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A �Y�'w' <br /> 3 <br /> 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 AND CONTRACTO RESPONSIBIIJTIES: If the owner has hired a conVactor or <br /> contractars to undertake work,they may be required t tre licensed in accordance with state and local regulations. If the <br /> contractor is not licensed as required by law, both th�owner and contractor may be cited for a misdemeanor violaGon <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 corrtact the Pasco�ounty Building Inspection Division--Licensing Section at 727-847- <br /> 8009. Furthermore, if the owner has hired a contra�Ctor or contractors, he is advised to have the contractor(s) sign <br /> portions of the"contractor Block"of this application fo�wrhich 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 enti8ed to permitting privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACTNTILITIES IMPACT AN RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transportation Impact Fees and Recourse Recov�ry 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 understan s,that such fees,as may be due,will be identified at the time of <br /> permitting. It is further understood that Transportatio Impact Fees and Resource Recovery Fees must be paid prior to <br /> receiving a"certificate of occupanc�'or final power re ease. If the project does not involve a certificate of occupancy or <br /> final power release,the fees must be paid prior to pe it issuance. Furthermore, if Pasco County Water/Sewer Impact <br /> fees are due,they must be paid prior to permit issuan in accordance with applicable Pasco County ordinances. <br /> COIdSTRUCTION LIEN LAW(Chapter 713,Florida tatutes,as amended): If valuation of work is$2,500.00 or more,I <br /> certify that I, the applicant, have been provided wi a copy of the "Florida Construction Lien Law—Homeowner's <br /> Protection Guide"prepared by the Florida Departmen of Agricufture and Consumer Affairs. If the applicant is someone <br /> other than the°owne�',I certify that I have obtained a opy of the above described document and promise in good faith to <br /> deliver it to the"owne�'prior to commencement. <br /> CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify th t all the infortnation in this application is accurate and that all work <br /> will be done in compliance with all applic�ble laws re�ulating construction,zoning and land development. Application is <br /> I hereby made to obtain a peRnit to do work and instatlation as indicated. I certify that no work or installation has <br /> commenced prior to issuance of a permit and that al�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 jurisdicction. I also <br /> certify that 1 understand that the regulations of other g vemment agencies may apply to the intended work,and that it is <br /> my responsibility to identlfy what actions I must take to�e in compliance. Such agencies include but are not limited to: <br /> - Department of Environmental Protection-�ypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands,WatedWastewater Treatmerrt. <br /> - Southwest Florida Water Management Disfict-Wells, Cypress Bayheads, WeUand Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls,Docks IVavigable Waterways. <br /> - Department of Health 8 Rehabilitative S rvices/Environmental Health Unit Wells, Wastewater Treatrnent, <br /> Septic Tanks. <br /> - US Environmental Protection Agency-Asbestos abatement. <br /> Federal Aviation Authority-Runways. <br /> I understand that the following resfictions 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 Flootl Zone "A", it is understood that a drainage plan addressing a <br /> °compensating volume"will be submitted�t 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 one°A°in connection with a permitted building using stem wall <br /> construction,I certify that fill will be used o�ly to fill the area within the stem wall. <br /> - If fill material is to be used in any area� 1 certify that use of such fill will not adversety affect adjacent <br /> properties. If use of fill is found to advers�ly atfect 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 enginee�ed drainage plan is required. <br /> If I am the AGENT FOR THE OWNER,I promise in gc�od faith to inform the owner of the permitting conditions set forth in <br /> this affidavit prior to commenang consVuction. I und�rstand that a separate permit may be required for electrical work, <br /> plumbing, signs,wells, pools, air conditioning, gas,o� other installations not specifically included in the application. A <br /> permit issued shall be construed to be a ticense to pr�ceed with the work and not as authority to violate,cancel,alter,or <br /> set aside any provisions of the technical codes,nor sh�ll issuance of a permit prevent the Building Official ftom thereafter <br /> requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid <br /> unless the waric authorized by such permit is commer�ced within six months of pertnit 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 Bui�ding Offici�l for a period not to exceed ninety(90)days and will demonstrate <br /> justifiable cause for the extension. If work ceases for mnety(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 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FlNANCING,CONSULT <br />, WIT OUR LE N ORN Y BE OR E ORDING YOU OTICE OF CO MENCEM NT. <br /> FLORIDA JURAT(F.S.11 0 <br /> OWNER OR AG CONTRACTOR <br /> Subscribed swom W a ied)b fore me this Subscribed and swom (o a ned)I e e ' <br /> by b <br /> Wh are personalty k t ' or a av o e person o t a ve produced <br /> on. a 'de 'on <br /> , ;'����i;B�. SUZANNE ALLEN <br /> �. nv a '� �u uni, � <br /> ?_'�•°;; o �y Public-5tate ot �orid _�` " '"B�;-, SUZANNE ALLEN <br /> _, ' = �,� �2p �� :°' Notar ub ic- tea �pf�a <br /> 'e� = My Comm.Expires Oct 25,2015 <br /> �o ' - * <br /> ommissi P1�9r P: oftlmissloll#EE 13 70 mmissionNo. =N� '�`� <br /> �•,,,,,,,,• Fct,�•� ommission <br /> �' ,����� <br /> Name of Notary typed,printed ar stamped Name of Notary typed,p nte or `e <br />