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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 14ND CONTFtACTOR RESPONSI�ILI7'IES:' 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 /> coritractor is riot 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—Licer�sing 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 />� TRAN�PORTATION IMPACTIUTILITIE� IIVIPACT 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 /> 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 Pa,sco Counfy ordinances. <br /> CONSTRUCTION LIEIV LAIRI(Chapter�13, �lorida 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 Agriculture,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 /> CONTR�►CTOR'S/OVN(VER'S AFFIDpVIl': I certify 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. ( 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 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 /> Lands, WateNWastewater 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 Autho�ity-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 /> 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 AGEPIT 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 included 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 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 /> WARNINC TO OWPIEIZ: YOUR FAILURE YO RECOVtD A NOTICE OF COMMENCEMENT MAY �2ESULT IN YOUR <br /> PAYING TV1110E �OR I�IIPROVEfNENTS TO YOUR PROPEitTY. IF YOU INTEND TO OBTAIN FINANCING, COfdSULY <br /> 1NITH YOUR LENDER OR�►N ATTORNEY BEFORE RECORDING YOUR NOTICE OF OMMENCEMENT. <br /> FLORIDA JURAT(F.S, 117.03) <br /> . � <br /> OIfVNER OR AGENT ' .'. .• '' CONTRACTOR � <br /> S sc�ed�bswo to�r, ed)befo me is S�bs� d�n s�o,m��� irmed)bef �e me is <br /> y � b • <br /> Wh ' are rsonally knoyvn,to me or has/ ave p oduced Who Is!��P ersQnall�(k-nown to me r /have p od ced <br /> � /Ia�✓S (�C�g—as(dent(ficaBon. /'-"�—' 1J/Li'(/�S ��O`�as identification. <br /> � . <br /> '�. <br /> otary Public Notary Public <br /> ,�,,,. ,,,,,��,.., <br /> o Is ocr•���segt•. JACQUELINE BOGES C m ssi , •°�•-, �AC <br /> =,,� ::: Commission 0 ="' ;•= ommission#EE 040520 <br />' �. :'a: Ex ires December 12,2014 �. :4 Ex ires <br /> Name of ot ;;, ed����4��'7019 Name of �d��°�� eoaaes�o�s <br /> I <br />