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i <br /> 4 <br /> a � T ; <br /> i. <br /> NOTICE OF DEED RESTRICTIONS: The undersigne�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 I <br /> TRANSPORTATION IMPACT/UTILITIES 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 /> use in existing buildings, or expansion of existing bui�dings, as specified in Pasco County Ordinance number 89-07 and <br /> 90-07, as amended. The undersigned also understa ds,that such fees, as may be due,will be identified at the time of <br /> permitting. It is further understood that Transportatioh 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 p�rmit 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 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 /> CONTRACTOR'S/OWNER'S AFFIDAVIT. I certify ti�at 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 ir�stallation 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 regula�ions, and land development regulations in the jurisdiction. I also <br /> certify that I understand that the regulations of other,9 overnment agencies may apply to the intended work,and that it is <br /> my responsibility to identify what actions I must take tb 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,Water/Wastewater Treatment. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls,Doc s,Navigable Waterways. <br /> - Department of Health & Rehabilitative IServices/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 thg use of fill: <br /> - Use of fill is not allowed in Flood Zone"�'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 lonly 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 iss�ed 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 u derstand 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 comrr�enced within six months of permit issuance,or if work authorized by <br /> the permit is suspended or abandoned for a penod 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 fo�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 FOR IMPROVEMENTS TO YOURCPROPERTY. IF YOU INT ND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDE OR AN ATTORNEY BEFORE RECORDING YOUR N TICE OF COMMENCEMENT. <br /> FLORIDAJURAT(F.S.11 �03 <br /> OWNERORAGENT CONTRACTOR � <br /> Subscribed and swo�t ( r affirmed) efore me this Subscribed and sworn t ( r affirmed)be o e me this <br /> by G I��P�-1�by J <br /> o is/are personally k n to me o has/ha e produced Who is/are personall V to me or ha ' ave produced i <br /> as denGfication. as identfication. <br /> � <br /> •�O11j4 F N a PUbfIC `��a� ��O -- ' � <br /> `,�,�,�„,� � t � , - N - No ry Public <br /> t.'�. :a°. <br /> - � • 'oipmNstt�rr��ublic-St,te of fl ' �o , �: Notary Pubiic-State of Florida <br /> -� ; #Q' My Comm. 25.20 , ;�: JQ; My Comm. xpires c <br /> :j �9 <br /> '';rFO i��o me of , t d Nam of � ¢8,printe stampe <br />