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NOTiCE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restridions" <br /> which may be more restricUve than County regulations. The undersigned assumes responsibiliry for compliance with any <br /> applicabte deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a conVador or <br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the <br /> contrador is not licensed as required by law, both the owner and contrador may be ated for a misdemeanor violation <br /> under state law If the owner or intended contractor are unoertain as to what licensing requ(rements may apply for the <br /> intended work,they are advised to contact the Pasco Courriy Building InspecGon Division—Lic�nnsing SeGion at 727-847- <br /> 8009. Furlhermore, if the owner has hired a conhactor or contractors, he is advised to have the contractor(s) sign <br /> portions of tlie"oontrador Bloc�c°of this application for which they wih be responsible. If you,as the owner sign as the <br /> contractor,that may be an indication that he is not property licensed and is not entitled to permitting privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACT/UTIUTIES IMPACT AND RESOURCE RECOVERY FEE3: The undersigned understands <br /> that Transportation Impact F�s and Reoourse Recovery Fees may appy to the construction of r►ew buildings,change of <br /> use in existing buildi�gs,or expansion of existing buildings,as speafied in Pasco Couniy Orclinance 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 Impact Fees and Resouroe Rec:overy Fees must be paid prior to <br /> receiving a'cc�rtrtificaate of occupancy'or final power release. If the project does not invdve a certificate of occupancy or <br /> final power release,the fees must be paid prior to pertnit issuance. Furthemiore,if Pasco Counry WatedSewer Impact <br /> fees are due,they must be paid prior to pemiit issuance in a000rdance with applicable Pasco County orciinances. <br /> CONSTRUCTION LIEN LAW(ChapbPr 713,Florlda 8tatuEes,as amendod): If valuatton of work is 52,500.00 or more,I <br /> certify that I, the applkant, have been provided with a oopy of the "Florida Constn�ction Lien Law—Homeowner's <br /> Protection Guide'prepared by the Fbrida Department of ApricuRure and Consumer ATfairs. If the applicarH is someone <br /> other than the"owneP,I cer6y that 1 have obtained a copy of the above described document and promise in good faith to <br /> deliver it to the"owner prior to commenoement. <br /> CONTRACTOR'S/01NNER'S AFFIDAYIT: I certify that ail the infortnafion in this application is accurate and that all work <br /> will be done in complianoe with all applicabie laws regulafing construd'an,zoning and land devebpment Application is <br /> hereby made to obtain a pertnit to do woAc and installation as indicated. 1 certiry that no work or installation has <br /> cammenced prior to issuance of a pertnit and that all work will be perfortned to meet standards of all laws regulating <br /> construction, County and City codes, zoning regulations, and land devebpment regulations in the jurisdicdon. I also <br /> certify that I understand that the regulations of other govemment ager►ciss may appy to the intended work,and that it is <br /> my responsibility to ideMify what ac6ons I must take to be in cbmpliance. Such agencies indude but are not limited to: <br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaly Sensitive <br /> Lands,WateNWastewater Treatment. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Attering <br /> Watercourses. <br /> - Artny Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> - Department of Health 8 Rehabilitative Servicc�ss/Environmental Health Unit-Wells, Wastewate� Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> - Federal Aviation Authority-Rurnvays. <br /> I understand that the folbwing reshicUons apply to the use of fill: <br /> - Use of flll is not allowed in Fiood Zone°V'unless expressly permitted. <br /> - If the fill material is to be used in Fbod Zone "A', it is understaod that a d�ainage plan addressing a <br /> "oompensaGng volume'will be submitted at time of pertnitting 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 walt <br /> constniction,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 adversey affect adjacent <br /> properties. If use of fiN is found to adversely affed adjaeent properties,the owner may be cited for violating <br /> the conditions of the buildir�g pertnft issued under the attached permit application,for lots less than one(1) <br /> acre which are elevaEed by flll,an engineered drainage plan is required. <br /> If I am the AGENT FOR THE OYYNER,I promise in good faith to inform the aruner of the pertnitting conditions set forth in <br /> this affidavit prior to commencing consUucdon. I understand that a separate pertnit may be required for electrical work, <br /> plumbing, signs,wells, pools, ai�condidoning,gas,or other installations not speaficaly inGuded 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,cancel,atter,or <br /> set aside any provisions of the technical oodes,nor shall issuance of a pertnit preveM the Building Official Trom thereafter <br /> requiring a cortectio�of�rors in plans,construction or valatio�s of any�des. Every pertnit issued shall become invalid <br /> unless the work author¢ed by such permit is oommenced within six mor►ths of pertnit issuance,or if work authorized by <br /> the permR 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,trom the Building Oificial for a period not to exceed ninety(90)days and will demonstrate <br /> justfiable cause for the e�ension. If work ceases tor ninery(90)consecutive days,the job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAII.URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TVYICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WRH YOUR LENDER OR AN ATTORN�(BEFORF RFCOR�!NG YOL(�N011GE OF GO�ENGEMENT. <br /> FLORIDA JURAT(F.S.117.03) � 9 �/ ) <br /> OWNER OR A(iBNT CONTfvu%7y� �G�Y' <br /> Subscribed arM swom to(or efirtnetl)betore me this Subsdibed`a swom lo afirtnetl)betae me this <br /> by bY <br /> Who is/are personally known to me or haslheve produced Who islare persw�ally Iv�own to me or hasR�eve produced <br /> as ideMfication. as itlentlficatlon <br /> Notary Public Notary Publ�c <br /> Commission No Commission No. <br /> Neme of Notary typed,printed or stamped Name of Notary typed,priMed or atamped <br />