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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 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 regulations. If the <br /> contractor is not licensed as required by law, both the owner and contractor may be cited 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 contact the Pasco County Building Inspection Division—Licensing Section at 727-847- <br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign <br /> portions of the"contractor 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 entitled to permitting privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACTlUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of <br /> i 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 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. Furthermore, if Pasco County Water/Sewer Impact <br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. <br /> CONSTRUCTION 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 Agricuiture and Consumer Affairs. If the applicant is someone <br /> other than the"owner",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'SIOWNER'S AFFIDAVIT I certiy 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 certify 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 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 govemment agencies may apply to the intended work,and that it is <br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: <br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> i Lands,Water/Wastewater 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 & Rehabilitative Services/Environmental Health Unit-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 /> - <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 /> 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 /> construction,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 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 OWNER, 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 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,alter,or <br /> set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official 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 permit issuance,or if work authorized by <br />� the ermit is sus ended or abandoned for a period of six 6 months after the time the work is commenced. An extension ��u��,,;_ <br /> ' p4�'��''�. � . ma Pbe re uest d, in writin from the Buildin Official for a eriod not to exceed nine 90 da s and will demonstrate ��+'a � Mo% <br /> {�,� _ or., Y Q 9� 9 P tY� ) Y ��. r. <br /> � T�: justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. e �_ <br /> = o�, " <br /> �� 'r CD:. <br /> 1q, �°�` WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR �';'��o,_� y.�°.' <br /> '.;b., ��`.� ''�%nu�i.�`. <br /> r'�aiva�`� PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> ,g Z WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 3o z <br /> ,�':., '�o <br /> �_ FLORIDA JURAT(F.S.117.03 n.o�� <br /> n:�� / <br /> �' '� �, "�/' <br /> En g.. '„� � . <br /> �a�`� T OWNER OR AGENT �/ CONTRACTOR e��" � � 1�.. <br /> 3V ��. <br /> 3'r� t< S bscri ed nd swom t,g�o��r affir�ed)be�fpJ e me t ' S s rib d sworn (o affi ed)be�(p�e me i _ �;&'-�3 �'. <br /> �.a:''`:d•m m a. <br /> 'a �,� � . ZZ by IL.U�XJ��i— �u� �Z by � V�G? f � o �'�;'z <br /> ��:� �'" � erson I known to or haslha' produced o isla personaliy known to me or has/haie produc �'� °:'�.`3' <br /> �: � s�;y � as identification. as identifica' . o � �:y__; <br /> � T�=,�,�0 �� m���-��, <br /> m <br /> '"' a:ai c `0 <br /> z'o o �• 3 -� � <br /> oge �N .�' t ic o a ic � W ro ��0; <br /> '� V N O � N �N Q <br /> N ° o a Commission No. Commission No. � �� <br /> � r Y V <br /> ' ' Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped <br />