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/ �— <br /> � `- -----.._ <br /> NfJTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" <br /> which may be mare restrictive than County rsgulations. The undersigned assumes respansibility for campiiance with any <br /> app(icable deed restrictions. <br /> UNLlCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or <br /> confractors to undertake work, they may be required to be licensed in accordance with stafe and local regulatians. tf fhe <br /> cvntractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation <br /> under state law. tf the ownec or intended contractar are uncer#ain as to vuhat licensing requirements rriay apply far 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 Btock" of this application for which they wiH be responsible. if you, as the ownerr s�#�'n as the <br /> contractor, thak may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco <br /> Gounty. <br /> TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transporkatian Impact Fees and Recburse Recavery Fees may app#y to the canstruc#ion of new buiidings, change of <br /> use in,existing buildings, or expansion of existing buiidings, as spec�fed in Pasco County Ordinance number 89-07 and <br /> 90-47, as amended. The undersigned also understands, that such fees, as may be due, wiil be identified at the time of <br /> permitting. It is further undersfaad that Transportation Impact Fees and Reso�rce Reeavery Fees must be paid�prior#o <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 isstaance. Furfhermore, if Pasco Catanty WaterlS�virec Im�act <br /> fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco Caunty ardinancPS. <br /> CONSTRUCTtON LIEN LAW(Chapter 713, �lorida Statutes, as amendedj: !f valuatian af work is$2,540.OQ or more, i <br /> certify that I, the applicant, have been pravided wifh a copy of fhe °Florida Construcfion Lien Law—Homeowner's <br /> Protection Guide° prepared by the Florida Department of Agriculture and Cansumer Affairs. If the applicant is someone <br /> other fhan the"owner", 1 cerfify that fi have obtained a copy of the above described document and promise in goad faifh ta <br /> deliver it#o the"owner"privr to cammencement. <br /> CC3NTRACTflR'S1�WNER'S AFFIDAVIT: I certify that all the Information in this application is accurate and that.al4 wark <br /> wrill be done in compliance with all applicable laws regulating construction, zoning and land development. Application is <br /> hereby made to obtain a permit ta do work and installation as indicated. ! ce�tify that no work or insta!lation has <br /> cammenced prior fo issuance of a permit and that afl work wili be performed to meet standards of all iaws regulating <br /> construction, County and City codes, xoning regulations, and land develapment regulations in the jurisdicfion. I also <br /> certify that 1 undersfanti that the regulations of ofher government agencies may apply to the intendetf work, and that it is <br /> my r�espansibility to identify what actions I must take to be in compliance. Such agencies include but are nat limited to: <br /> - Department o#' Environmental Protectian-Cypcess Bayheads, Wetland Areas and Environmentaily SensiEive <br /> Lands, WaterlWastewater Treatment. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Attering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Wateruvays. <br /> - Departrt�ent of Health 8� ReFrablli�ative ServiceslEnvironmental Health Unit-1Neils, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Env'sronmental-Protection Agency-Asbestos abatement. <br /> - Federal Aviation Authority-Runways. , <br /> !understand that the following restrictions apply to the use of fiU:� � <br /> - Use of fili is nat a1)owed 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 addressirig a <br /> °compensating volume" vuill be submitted at time of perrnitting which is prepared by a professionaf engineer <br /> r <br /> licensed by the State of.Florida. _--_ ._ ' ° <br /> - lf the fill materia! is to be used irt Flood Zone "A° irt connection with a permitted building using stem wall <br /> canstruction, (eertify#hat fill wili be used only ta�fill the area within the stem wati. <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 pcoperties, #he owner may be cited for violating <br /> the conditions of the building permit issued under the attached permit application, for lats 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 ainrner of the permitting conditians set forth in <br /> this affidavit prior to commencing canstruction. I understand that a separate permit may be required for electrical work, <br /> plumbing, signs, wells, pvols, air condifioning, gas, or other instailations nat specifically in�luded in the applicatian. 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 pravisions of the technica! cades, nor shall issuance of a permit prevent the Building Officia4 from thereafter <br /> requiring a correction of errars in plans, constructian or violations of any codes. �very permit issued shall become invafid <br /> unless the work euthorized by such permi# is commenced within six rnonths af permit issuance, or if wark authorized by <br /> the permit is suspended or abandoned for a period of six(6) manths after the time the work is commenced. An extensian <br /> may be reQussted, in writing, fram the Building Officia! for a period not to exceed ninety (90) days and will demonstrate <br />� jusfifiable cause for fhe extension. If wark ceases far ninety(90)consecufrve days, the job is considered abandoned. <br /> WAR[VING TQ OWNER: YOUR FAIC.URE TO RECORD A NC}T10E O� Cfl1VIMENCEMENT MAY RESU�T 1N YC}UR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PRQPERTY. IF YOU IId7END TO OBTAIN FINANCING, CONSULT <br /> WITH Yt�UR LENQER OR AN ATT N BEFORE RECORDlNG YOUR NOTlCE OF COMMENCEMENT. <br /> FLORtDA JURAT(F.S. 117.U3 �--�—�� �.____- <br /> OWNER Olt AGBNT � CQNTFtACTOEt ���.'.'..i'— <br /> Subscribed and swo or affirmed)before me this Subscribed a orn to(or affirmed}before tne this <br /> by " bY • <br /> Who islare personaAy knovm ta m or has/have roduced Wha is/are persotiaNy known to me or haslhave produced <br /> s identifica' as identification. <br /> ..� � <br /> a� �tHre t/� c ('��.i �Y A�' p� � <br /> ���l�p'•'T1.� tlV� C. tJ1Y '�g1 };SN: ;1.�'t��� ;�/•1' ,�s <br /> _+�• Co 'ss' n#FF *` `«� t�, Is .t <br /> �,� � ry u ic _ c ,-• ' Notary Public <br /> '� �t��:� �pud�v:lfuu7r P;�nir.�xr :8NC4�395-Ipf$ <br /> �`+,P;,,�`,t+��`'��~ dadTlw7myF�ntnsu�snea P"' ;` �� <br /> Comml ��"mi& Commis . � <br /> Name of Nota ped,printed or stamped Name f Notary typed,printed or stamped <br />