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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 restrictions. <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 misdemyan�opyiolation <br /> under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I for the <br /> intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- <br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign <br /> portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the <br /> contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction 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 fu�ther 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 applicable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713, Florfda 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'SlOWNER'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 certify 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 /> 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 identify what actions I must take to be in compliance. Such agencies include but are not limited to. <br /> - Department of Environmentat Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands, Water/Wastewater Treatment. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wettand 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 /> - US Environmental Protection 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 fiill 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 /> prope�ties. If use of fill is found to adversely affect adjacent prope�ties, 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 1 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, cancet, alter, or <br /> set aside any provisions of the technn a�conse uction oa�violations of any cod sPrEverytperm t is ed shall become inval d <br /> requiring a correction of errors tn pla , <br /> unless the work authorized by suco ed forl a'S e od of six(6) mhonths after the t me thetworkas commenced Anhextension <br /> the permit is suspended or aband P <br /> may be requested, in writing, fr nm If work'cefaseso orininety(90)r onsecutive days,the job(sOcons de ed bal donedstra e <br /> justifiable cause for the extensio <br /> WARNING TO OWNER: YOUR FAILU TO YOUR PROPERTI(.TIF YOU INTOE DETO BTAIN FI�ANC NGTCONSULT <br /> PAYING TWICE FOR IMPROVEMENTS <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT(F.S. 117.03) '/i�A� � <br /> CONTRACTOR <br /> pWNER OR AGENT Subscribed an swom to(or afflrmed)before me this��'dcu��- <br /> Subscribed and swom to(or affirmed)before me this ��hY ��� by � <br /> bY Who islare personally known t �e or hasR�ave produced <br /> Who isja�e personally known to me or haslhave produced U���-3 �p �p as identification. <br /> as identlficadon. F <br /> - � Notary Public <br /> Notary Public <br /> C mmission No. C C � ,�� � <br /> Commisslon No. <br /> Y\�,�n L ��� ewL � <br /> Name of Notary tYPed,printed ! <br /> Name of Notary typed,printed or stamped �� ' • KRISTA L.CREWS n <br /> :,,, ;._._ Cp�Ytrt�ssion#EE 16748G <br /> '' F�cpires Febnrary 17,2014_� <br /> m�aeann�rr�F:nwux�cesoa��-"'� <br /> � 1N S+� <br />