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, . NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permR 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 regulafions. if the <br /> contractor is not licensed as required by law, both the owner and contractor may be ated 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 /> iMended woric,they are advised to contact the Pasco County Building Inspectio�Division—Licensing Section at 727-847- <br /> 8009 Furthermore, if the owner has hired a contractor or contrectors, he is advised to have the contractor(s) sign <br /> portions of the"contractor BIocK'of this application for which they will be responsible. If you,as the owner sign as the <br /> ca�tractor,that may be an indication that he is not properly licensed and is not entitled to pertnitting privileges in Pas� <br /> County <br /> TRANSPORTAi10N IMPACTNTILITIES iMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the consUuction of new buildings,change of <br /> use in existing buildings,or expansion of existing buildings,as specfied in Pasco County Ordinance number 89-07 and <br /> 9U-07,as amended. The undersigned also u�derstands,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 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 Water/Sewer Impact <br /> fees are due,they must be paid prior to permit issuance in ac:cordance with applicable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statubes,as amended): If valuation of woric is 32,500.00 or more,I <br /> certify thffi I, the applicant, have been provided with a copy of the "Florida Construc6on Lien Law—Homeowners <br /> Protectio�Guide°prepared by the Fiorida Department of Agriculture and Consumer Affairs. If the applicant is someone <br /> other than the"owne�,I certify that I have obtained a copy of the above described dxument and promise in good faith to <br /> de6ver it to the"owner°prior to commencement. <br /> CONTRACTOR'S/OWNER'S AFFIDAVIT. I�rtify that all the information in this application is axurete and that all work <br /> will be done in compliance with all applicable laws regula6ng construction,zoning and land developmeM. ApplicaUon is <br /> hereby made to obtain a pertnit to do work and installation as indicated. I certify that no work or installation has <br /> commenced prior to issuance of a permk and that all 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 /> certity that I understand that the regula6ons of other govemment agencies may apply to the intended work,and that R is <br /> my responsibility to iderrtify what actions I must take to be in compliance. Such agenaes indude but are not limited to: <br /> - Departrnent of Environmental Protection-G�press Bayheads, WeUand Areas and Environmentally Sensitive <br /> Lands,Water/Wastewater Treatrnent. <br /> - Southwest Florida Water Management Distrid-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Navigabie Watervvays. <br /> - Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatrnent, <br /> Septic Ta�ks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> Federal Aviation Authority-Rurnvays. <br /> I understand that the following resVictions 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 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 wnnection with a pertnitted building using stem wail <br /> construction,I certify that fiil will be used only to fiii the area within the stem wall. <br /> - If fiii 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 properbes,the owner may be cited for violating <br /> the conditions of the building permit issued under the atfached pertnk application, for lots less than one(1) <br /> acre which are elevated by fili,an engineered drainage plan is required. <br /> If I am the A(iENT FOR TNE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in <br /> this affidavit prior to commendng consUuction. f understand that a separate pertnit may be required for electricai work, <br /> plurrobing, signs, wells, pools, air condidoning, gas, or other installations not specfically induded in the application. A <br /> permit issued shall be consUued to be a license to proceed y„ith the work and not as authority to violate,cancel,aker,or <br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the guilding O}rcial from thereafter <br /> requiring a correction of errors in plans,construction or violaUons of any codes. Every permit issued shall become invalid <br /> unless the worlc authorized by such permit is commenced wkhin six months of permk issuance,or ff 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 requssted,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate <br /> justifiable cause for the exbension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. <br /> WARNIN(3 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYINO 7WICE FOR�MPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINO,CONSULT <br /> WIThI YOUR LENDER OR AN ATTORNEY BEFORE RECORDINti YOUR NOTICE OF CONIAAFNCEMENT <br /> FLOR DA JURAT(F.S.117.03) <br /> OWNffR OR A6ENT � CONTRACTOR <br /> Subscribed and swom to(or affirmed)before me this Subsaibed and swom to(or affirmed)before me this <br /> by bY <br /> Who is/are personally known to me or hasfiave produced Who is/are personally known to me or haslhave produced <br /> / as identification. as identifiptian. <br /> �� - ' v� Notary Public <br /> Notary Public <br /> C sion No. Commission No <br /> �► �..c__�rv <br /> Name , yp ��b� Name of Nota <br /> t _ ,.�.}. ry tYped,printed or stamped <br /> a i ,.= �r � P ••P�'11t3LIC <br /> ''`� -::' >�FLt7RID�\ <br /> ��'r .. ,E;�rr�,:EE90II42,� <br /> ��'.��6�'JS�/�/2' , <br />