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y NOTICE OF DEED RESTRICTIONS: The undersigned understands 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 appiy to the construction of new buildings,change of <br /> use in existing buildings, or expansion of exis ng buildings, as specified in Pasco County Ordinance number 89-07 and <br /> 90-07,as amended. The undersigned also u derstands,that such fees, as may be due,will be identified at the time of <br /> permitting. It is further understood that Trans ortation 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 pri r to permit issuance. Furthermore, if Pasco County Water/Sewer Impact <br /> fees are due,they must be paid prior to permit ssuance in accordance with applicable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713,F orida Statutes,as amended): If valuation of work is$2,500.00 or more,I <br /> certify that I, the applicant, have been prov ded with a copy of the "Florida Construction Lien Law—Homeowner's <br /> Protection Guide"prepared by the Florida De artment of Agriculture and Consumer Affairs. If the applicant is someone <br /> other than the"owner', I certify that I have obt ined a copy of the above described document and promise in good faith to <br /> deliver it to the"owner'prior to commencemen. <br /> CONTRACTOR'S/OWNER'S AFFIDAVIT. I c rtify that all the information in this application is accurate and that all work <br /> will be done in compliance with all applicable aws regulating construction,zoning and land development. Application is <br /> hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has <br /> commenced prior to issuance of a permit an that all work will be pertormed 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 regulations o other government agencies may apply to the intended work, and that it is <br /> my responsibility to identify what actions I mus take to be in compliance. Such agencies include but are not limited to: <br /> - Department of Environmental Pro ection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands,WatedWastewater Treatm nt. <br /> - Southwest Florida Water Man gement District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawall ,Docks,Navigable Waterways. <br /> - Department of Health & Rehabil tative Services/Environmental Health Unit-Wells, Wastewater Treatment, <br /> Septic Tanks. <br /> -, US Environmental Protection Age I cy-Asbestos abatement. <br /> - Federal Aviation Authority-Runwa s. <br /> I understand that the following restrictions app y to the use of fill: <br /> - Use of fill is not allowed in Flood ne"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 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 i Flood Zone "A" in connection with a permitted building using stem wall <br /> construction,I certify that fill will b used only to fill the area within the stem wall. <br /> - If fill material is to be used in ny area, I certify that use of such fill will not adversely affect adjacent <br /> properties. If use of fill is found t 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 pro ise in good faith to inform the owner of the permitting conditions set forth in <br /> this affidavit prior to commencing constructio . I understand that a separate permit may be required for electrical work, <br /> plumbing, signs, wells, pools, air conditionin , gas, or other installations not specifically included in the application. A <br /> permit issued shall be construed to be a licen e to proceed with the work and not as authority to violate,cancel,alter,or <br /> set aside any provisions of the technical code ,nor shall issuance of a permit prevent the Building O�cial from thereafter <br /> requiring a correction of errors in plans,const uction or violations of any codes. Every permit issued shall become invalid <br /> unless the work authorized by such permit is commenced 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 Buildi g Official for a period not to exceed ninety(90)days and will demonstrate <br /> �"o justifiable cause for the extension. If work ce ses for ninety(90)consecutive days,the job is considered abandoned. <br /> N N E <br /> i— o o � WARNING TO OWNER: YOUR FAILURE O RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> �— u�. � ° PAYING TWICE FOR IMPROVEMENTS TO OUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT p <br /> � � n z WITH YOUR LENDER OR AN ATTORNEY EFORE RECORDING YOUR TICE F COMMENCEMENT. �=:,��j5'�"or', <br /> W O � �,:•; 3�: <br /> E vi FLORIDAJURAT(F.S.117.03) �:+�: <br /> a� 9':?`:�.'�; <br /> a v� a � `/ � o;�,;.. ,,; <br /> Q V) y o OWNER OR AGENT CONTRACTOR �V ••.,,o�,� o�,.' <br /> Z g � � Subscribed and sworn t affir ed)befor i Subscribed and swo fi o( r affirmed)before e this � � <br /> � W :°_ -'� ��-I�bY �n �'a S')� by ` ( �O n��Y �,.�,,,, <br /> �"' O ¢ `o Who is/aGe'e onally wn to me or ha have produce Who is/ personally know or has/have produced X -� <br /> U d � � ��L as identi �f' as identification. � � n <br /> � W � � � � <br /> „���,�X � ~ ' ��� ��-)V K/�/1 0 � � D <br /> � z cn <br /> ;;vj� oiyo;'o Notary ublic � i L. Notary Public � � � <br /> m t) uj <br /> :� o:� o 'sion No. Commission No. —�� � � z Ri <br /> ';rc : ,-�f`;-� � ��/1�} � � m � � <br /> ,�N..�:e+ °� u�IIA �rr� t-r � �, � <br /> Name of Notary typed, rinted or stamped Name of Notary typed,printed or stamped � � o +� <br /> 3 N N _+ <br /> • O �p <br /> V � <br />