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iNOTtCE OF DEED RESTRICTIONS: The undersigned undersfands that this permit may be sub}ect to"deed;'re�.`ri�tiqns" <br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance wi�h any <br /> applicabte deed resfrictians. - <br /> UNLICENSED CO�iTRACTORS A►ND CONTRACTOR RESPONSIBILITIES: If the owner has fiired a aontrac#or or <br /> contcactors to undertake work, they may be required to be licensed in accordanee wikh state and lacal regula#ions. If the <br /> contractor is nof licensed as required by iaw, both the owner and contractor may be cited for a misdemeanor violation <br /> under state law. If the owner or inkended contractor are uncertain as ta what licensing requirements may apply,for the <br /> � in#ended work, they are advised to confact the Pasco County Buitding Inspecfian Division—Licensing Sec#ion at 727-847- <br /> 8009. Furthermare, if the owner has hired a contractor or con#ractors, he is advised to have the contractor(s) sign <br /> portions of the "contractor Black° of this application for which they witl be responsibie. If you, as the owner sign as the <br /> contractor, thaf may be an indication that he is not properly licensed and is nat entitled to permitfing priviieges in Pasco <br /> County. <br /> TRANSPORTATtt3N IMPACT/UTILITIES IMPACT AND RES4URCE RECQV�RY FEES: Tl�e undersigned understands <br /> khat Transportation Impact Fees and Recaurse Recovery Fees may apply to the construction of new buildings, change of <br /> use in existing buiEdings, o� expansion of existing buildings, as specffied in Pasco County t.�rdinance number 89-47 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. ft is further understood that TransportatRon 4mpact Fees and Resource Recovery Fees must be paid p�iar to <br /> receiving a "certiflcafe af occupancy° or final power reiease. If the projecf does not invoive a certificafe of occupancy or <br /> final pawer release, the fees must be paid prior to permit issuance. Furkhermore, if Pasca County Water/Sewer Impact <br /> fees are due, #hey mus#be paid prior to permit issuance ln accordance with appllcable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation af work is $2,500.00 or mare, I <br /> cectify that 1, the applicant, have been pravided w�th a copy of the °Florida Canstruction Lien Law—Hameowner`s <br /> Protection Guide" prepared by #he Florida Depar#ment of Agriculture and Consumer Affairs. If the applicant is someone <br /> other than the"owner", I certify that! have obtained a copy of the above described document and promise in good faith ta <br /> deliver it to the"�wner"prior to commencement. <br /> CON7RACTOR'SIOWNER'S AFFIDAVIT: I certify tha#all the information in this application is accurate and that all work <br /> wi11 be done in campliance with all applicable laws regulating construcEion, zon�ng and land development. Application Es� <br /> hereby made to obtain a permit ta do work and installation as indicated. 1 certify that no work or installation has <br /> commenced prior to issuance of a permit and that a!! work wil! be perFormed to meet standards of a!I laws regulating <br /> construction, County and City codes, zoning regulafions, and land development regulations in the jurisdictian. I atso <br /> certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is <br /> my responsibifity ta iden#ify what actians 1 rnust talce ta be in compliance. Such agencies include but are nat iimifed to: <br /> - Deparkment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> �ands,WaterlWastewater Treatmertt. , <br /> - Southwest Florida Water Managemen# Distriat-Wells, Cypress Bayheads, We#land �reas, AI#ering <br /> Watercourses. <br /> - Army Corp�of Engineers-Seawalls, Docks, Navigable Waterways. <br /> - Department of Mealth & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> --=-— -US.-Environr�er,tal-Rrote�tion-Agenc�-Ashestos.abatement._ . .�_ ._—___ _ _ <br /> - Federal Aviation Authority-Runways. _ - ------ -- -- <br /> I understand that the following restrictions appfy ta the use of fill: <br /> - Use of�f!is not allowed In Flood Zone"V"untess expressly permitted. <br /> - If the fill material is to be used in Flood Zone "A", it is unde�stood 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 /> constcucEian, I ce�tify that fili wil! be used only to�I!the a�ea within the stem wall. <br /> - If fill material is to be used in any area, I certify fhat 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 far violating <br /> the canditions of the buitding permit issued under the a#tached permit application, for lats less than one {1} <br /> acre which are elevated by fill, an engineered drainage plan is required. <br /> If 1 am the AGENT FQR.THE OWNER, t promise in good faith to inform fhe awner of the perrnit#ing conditians set fa�th in <br /> this affidavi# prior to commencing construction. I understand that a separafe permit may be required for elec#rical work, <br /> plumbing, signs, wells, pools, air conditioning, gas, ar other installations nok specifically included in the applicatian. A <br /> permit issued shall be construed to be a license to prviceed with the work and not as authority to.violate, cancel, alfer, or <br /> set aside any provisions of the technical cades, nor shall issuance af a permit prevent the Building Official from thereafter <br /> requiring a carrectian of errors in p#ans, canstruction or violatians of any codes. Every permit issued shall become inva#id <br /> unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by <br /> the perrnit is suspended or abandaned for a period af six{6)months after the time the work is cornmenced. An extension <br /> may be requested, in writing, from the Building Official for a period not#a exceed ninety (90) days and wiH demonstrafe <br /> justifiable cause for khe extension.. !f work ceases for ninety(90)consecutive days, the job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO RECORD A IdOTICE OF COMMENCEMEPIT NIAY RESU4T IPI YOUIt <br /> PAYING TVYICE FtJR IMPRt}VEMENTS Tt�YOUR PRfJPERTY, 1�YOU ENTENQ Tt"1 QBTAIN FINANCING� GONSULT <br />—"� �V1iITFi'1f��iir^.�LEfdf�'ie�-C�lo��-A'dd-���?�R�lI�-Y-�EFORE RECORDING YOUR NOTICE OF COMMENCEIIAENT. <br /> FLORIDA dURRT{F.S.117. ' — — -- --_�_-____ � ___ _ ___ <br /> OWNER OR AG `��,��'—� CONTRACTOR <br /> Subsc�lbed and sworn to(or a rmed)before me thls Subscrlbed and swo (or a rmed)before me this <br /> by �Y - <br /> Who is/are personally known ko me or has/have produced Who Is/are personally known ko me or has/have produced <br /> as Identlficatlon. as identificaGon. <br /> Notary Pubt3a � Nofary Public <br /> Gorr�misslon No. C�m io <br /> .ti��e�"•, JAC4UEE.INE BOGES <br /> :� �'�:%•-, <br /> Name o(Natary typed,prtnted ar stamged Name of N ' 12,2014 <br /> �'•�gF�'f;,Y``r eondedtmrrmy�slntnswanuasaa�esaa�a <br />