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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 restrictlons. <br /> UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBlLITIES: if the owner has hired a conhactor or <br /> contractors to undertake work,they may be required to be licensed in accordance with state and locai regulations. If the <br /> contraotor 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 cantractor 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, ff the owner has hfred a contractor or contractors, he is advised to have the contractor(s) sign . <br /> portions of the"contractor Block°of this applicalion for which they will be responsible. If you, as the owner slgn as the � <br /> contractor, that may be an indication that he is not properiy licensed and is not entiUed to permitting privileges in Pasco - <br /> County. <br /> TRANSPORTATION IMPACTlU71LITiES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands • <br /> that Transportation Impact Fees and Recourse Recovery Fees may apply to the constructiori of new buildings,change of <br /> use in existing buildings,or expansion of existing buildings, as specffied 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 identifed at the time of <br /> permitting. It ls further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior ta <br /> recefving a'certificate of accupancy°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. FurtheRnore, if Pasco County Water/Sewer Impact <br /> fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713,Florlda Statutes,as amended): If valuation of wark is$2,500.00 or more, I <br /> certiTy 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 Aifairs. 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'S/OWNER'S AFFIDAVIT: I certffy that all the information In this application is accurate and that all wark <br /> i will be done in compliance wfth all applicable laws regulating construction,zoning and land development. Appiication is 9 <br /> hereby made to obtain a permit to do work and installaUon as indicated. I cerlify that no work or installation has � <br /> commenced prior to issuance of a permit and that all wark 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 regulaiions of otNer govemment agencies may apply to the intended work,and that it is � <br /> my responsibility to identffy what actions I must take to be in compliance. Such agencies include but are not limited to: <br />' - Department of Environmental Protection-Cypress Bayheads, 1Netland Areas and Environmentally Sensitive <br /> Lands,WaterlWastewater Treatment. ' <br /> - Southwest Florida Water Management District-Wells, Gypress Bayheads, WeGand Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalis,Docks,Navigable Waterways. <br /> - Department of Health & Rehabilitetive Services/Environmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> - US Environmental Protectlon Agency Asbestos abatement. <br /> - Federal Aviation Authority-Runways. <br /> I understand that the following restriclions apply to the use of flll:� <br /> - Use of fill is not allowed in Fiood Zone'V°unless expressly permitted. <br /> - If the flll materlal is to be used in Flood Zone 'A", it is understood that a drainage plan addressing a ' <br /> °compensating volume"witl 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 w(th a permitted building using stem wall <br /> construction,I certify that fill wlll be used only to fill the area within the stem wall. <br /> - If fill material is to be used in any area, I certlfy that use of such fill will not adversely affect adjacent <br /> properties. If use of flil is found to adversely affect adjacent properties,the owner may be cited for violating <br /> the conditions of the building pertnit issued under the attached permft application,for lots less than one(1) <br /> acre which are elevated by ftll,an engineered dra(nage plan is required. <br /> If I am the AGENT FOR THE OWNER,I promise in gaod faith to inform the owner of the permitting conditions set forth in <br /> this eftidavlt prfor to commencing construction. 1 understand that a separate permit may be required for electrical work, <br /> plumbing, signs,wells, pools, air condiGoning, gas, or other Installations not speciflcally in�luded 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 arry provisions of the technical codes,nor shall issuance of a permit prevent the Buildirig Official from thereafter � <br /> requiring a correction of errors in plans,construction or violadons of any codes. Every permit issued shall become invalid <br /> unless the wark authorized by such permit is commenced withfn six months of permit fssuance,or'rf 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,irom the Building.Official for a period not to exceed ninety(90)days and will demonstrate <br /> )ustifiable 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 /> WIT YOUR LENDER OR AN ATTORNEY BEFORE ECORDING YOUR NOTICE OF COMME CEMENT <br /> FLORIDA JURAT(F.S.117.03) �/ ^ � <br /> �. .��� / A 1 <br /> OWNER OR AGENT CONTRACTOR�, ar ���=� <br /> Subscrtbed and sworri to(or aftirtned)before me thls Subsalhed end svwm to(or affirtned)before me thls <br /> by � bY <br /> 1Nho islare e nal Wh slare pers aly to m o has/have pro d <br /> P fY 9� Z�6 U1i��:52.:i�X� s!J_ZV''.��c..:«: Bl0 S8E'OOBwuei sulure /� myl P ao'`�ida�`� <br /> L LE6 t# a:ss�w.,:c,'� ~''•. T�ti�,,,; 8l0 P S x3 , .�- <br /> 0 .ao���6n��"�z'';;,° 6 iss, iuo :•: otaryPublic <br /> d '3130P �••.,�a A�,..�� <br /> Commisslon Commissl <br /> Name of No ry ed,printed or shdmped � Name of Notary ed, 'nted or stamped <br />