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NOTICE OF DEED RE3TRICTIONS: The undersigned understands that this perrtrt may be subject to"deed"restrictions" <br /> which may be mwe restrictive than County regulaGons. The undersigned assumes responsibility for compliance with any <br /> applicab�e deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSI8ILITIES: If the owrrer has hired a contractor or <br /> contractors to undertake work,they may be required to be licensed in accordance with state and local regulalions. If the <br /> contractor is not Iicensed as required by law, both the owner and contrador may be cited for a misdemeana�violaGon <br /> under state law. If the owr�er or intended contractor are uncertain as to what lioerufng requirements may apply for the <br /> intended work,they are advised to contact the Pasco County Building Inspection Di�rision--Licensirtg Section at 727-847- <br /> 8009. FuRhermore, if the owner has hired a contractor or contraciors, he is advised to have the conlractor{s) sgn <br /> portions of the"contractor Block"of this application for which lhey will be responsible. If you,as the owner sign as the <br /> contractor,that may be an irxiication that he is not properly licensed and is not entitled to permitting privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACT/UTILITIES IMPAC7 AND RESOURCE RECOVERY PEES: The undersigned understands <br /> that Transportation Impact Fees and Recourse Recovery Fees may appiy to the constructi�of new buildings,�hange oi <br /> use in existing buildirgs,or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and <br /> 90-07,as amended The undersigned also understands,thai such fees,as may be due,will be identified at the time of <br /> permitting. li is turther underslood that Transportation Impact Fees and Resource Recovery Fees must be paid prior lo <br /> receiving a"cenificate of occupancy"or final power retease. If the project does not invoive a certificate of o�upancy or <br /> final power release,the fees must be pafd prior to permif issuance. Furtherrrwre,if Pasco County WatedSewer Impact <br /> fees are due,they must be paid prior to permit issuance in accordance with appiicable Pasco Counry ordinances. <br /> CQNSTRUCTION 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 ANairs. If the appticant is someone <br /> other ihan the"owner",I certify that I have obtained a copy of the above described document and promise in good failh lo <br /> deliver it to the"owner"prior to commencement. <br /> CONTRACTOR'S/OWNER'S AFFIDAVI7: I cerGfy that aU the information in this application is accurate and that ail work <br /> will be done in compliance with all applicable laws regulating construction,zoning and larx!developmenL ApplicaUon is <br /> hereby made to obtain a permit to do work and instaltation as indicated. I certiry 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 regula6ng <br /> cor�struction, County and City codes, zoning regulaUons, and land development regulations in the jurisdicGOn. I also <br /> ce�tify that I understand ihat the regulaiions of other government agencies may apply to the intended work,a�d thai it is <br /> my responsibiliry to identity what actions I must take to be in compliance. Such agencies indude bul are not limiled to: <br /> - Department of Envlronmentai Protection-Cypress Bayheads, Wetland Areas arxi Environmentally Sensitive <br /> Lands,WatedWastewater Treatment. <br /> - Southwest Florida Water Management District-Welis, Cypress Bayheads, Welland Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Navigabie Waterways. <br /> - Department oi Health 8 Rehabilitative 5erviceslEnvironmental Health Unit-Welis, Wastewater 1'reatment, <br /> SeptiC Tanks. <br /> - U5 Environmentai Protec6on Agency-Asbestos abatement. <br /> • Federal Aviation Auihority-Runways. <br /> i understand that the following restrictions apply to the use o(fill: <br /> - Use of fill is nol ailowed in Fiood Zone"V"unless expressly permitted. <br /> - If the fill materiat Is to be used in Ftood Zone "A", It is understood that a drainage plan addressing a <br /> "compensating volume"wili be submitted at time of permitting which is prepared by a professional engineer <br /> Iicensed by the State of Florida. <br /> - It the fill materiai is to be used in Fiood Zone "A" in connection with a permilted building using stem wall <br /> construction,I certify that fill will be used oniy 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 fili will not adversaly 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 appBcation,for lots 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 permilting conditions set foKh in <br /> this a�davit prior to commencing construction. I understand that a separate permit may be required for elecirical work, <br /> plumbing, signs, wells, pools, air conditioning, gas,or other installations not speafically induded in the application. A <br /> permit issued shali be construed io be a license to proceed wiih the work and not as authority to violate,cancel,alter,or <br /> set aside any provisions of the lechnicai codes,nor shali issuance of a permil prevent the Building Official from thereafler <br /> requiring a correction oi 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 pe�iod of six(6)months after the time the work is commenced. An extenston <br /> may be requested,in writing,from lhe Buflding Offiaal for a period not to exceed ninety(90)days and wili demonstrate <br /> justifiabie cause for the extension. If wo�k ceases for ninety(90)consecutive days,the job is considered abandoned. <br /> WARNING TO O ER: YOUR FAILURE TO RECORO A NOTICE OF COMMENCEMENT MAY RE3ULT IN YOUR <br /> PAYIN(3 TWICE F R PROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO 08TAIN FINANCING,CONSUIT <br /> WITH Y R LEN R AN RNEY BE RECORDING YOUR N TICE�F C MENGE ENT. <br /> FL IDA,RIRAT(F.S 1 7. /J <br /> OWNER OR AGENT ._ CONTRACTOR /.i�4 � _ <br /> Sub�Q;e�,d andbswom lo r aHimied)betore me this p��� �rul ubs 'b, and bnvaorn ( affk )bef ine Ihis _ <br /> - �.Y�At�S �• AoA�R, <br /> Who is/are to me a hasrtiave produced Who�s/are perso�ally krwwn to me or haslhave produced <br /> es identiBcaUon. — as idmtMcetion. <br /> ���.{�11� % �� Notary Public 1 l �-�""r �V <br /> Cort�mission Na. L� l� C �J L�� Commiuion No.�E $�`�by°1 plic State W Florida <br /> �Q i��r'.I�•• G v U,�C� rw A Lo G c.E Qo . . Thomas M LoCicero <br /> Name of Notary typed,pnnted or stamped Name of Notary ryped,pdnted or stamped ISSIOn EE 884849 <br /> '-- q E'KpiretOt113/20t7 <br /> ��� <br /> . . Mll�ry�'�IIC•qMf 01 ii/1ih <br /> Mp Co�n.E�Nu Al�r 1�.Y01 <br /> � ,�• Co�nn�ion N ff ilES00 <br />