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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 resfictive than County regulations. The undersigned assumes responsibility for compliance with any <br /> applicabte deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RE3PONSIBILITIES: If the ovmer has hired a coMractor 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 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 /> intended work,they are advised to corrtact the Pasco County Building Inspection Division--Licensing Section at 727-847- <br /> 8009. Furthermore, if the owner has hired a contrador or coMradors, he is advised to have the contractor(s) sign <br /> portions of the"contrador 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 eMitled 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 appy to the consUvction 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 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 refease. If the project dces not involve a certificate of occupancy or <br /> final power release,the fees must be paid prior to pertnit issuance. Furthermore, if Pasco County Water/Sewer Impact <br /> fees are due,they must be paid prior to permit issuance in accordance with appticable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713,FloNda 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 ConstrucUon Lien Law—Homeowner's <br /> Protection Guide'prepared by the Florida Department of Agricutture and Consumer Affairs. If the applicant is someone <br /> other than the"ovmer",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/OYVNER'S AFFIDAVIT: I oertify 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 certiTy that no work or installation has <br /> commenced prior to issuance of a permit and thffi 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 ideMify what actions I must take to be in compliance. Such agenaes indude but are not limited to: <br /> - Department of Environmerrtal Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands,WateNVNastewater Treatment. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> - Department of Health 8 Rehabilitative Services/Environmental Heatth Unft-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 /> ticensed by the State of Florida. <br /> - If the fill material is to be used in Fload Zone "A" in connection with a pertnitted building using stem wall <br /> construction,I certify that fill will be used ony to fill the area within the stem wall. <br /> - If fill material is to be used in any area, 1 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 fill,an engineered drainage plan is required. <br /> If I am the AGENT FOR THE OVYNER, 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 induded 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,alter,or <br /> set aside any provisions of the technical codes,nor shall issuance of a permit pr�everrt the Buildirg Offiaal 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 pertnit issuance, or'rf 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 7WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YO R LE D R AN A7T RNEY BEFORE REC RDIN Y R T1C F C M ENCE EN . <br /> FLORIDA JURAT(F.S.117. <br /> OWNER OR AGENT CONTRACTOR <br /> b bed nd swom to(o )before this � !be nd swom (or ffi ed)before�s <br /> _ -/� by " f/�/ �' bY <br /> Who is/are personaly known to me or AasThave produced Who is/are personaly known to me or has/have produced <br /> ' as identification. as iderrtifica6on. <br /> � <br /> �IG " `-'"�� / t�C� <br /> , Notary PuWic �. Z.. 1�'� Notary Public <br /> Commission No. ��� 9 '` <br /> Ca ' 'on No. — � <br /> � , S'� ELA MARIE SLEMP <br /> �� � a!/r/� Pvd� ARYPUBUC <br /> Name�of Nofary h�P�.PriMed or Name of otary tYPed.Prirrted or stamped <br /> ANGELA MqR1E SLEMP STATE OF FLORIDA <br /> NOTARY PUBLIC Comm#EE153979 <br /> STATE OF FLORIDA � ��P�1'�'/1�/i30�' <br /> . Comm#EE153979 <br /> E�IIMI�1�'/16/2015 <br />