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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 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 Furthermore, if the owner has hired a conUactor 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 entiUed 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 apply to the construction of new buildings,change of <br /> use in existing buiidings, 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 idendfied at the time of <br /> permitting. It is further 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. Furthertnore, if Pasco County WatedSewer 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,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'S/OVYNER'S AFFIDAVIT I certiiy that all the information in this application is accurate and that all work <br /> will be done in compliance with all applicable Iaws regulating construdion,zoning and land development. Application is <br /> hereby made to obtain a permit to do wo�lc 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 pertormed to meet standards of all laws regulating <br /> construction, County and City codes, zoning regulabons, 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�imited to: <br /> - Department of Environmenhal Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensi6ve <br /> Lands,Water/Wastewater Treatment. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand 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 tollowing restrictions apply to the use of fill: <br /> - Use of fill is not allowed in Flood Zone"V"unless expressly peRnitted. <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 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 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 fitl,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 permit may be required for elecVical work, <br /> plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically induded in the application. A <br /> permit issued shall be consVued 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 RESULT 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 RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT(F.S.117.03) <br /> OWNER OR AGENT �/�CRt �1��L�aQ CONTRACTOR lJ.Y2__�' �D�.(J� � <br /> Subscribed and swor� o(or 'q�ed)b�tore me t�- Subscribed and swoi t affi ed)before me this <br /> 01-1�1-/3 by t7�r�r �fYeiC�b�e. a-/U-i3 cy (�rrs ��s.G <br /> Who is/are personally kn n to me or has/have produced Who is/are personally kno to me or has/have produced <br /> as identification. as identification. <br /> \ \ l \ �.�.�-� \� <br /> "�-'C. ���" \����Notary Public� �_� ��G�No�ublic <br /> Commission No. Commission No. <br /> Name of Notary ryped,printed or stamped Name of Notary typed,pn ���1 <br /> "�""'°"'°"`"t� .�°:n� SHARRQf�JOHNSON <br /> •"ti:is:"'••f SHARRON JOHNSON � ;�t' ��: ^� <br /> ;�` �'.`_ Commission#EE 105G42 =.. ..: Corr►mission#EE 105Cw2 <br /> � �_ ���4 Expires June 23,2015 <br /> „ Exp'tres June 23,2015 �i�pF �,�„T,�yF�;�;,,�,,;6eua�s.4;o� <br /> �J„� �a. 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