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'' � , NOTICE OF DEED RESTRICTIONS: The und rsigned under'stands that this permit may be subject to"deed"restrictions" <br /> � which may be more restrictive than County reg lations. 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 re uired to be licensed in accordance with state and local regulations. If the <br /> contractor is not licensed as required by law, oth the owner and contractor may be cited for a misdemeanor violation <br /> under state law If the owner or intended con ractor are uncertain as to what licensing requirements may apply for the <br /> intended work,they are advised to contact the asco County Building Inspection Division—Licensing Section at 727-847- <br /> 8009. Furthermore, if the owner has hired contractor or contractors, he is advised to have the contractor(s) sign <br /> portions of the"contractor Block"of this appli tion for which they will be responsible. If you, as the owner sign as the <br /> contractor, that may be an indication that he i not properly licensed and is not entitled to permitting privileges in Pasco <br /> County <br />' TRANSPORTATION IMPACT/UTILITIES IMP CT 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 existi g buildings, as specified in Pasco County Ordinance number 89-07 and <br /> 90-07, as amended. The undersigned also un erstands,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 p wer 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 i suance 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 all 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 ke 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-Welis, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protection Agenc -Asbestos abatement. <br /> - Federal Aviation Authority-Runways , <br /> I understand that the following restrictions apply o the use of fill: <br /> - Use of fill is not allowed in Flood Zo e"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 sub itted 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 lood 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 /> I - If fill material is to be used in an area, I certify that use of such fill will not adversely affect adjacent <br /> properties. If use of fill is found to dversely affect adjacent properties,the owner may be cited for violating <br /> the conditions of the building permi issued under the attached permit application,for lots less than one (1) <br /> acre which are elevated by fill,an en ineered drainage plan is required. <br /> If I am the AGENT FOR THE OWNER, I promis 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, wells, pools, air conditioning, �as, 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, or shall issuance of a permit prevent the Building Official from thereafter <br /> requiring a correction of errors in plans,construc ion or violations of any codes. Every permit issued shall become invalid <br /> unless the work authorized by such permit is co menced within six months of permit issuance, or if work authorized by <br /> the permit is suspended or abandoned for a peri�d of six(6)months after the time the work is commenced. An extension <br /> may be requested, in writing,from the Building fficial for a period not to exceed ninety(90) days and will demonstrate <br /> justifiable cause for the extension. If work cease for ninety(90)consecutive days,the job is considered abandoned. <br /> WARNING TO OWNER: YOUR FAILURE TO ECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YO R PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEF RE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JUR4T(F.S.117.03) /� /� p a <br /> OWNER OR AGENT CONTRACTOR Gir.����l�����GQ � <br /> Subscribed and swom to(or affirmed)before me this S bs d�r� vt,grn to(of affirmed)before�e th�i I <br /> bv �� /—fL Lj t:.L-r G (�/,'d'c! <br /> Who is/are personally known to me or has/have produced Who is/are p�rso Ily known to me or has/have produced <br /> as iden6fication. as identifica6on. <br /> Notary Publi ' ' " ' ' � ic <br /> CommissionNo. Com issionNo. •'�,"•"•Y��y��'' DARLENAM.MOORE <br /> ?.: :+? <br /> =.•. :a: EXPIRESt November 4,2018 <br /> Name of Notary typed,printed or stamped Name of Notary typ , %QSstaBqAd9d ru ary a �c <br />