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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�local regulations. 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 (nspection Division—Licensing Section at 727-847- <br /> 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have tfie contractor(s) sign <br /> portions of the "contractor Block" of this appllcation 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 entitied to permitting privileges in Pasco <br /> County. <br /> TRANSPORTATION IMPACTIUTILITIES IMPACT 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 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 /> finai 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 issuance in accordance with applicable Pasco County ordinances. <br /> CONSTRUCTION LIEN LAW(Chapter 713, Florida Statute�, as amended): If valuation 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 Agricuiture and Consumer Affairs. 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'SJOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work <br /> will be done in compliance with all applicable laws 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 perm_it and that-all work wili 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 aiso <br /> certify that I understand that the regulations of other government 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 Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive <br /> Lands, Water/INastewater Treatment. <br /> - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering <br /> Watercourses. <br /> - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. <br /> - Department of Health & 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 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 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 violating <br /> the conditions of the building permit issued under the attached.permit application, 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 OWIdER, I,promise in good_faith to inform the owner of the permitting conditions set forth in <br /> this affidavit prior to commencing construcfion. I understand that a separate permit may be required for electrical work, <br /> plumbing, signs, wells, pools, air conditioning, gas, 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, nor shall issuance of a permit prevent the Buildirig 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 permit is commenced within six months of permit 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 demonstrate <br /> justifiable cause for,the extension. If work ceases for ninety(90)consecutive�days, th�job is considered abandoned. <br /> WARNING TO OWNER: YOUR F�►ILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR <br /> _PAYING_TINICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU� �C�" -�OfVififiEPiC�f�f1ERIY: -- - -- - - - <br /> FLORIDA JURAT(F.S.1 .0 <br /> OWNER OR AGENT CONTRACTOR �' <br /> Subscrlbed a swo -to-� r affirmed)b fore e thls i d a swo,r�n/ ffirme )befo me this <br /> .�>_:�z-L�bY�-�I_-�'� 6� ��bY �L—�.�SStCI.� �'�iS�YI � <br /> V� s/ar, e sonally,known to me or has/have produced Who Is/are p rsonaft knpwn to me or has/have produced <br /> T�,� 1 �Lr C�a.e as Idendficadon. I as identlficaUon. . <br /> - � Notary Public {A�I� �� Notary Public <br /> Comm lon N Com ssi No. .••:�i'*:':i%'••, JACQUELINE BOGES <br /> ,y.o,,,, =.; '::= Commission#FF 150422 <br /> ;.?;ti�s•�e,.,, JACQUELINE BOGES :x. :;; Ex ires December 12 2018 <br /> Name of Notary typed,prin d�17,'�{fah�flPe@pndedThm7royFein�nsuranceeDo-385•7019 <br /> Name of Not � �,f�� xpires ecem er 12,2018 <br /> �%:,p���°,�`��` Bo�ded Tlw Troy Faln Insurance,8(Ip-�85•7019 . � <br /> I <br />