencies include but are not limited to: <br /> - Department of Environmental Protedion-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 Watervvays. <br /> - Department of Heatth & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protedion 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 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 certity 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 fots 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 pertnit may be required for electrical work, <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not speafically induded in the application. A <br /> pertnit 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 RESUIT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOROING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT(F S 117.03) <br /> OWNER OR AGEN� ��' ,�'4 L.L�•�-^ CONTRACTOR� �a�. �+�+��` <br /> Subs�ribed and swo 7�� q„(,or affirtned)befo me this Sup s ibed nd swo to�affirtned)beforA�e this <br /> Il'b`�Z bY 7S \I.CG JC� �r�.iJ.'� �('���� by,� ♦2c C� W f6�...� <br /> Who i e p@rsonalJy krwwn to me or haslhave produced Who is/are er�ona knoHm to me or haslhave produced <br /> VQ- 11 CQ/�SQ as identrficat�on r Y�+� �--���15'-� as identificatwn. <br /> � <br /> a�uq� <br /> a'� : Pubhc ary PubUc <br /> �, • mi ion EE 040520 � -,. ���CQUELINE B ES <br /> 'o S Commi i �� • • <br /> �'�:R%:��' �a.enn�r�,F�i�e�,w,.,esaot^� ;a�r;- ;a= Ex ires December 12 2014 <br /> �'+ Name of ta , int�Nde�Tlpnj�IFain hweanoe 8pp38S7019 <br />