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• . � NOTICE OF DEED RESTRICTIONS: The undersigned under tands that this permit may be subject to"deed"restrictions" <br /> . which may be more restrictive than County regulations. The u dersigned assumes responsibility for compliance with any <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RES ONSIBILITIES: If the owner has hired a contractor or <br /> contractors to undertake work,they may be required to be lic nsed in accordance with state and local regulations. If the <br /> contractor is not licensed as required by law, both the owne and contractor may be cited for a misdemeanor violation <br /> under state law. If the owner or intended contractor are unc rtain as to what licensing requirements may apply for the <br /> intended work,they are advised to contact the Pasco County uilding 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 li ensed and is not entiUed to permitting privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACT/UTILITIES IMPACT AND RES URCE RECOVERY FEES: The undersigned understands <br /> that Transportation Impact Fees and Recourse Recovery Fee may apply to the construction of new buildings,change of <br /> use in existing buildings,or expansion of existing buildings, s specified in Pasco County Ordinance number 89-07 and <br /> 90-07, as amended. The undersigned also understands,tha such fees,as may be due, will be identified at the time of <br /> permitting. It is further understood that Transportation Impa 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 iss ance. Furthermore, if Pasco County Water/Sewer Impact <br /> fees are due,they must be paid prior to permit issuance in ac ordance with applicable Pasco County ordinances. <br /> COMSTRUCTION LIEN LAW(Chapter 713,Florida Statute ,as amended): If valuation of work is$2,500.00 or more,I <br /> certify that I, the applicant, have been provided with a c py of the "Florida Construction Lien Law—Homeowner's <br /> Protection Guide"prepared by the Florida Department of Ag iculture 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 certify that all th information in this application is accurate and that all work <br /> will be done in compliance with all applicable laws regulatin construction,zoning and land development. Application is <br /> hereby made to obtain a permit to do work and installati n 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, a d land development regulations in the jurisdiction. I also <br /> certify that I understand that the regulations of other govern ent agencies may apply to the intended work,and that it is <br /> my responsibility to identify what actions I must take to be in ompliance. Such agencies include but are not limited to: <br /> - Department of Environmental Protection-Cypres Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands,Water/Wastewater Treatment. <br /> - Southwest Florida Water Management Dist ict-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Navi able Waterways. <br /> - Department of Health & Rehabilitative Service /Environmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos batement. <br /> - Federal Aviation Authority-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"unles expressly permitted. <br /> - If the fill material is to be used in Flood Zon "A°, it is understood that a drainage plan addressing a <br /> "compensating volume"will be submitted at tim 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 ill the area within the stem wall. <br /> - If fill material is to be used in any area, I ce ify that use of such fill will not adversely affect adjacent <br /> properties. If use of fill is found to adversely a ect adjacent properties,the owner may be cited for violating <br /> the conditions of the building permit issued un er the attached permit application,for lots less than one(1) <br /> acre which are elevated by fill,an engineered dr inage plan is required. <br /> If I am the AGENT FOR THE OWNER,I promise in good fa h to inform the owner of the permitting conditions set forth in <br /> this affidavit prior to commencing construction. I understan that a separate permit may be required for electrical work, <br /> plumbing, signs, wells, pools, air conditioning, gas, or oth r 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 iss ance of a permit prevent the Building Official from thereafter <br /> requiring a correction of errors in plans,construction or viol tions of any codes. Every permit issued shall become invalid <br /> unless the work authorized by such permit is commenced ithin 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 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 /> �\���`\,�QUINT/� ���/WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> // <br /> �����0• �...�A/�!4 /.��qYING TWICE FOR IMPROVEMENTS TO YOUR PROP RTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> `�Q-��5$\ON�{•p�.�� H YOUR LEND OR AN RNEY BEFORE REC RDING YOU NOTI E OF OMMENCEMENT. <br /> =Q�O�l1`��10,2o�B 9�.�:�d�IDA JURAT(F.S.1 7. ) <br /> =m�}� •� � �R OR AGENT � CO TRACTOR `��1\�{�IIIIII//��� <br /> i :� �,``� � ip�{ n bsw to r affirm d) ore me this O c�r e sworn or med)befor e this ` \`���P�pRA D Q�ii���� <br /> � � / /� b \� •�... <br /> Y <br /> ��( ; �F �• �1�}f�s a ersonal kno me or has/have produced Wh is/ar rsort me or h s/have produced `� �•�MMISS�p•./yJ'�� <br /> � '� � • � as' ntification. as identification. � G N ;q � <br /> ��i��j'•.��6te w�i"..• ��� *��Q'09�SS''���t'o�`'.o.�+ <br /> //�������iiBiii i��`��`,\ � � �•� �y; = <br /> Rl . <br /> Notary Public L�J Notary Py�• � <br /> �y9.� '��111�57 :*� <br /> mission No. �� � mission No. / � � i��Y �� ;QQ` <br /> ��-�(y �y DQ .s/�� � /•O °�YR�'.arod���•Q`` <br /> Name of Notary ty�`pnnted or stamped 1 � � Na e of Notary typed,printed or stamped //��j���/I$�i;i+�1`�O�`\ <br />