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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 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 loql reguladons. 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 Divisior�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. • <br /> TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands <br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the consUuction 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 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 WatedSewer Impact <br /> fees are due,they must be paid prior to pertnit issuance in accordance with applicable Pasco County ordinances. i <br /> CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuatlon 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 appiicant is someone <br /> • other than the"owne�',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 /> �!'�y CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work <br /> �yvilj,be done in compliance with all applicable laws regulating construction,zoning and land development. Application is <br /> i�eceby made to obtain a pertnit 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 /> consVucGon, 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 govemment 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 ProtecGon-Cypress Bayheads, WeUand Areas and Environmentally Sensitive <br /> Lands,WatedWastewater TreaUnent. - <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. <br /> - Departrnent of Health 8 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 pertnitting 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 viola6ng <br /> the condiGons of the building permit issued under the attached permit applicaGon,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 failh to inform the owner of the permitting conditions set forth in <br /> this affidavit prior to commencing consVuction. I understand that a separate permit may be required for electrical work, <br /> plumbing, signs,wells, pools, air conditioning, gas, or other instaliations not speafically included in the application. A <br /> pertnit 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 pertnit is commenced 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 Building Official for a period not to exceed ninety(90)days and will demonsVate <br /> justifiable cause for the extension. If work ceases for 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 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> FLORIDA JURAT(F.S.117 3) <br /> OWNER OR AGENT CONTRACTOR�/L.L(� <br /> Subscribed�,nd swom to(o a d)be ore me this Subsc'bed nd sworn to o affirmed efore e this <br /> �'1$-L s by _Lt.�L�bY C-y�-� L�Ee�� <br /> Who is/are persona y o me or haslhave produced Who is/are personally known t a�ie or has/have produced <br /> as identification. as idenfification. <br /> //'^ � " - <br /> f ,1 c.s"7� Notary Public � Notary Public <br /> Comm ion No. Commission No. <br /> .�' �`irE�� <br /> N e��,�11�lsxtyp�����mped am rs m ed <br /> i7� <br /> r� • := Commission#FF 130253 ,.����i'�, CRAIG CANT <br /> _ �r; Expires June 8,2018 ;:� �:_ Commission#FF 130253 <br /> ��', ��'�' BondadTlwTrqFenlnawanceB00•385dOfA ;g:�s��; Explres June 8,2018 <br /> •'91R����• Bm�fed TFw Troy FaN Insurance 800385-7019 <br />