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NOTICE OF DEED RESTRICTIOMS: The undersigned understands that this permit may.be subject to"deed"rest�ictions'; . <br /> which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any <br /> applicable deed restrictions. . , � <br /> UNLICENSED CONTRACTOi2S 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 tiy 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 /> coPatractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco ` - , <br /> County.�, � � � <br /> TRANSPORTATION IMPACTIUTILITIES 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 buiidings, as specified ir� 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 applicabie Pasco County ordinances. � . <br /> CON�TRUCTION 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'SIOWNER'S AFFIDAVIT: 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. I 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, Water/Wastewater 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 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"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 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 understand that a separate permit may be reguired 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 pr visions 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 /> WARNIfVG TO OWNER: YOUR FI4ILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR � <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IPITEND TO OBTAIN FINANCING, COMSULT <br /> WITH YOUR LEND R OR AN ATTORNEY BEFORE RECORDING YOUR PIOTICE OF COMMENCEMENT. <br /> FLORIDAJURAT(F.S. 1 .7�.03 - . .,,... ._..... . .. ._ _..: .. ,,.a. ... ..�.�,,� _. :..... ,. _,.. ...._._...._ . __,�.,._._•---�..;.;:.._- -- - <br /> OWNER OR AGE � � CONTRACTOR1 �t.�" �— ' . <br /> 5ubscribed and swom to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this <br /> by � � by <br /> Who is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced <br /> ;1 as IdentlficaUon. °? as identification. <br /> �",.—.4 � $�. �,i , - , <br /> � .i„�"�•a�� J L E.��BA�ON - '*�''• JOELG�. •AC ' <br /> .'� '�': otary Public �%' ,. Notary Pu61ic <br /> , ;�;` o^ Expires June 29,2018 � �� �: :Ar Expires June 29,2018 � <br /> Comr►�I iiSt�; �r eo mN Fd�� ��aeoo.�es-�o,e . Comrfiis on <br /> , „�, �,�� <br /> r �. <br /> i � <br /> Nam�;of Notary typed,printed or stamped Name of Notary" typed,printed or stamped <br />