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NOTICE OF DEED RESTRICTIONS: The under igned understands that this permit may be subject to"deed"restrictions" <br /> which may be more restrictive than County regul tions. The undersigned assumes responsibility for compliance with any <br /> applicable deed restrictions. <br /> UNLICENSED CONTRACTORS AND CONT CTOR RESPONSIBILITIES: If the owner has hired a contractor or <br /> contractors to undertake work,they may be req ired to be licensed in accordance with state and local regulations. If the <br /> contractor is not licensed as required by law, b th the owner and contractor may be cited for a misdemeanor violation <br /> under state law. If the owner or intended contr ctor are uncertain as to what licensing requirements may apply for the <br /> intended work,they are advised to contact the P sco County Building Inspection Division—Licensing Section at 727-847- <br /> 8009. Furthermore, if the owner has hired a ontractor or contractors, he is advised to have the contractor(s) sign ' <br /> portions of the"contractor Block"of this applica ion for which they will be responsible. If you, as the owner sign as the <br /> contractor, that may be an indication that he is ot properly licensed and is not entitled to permitting privileges in Pasco <br /> County. � <br /> TRANSPORTATION IMPACT/UTILITIES IMPA T AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transportation Impact Fees and Recourse ecovery Fees may apply to the construction of new buildings,change of <br /> use in existing buildings, or expansion of existi g buildings, as specified in Pasco County Ordinance number 89-07 and <br /> 90-07,as amended. The undersigned also und rstands,that such fees, as may be due,will be identified at the time of <br /> permitting. It is further understood that Transp rtation Impact Fees and Resource Recovery Fees must be paid prior to <br /> receiving a"certificate of occupancy"or final po er release. If the project does not involve a certificate of occupancy or <br /> final power release,the fees must be paid prio to permit issuance. Furthermore, if Pasco County Water/Sewer Impact <br /> � fees are due,they must be paid prior to permit is uance in accordance with applicable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713,FI rida Statutes,as amended): If valuation of work is$2,500.00 or more, I <br /> certify that I, the applicant, have been provi ed with a copy of the "Florida Construction Lien Law—Homeowner's <br /> Protection Guide"prepared by the Florida Dep rtment of Agriculture and Consumer Affairs. If the applicant is someone <br /> other than the"owner", I certify that I have obtai ed 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 ce ify that all the information in this application is accurate and that all work <br /> will be done in compliance with ail applicable I ws regulating construction,zoning and land development. Application is <br /> hereby made to obtain a permit to do work nd 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 r gulations, and land development regulations in the jurisdiction. I also <br /> certify that I understand that the regulations of ther government agencies may apply to the intended work,and that it is <br /> my responsibility to identify what actions I must ake to be in compliance. Such agencies include but are not limited to: <br /> - Department of Environmental Prot ction-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands,Water/Wastewater Treatme t. - <br /> - Southwest Florida Water Mana ement District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> - Department of Health & Rehabilit tive Services/Environmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agen y-Asbestos abatement. <br /> - Federal Aviation Authority-Runway . <br /> I understand that the following restrictions appl to the use of fill: <br /> - Use of fill is not allowed in Flood Z ne"V"unless expressly permitted. <br /> - If the fill material is to be used i Flood Zone "A", it is understood that a drainage plan addressing a <br /> ' "compensating volume"will be su mitted 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 sed only to fill the area within the stem wall. <br /> - If fill material is to be used in a y 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 per it issued under the attached permit application,for lots less than one (1) <br /> acre which are elevated by fill,an ngineered drainage plan is required. <br /> If I am the AGENT FOR THE OWNER, I promi e 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, weils, pools, air conditioning, gas, or other installations not specifically included in the application. A <br /> permit issued shall be construed to be a licens 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,const ction or violations of any codes. Every permit issued shall become invalid <br /> unless the work authorized by such permit is ommenced within six months of permit issuance, or if work authorized by <br /> the permit is suspended or abandoned for a p riod of six(6)months after the time the work is commenced. An extension - <br /> may be requested, in writing,from the Buildin Official for a period not to exceed ninety(90)days and will demonstrate <br /> justifiable cause for the extension. If work cea es for ninety(90)consecutive days,the job is considered abandoned. � <br /> WARNING TO OW R: YOUR FAILURE T RECORD A NOTICE OF MMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FO I QVEMENTS TO UR PROPERTY. IF YOU I END BTAIN FINANCING,CONSULT <br /> WITH YOUR LEND OR AN ATTORNEY B FORE RECORDING YOUR T E OF OMMENCEMENT. <br /> FLORIDA JUR,4T(F.S. 1 , <br /> OWNER OR AGENT CONTRACTOR <br /> Subscribed and sworp (o H' d)be re me this Subscribed and swom t or a irmed)before me is <br /> �-�a.�K b <br /> W o is/are sonally n to me or ve produced Who i .e per w o me or as/have pro ced - <br /> as id ntificalion. as ide tificatio <br /> `"���"' UZANNE r1LlEN <br /> ANNE A ,��4p,0.Y PJ�4 <br /> �,,,� P�e,,, , �Orida <br /> `� �a cs_ No ar tg �(i _a . +� . ublic-StbI���UbS�a <br /> Commiss �� . ,�'v° .= . �xCires Oct 2577015 om SS : w : ; Comm.Expires Oct 25,2015 <br /> • Y — � �. <br /> � °� Co I SIOII� t _ ��prE'OF.f�-{s ammissi <br /> ' P.` ::.J/I11111i� ' 'i <br /> Name of tar� �� ted or sta Name of Notary type�, �` � <br />