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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject ta"deed" restrietions" <br /> which may be more restrictive than County regulations The undersigned assumes responsibility far compliance with any <br /> applicable deed restrictions. <br /> UN�lGENSED CC?NTRACTORS AND CC?NTRAGTOR RESPONSIBILITIES: If the awner has hired a contractor ar <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 contractoc may be cited for a misdemeanor violation <br /> under state law. 1f the owner ar intended contractor are uncertain as to what licensing requirements may apply for the <br /> intended wark, they are advised to contact the Pasco County Building Inspection Division—Licensing Sectian at 727-84?- <br /> 8049. Furthermore, if the owner has hired a contractor or contractars, 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 nat properly licensed and is not entitled to permitting privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transportatian Impact Fees and Recourse Reeovery Fees may apply ta the construction of new buildings, change of <br /> use in existing buildings, or expansian of existing buildings, as specified in Pasco County Ordinance number 89•Q7 and <br /> 90-Q7, as amended. The undersigned also understands, that such fees, as may be due, wil! be identified at the time of <br /> permitting. It is further unders#aod that Transportatian Impact Fees and Resource Recovery Fees must be paid prior#o <br /> receiving a "certificate af occupancy" or final power release. If the project does not involve a certificate of accupancy or <br /> final power release, the fees must be paid priar to permit issuance. Furthermore, if Pasco Cpunty WaterlSewer Impact <br /> fees are due,they must be paid prior to permit issuance in accardance with applicable Pasco County ordinances. <br /> CONSTRUCTION LlEN lAW{Chapter 713, Florida Statutes,as amended): lf valuation of work is$2,500.OQ or mare, ! <br /> certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Nomeawner's <br /> Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone <br /> other than the"owner", 1 certify that 1 have obtained a copy of the above described dacument and promise in gaod faith to <br /> deliver it to the"owner" prior ta commencement. <br /> CONTRACTOR'S/OWNER'S AFFIDAVlT: ! certify that al!the informatian in this application is accurate and that aff work <br /> will be done in comp{iance with all applicable (aws regulating construction, zoning and land development. Application is <br /> hereby made to obtain a permit ta do work and installation as indicated. I certify that na work or installation has <br /> cammenced prior to issuance of a permit and that aN wark 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 ihat I understand tnat the regulations of other government agencies may apply to the intended work, and that it is <br /> my responsibility#o identify what actions I must take to be in campliance. Such agencies include but are no#limited to: <br /> - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive <br /> Lands,WaterlWas#ewater 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-Asbestas 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 allawed in Flood Zone"V" unless expressly permitted. <br /> - Ef the fill material is to be used in Flood Zane "A", it is understaod that a drainage p(an addressing a <br /> "compensating volume" will be submitted at time af 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 Flaod Zane "A" in cannection 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 wiCE not adversely affect adjacent <br /> properties. If use af 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 a#tached permit application, for lots less than one {1} <br /> acre which are elevated by fill, an engineered drainage plan is required. <br /> If! am the AGENT FOR 7HE OWNER, I promise in goad faith to inform the owner of the permitting ca�ditians set forth in <br /> this affidavit prior ta commencing canstruc#ion. 1 understand that a separate permit may be required far electrical work, <br /> plumbing, signs, wells, pools, air conditioning, gas, or ather installations not specifically included in the application. A <br /> permit issued sha11 be construed to be a license ta proceed with the work and nat as authority to violate, cancel, alter, ar <br /> set aside any pravisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter <br /> requiring a correction of errors in plans, constructian or violatians 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 wark authorized by <br /> the permit is suspended or abandoned for a period of six(6) months after the time the wark is cammenced. An extension <br /> may be requested, in writing, from the 8uilding C}fficial for a period not to exceed ninety {90} days and wiH demonstrate <br /> justifiabte cause far 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 TWICE �OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITM Y4UR LENDER 4R AN ATTORNEY BEF4RE REGORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIpA JURAT(F.6. 117.03) � <br /> OWNER OR ACsEN��7/'���'� �"'�� CONTRAGTOR����� <br /> uQb�sCr�'bed an bsworn to{nr a��)�be,fpre me this b,scribe nd swom ta�or a�rm b�e�e me thi� <br /> G J /(Y M- 'T� �t f't /�. � �S <br /> V��S,Ta7�5�ssonall known haslhave produCed o i r haslhave produced <br /> as identification. as identification. <br /> �,�1 ��� — " Notary Public Z�'�"�� Notary Public <br /> Commissian No. mmission Ala. <br /> ul iT�#�Q rt ' State of Floridn .Q"�"� o,*Rr° Notary PuWtc 5tate of 1= ' <br /> Name af Notaty typed,print qg t� d Ed Barrett N af tVotary typed,printed r�t_ • am�� <br /> ;�� �< My Commissian EE025732 9j� ,��v` MY Commission EE025�32 <br /> ''��fl,p°' Exp�res 11/18/2014 osA.� Expires 11/18/2014 <br />